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2024 Newest |CHAA Exam| UPDATE|COMPREHENSIVE FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET IT 100% ACCURATE
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2024 Newest |CHAA Exam| UPDATE|COMPREHENSIVE FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET IT 100% ACCURATE Accepting Assignment - ANSWER-When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance paymen...

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  • November 11, 2024
  • 54
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • 2024 newest chaa exam updatecomprehens

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2024 Newest |CHAA Exam|2024-2025 UPDATE|COMPREHENSIVE
FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED
ANSWERS|GET IT 100% ACCURATE



Accepting Assignment - 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 - 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 - ANSWER✔✔-A number assigned to each episode of care. This

number is used to identify the account and all charges and payments received.


Acute Care - 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 - ANSWER✔✔-A level of health care delivered to patients

experiencing acute


illness or trauma. Acute care is generally short-term (< 30 days).
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Page 1/54

,Add-Ons - ANSWER✔✔-Patients who are scheduled for services less than 24 hours in

advance of the actual service time.


Adjustor - ANSWER✔✔-Insurance company representative.


Administrative Costs - ANSWER✔✔-Costs associated with creating and submitting a

bill for services, which could include: registration, utilization review, coding, billing,

and collection expenses.


Admission Authorization - ANSWER✔✔-The process of third party payor notification

of urgent/emergent inpatient admission within specified time as determined by payors

(usually 24-48 hours or next business day).


Admission Date - ANSWER✔✔-The first date the patient entered the hospital for a

specific visit.


Admitting Diagnosis - ANSWER✔✔-Word, phrase, of International Classification of

Disease (ICD10) code used by the admitting physician to identify a condition or disease

from which the patient suffers and for which the patient needs or seeks medical care.


Admitting Physician - ANSWER✔✔-The physician who writes the order for the patient

to be admitted to the hospital. This physician must have admitting privileges at the

facility providing the healthcare services.


Advance Beneficiary Notice (ABN) - ANSWER✔✔-A notice that a care provider must

give a Medicare beneficiary to sign if the services being provided may not be

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Page 2/54

,considered medically necessary and Medicare may not pay for them. This allows the

beneficiary to make an informed decision prior to services whether or not he/she

wishes to receive services. Not routinely given to emergency department patients.


Advance Directive - ANSWER✔✔-An advance directive is a written instruction relating

to the provision of healthcare when a patient is incapacitated. It could included

appointing someone to make medical decisions, a statement expressing the patient's

wishes about anatomical gifts (i.e. organ donation), and general statements about

whether or not life-sustaining treatments should be withheld or withdrawn.


Adverse Selection - 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 - ANSWER✔✔-A name by which the patient is also "know as," or formerly known

as.


All Patient Diagnosis Related Groups Assignment of Benefits (APDRG) - ANSWER✔✔-

A prospective hospital claims reimbursement system currently utilized by the federal

government Medicaid program and the states of New York and New Jersey. Were

designed to describe the complete cross section of patients seen in acute care hospitals.

Approximately 639 are defined according to the principal diagnosis, secondary

diagnoses, procedures, age, birth weight, sex, discharge status. Each category has an

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Page 3/54

, established fixed reimbursement rate based on average cost of treatment within a

geographic area. Were developed to quantify the difference in demographic groups and

clinic 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 reimbursement system

which is intended to capture resource utilization intensity, this 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 those disorders. A form is signed

by the Patient giving the healthcare provider authority to bill his/her insurance plan

and receive payment. The form is generally presented and signed at the time of

registration.


Alphanumeric - ANSWER✔✔-Letters, numbers, punctuation marks and mathematical

symbols, as opposed to "numeric" which is numbers only. Term typically related to the

kind of data accepted in a computer field or in coding.


Ambulatory Care Patient - ANSWER✔✔-Patient receives medical or surgical care in an

outpatient setting that involves a broader, less specialized range of care. Ambulatory

patient are generally able to walk and are not confined to a bed. In a hospital setting,

ambulatory care generally refers to healthcare services provided on an outpatient basis.


Ambulatory Payment Classification (APC) - ANSWER✔✔-A system of averaging and

bundling using Current Procedural Terminology (CPT) procedure codes, Healthcare

Common Procedure Coding System (HCPCS) Level II, and revenue codes submitted for
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Page 4/54

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