CHAA Certification Exam Questions with Complete Solutions
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Course
CHAA
Institution
CHAA
CHAA Certification Exam Questions with Complete Solutions
Accepting Assignment - Correct Answer When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance payment and the provider's normal fee.
Access - Correct Answe...
CHAA Certification Exam Questions with Complete
Solutions
Accepting Assignment - Correct Answer When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance payment and the provider's normal fee.
Access - Correct Answer The Patient's ability to obtain medical care. The ease of access is determined
by such components as the availability of medical services and their acceptability to the patient, the location of health care facilities, transportation, hours of operation and cost of care.
Account Number - Correct Answer A number assigned to each account. The number is used to identify the account and all charges and payments received.
Acute Care - Correct Answer Medical attention given to patients with conditions of sudden onset that
demand urgent attention or care of limited duration when the patient's health and wellness would deteriorate without treatment. The care is generally short-term rather than long-term or chronic care.
Acute Inpatient Care - Correct Answer A level of health care delivered to patients experiencing acute illness or trauma. Acute care is generally short-term less than 30 days.
Add-Ons - Correct Answer Patients who are scheduled for services less than 24 hours in advance of the actual service time.
Adjustor - Correct Answer Insurance company representative
Administrative Costs - Correct Answer Costs associated with creating and submitting a bill for services, which could include, registration, utilization review, coding, billing, and collection expenses.
Admission Authorization - Correct Answer The process of third party payor notification of urgent/emergent inpatient admission within specified time as determined by payors which is usually within a 24 to 48 hour or next business day.
Admission Date - Correct Answer The first date the patient entered the hospital for a specific visit. Admitting Diagnosis - Correct Answer Word, phrase, International Classification of Disease (ICD9) code used by the admitting physician to identify a condition or disease from which a patient suffers and for which the patient needs or seeks medical care.
Admitting Physician - Correct Answer The physician who writes the order for the patient to be admitted to the hospital. The physician must have admitting privileges at the facility providing the health care services.
Advance Beneficiary Notice (ABN) - Correct Answer A notice that a care provider should give a Medicare beneficiary to sign if the services being provided may not be considered medically necessary and Medicare may not pay for them. The advanced beneficiary notice (ABN) allows the beneficiary to make a informed decision prior to services whether or not he/she wishes to receive services. ABNs are not routinely given to emergency department patients.
Advanced Directives - Correct Answer An advance directive is a written instruction relating to the provision of health care when a patient is incapacitated. It could include appointing someone to make medical decisions, a state expressing the patients wishes about anatomical gifts (like organ donation), and general statements about whether or not life-sustaining treatments should be withheld or withdrawn.
Adverse Selection - Correct Answer Among applicants for a given group or individual program, the tendency for those with an impaired health status, or who are prone to higher than average utilization of benefits to be enrolled in disproportionate numbers and lower deductible plans.
Alias - Correct Answer An alias is a name by which the patient is also known as or formerly known as.
All patient Diagnosis Related Groups Assignment of Benefits (APDRG) - Correct Answer A prospective hospital claims reimbursement system currently utilized by the federal government Medicaid program and the states of New York and New Jersey. APDRGs were designed to describe the complete cross section of patients seen in acute care hospitals. Approximately 639 APDRGs are defined according to the principal diagnosis, secondary diagnoses, procedures, age, birth weight, sex,
discharge status. Each category has an established fixed reimbursement rate based on average cost of treatment within a geographic area. APRDRG's were developed to quantify the difference in demographic
groups and clinical risk factors for patients treated in hospitals. This proprietary grouping system's (i.e. 3M) purpose is to obtain fair and accurate statistical comparisons between disparate populations
and groups. Unlike the Diagnosis Related Group (DRG) reimbursement system which is intended to capture
resource utilization intensity, the APRDRG system captures and relates the Severity of Illness and Risk
of Mortality factors present as a result of a patient's disease and disorders and the interaction of
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