CAHIMS Exam prep Latest Update 2024-2025
Actual Exam from Credible Sources with 90
Questions and Verified Correct Answers Golden
Ticket to Guaranteed A+ Verified by Professor
ACA - CORRECT ANSWER: Patient Protection and Affordable Care Act of 2010,
improves access to health insurance for children, young adults, and people who have
been denied insurance due to a preexisting condition. Insurance companies are no
longer allowed to impose lifetime limits on most benefits
Adult day care - CORRECT ANSWER: provides meals and activities during the day
Ambulatory surgery centers (ASC) - CORRECT ANSWER: 60% US surgeries are
outpatient. Equipped to handle surgery, pain management and certain diagnostic
procedures that do not require overnight hospitalization. May be part of a hospital,
specialty hospital, or own facility
APC - CORRECT ANSWER: ambulatory payment classification, U.S. government's way
of paying for facility outpatient services for Medicare. Outpatient prospective payment
system applicable to only hospitals, code determines amount paid
ARRA - CORRECT ANSWER: American Recovery and Reinvestment Act of 2009,
"stimulus package", funding to states for infrastructure and jobs and increased funding
for healthcare research
Assisted living - CORRECT ANSWER: separate apartments or private rooms in a
common building where a number of services, such as personal care, medication
administration, meals, and housekeeping are provided
Authorization for service - CORRECT ANSWER: commonly known as preauthorization
or precertification, the process of preapproving a patient for coverage of a specific
medical procedure, such as surgery of prescription drug
, Board of directors - CORRECT ANSWER: authorizes actions and oversees all business
affairs of the hospital. Role is to ensure the hospital's mission, vision, and values are
carried out. Also establish broad policies and objectives, select CEO, review
performance, approve annual budgets, ensure financial resources are sufficient and in
order
Capitation - CORRECT ANSWER: MCOs may also employ capitation- type of
reimbursement in which there is a single "capitated" payment made for the covered
member, regardless of services used. Provider received the same amount from the
third-party payer per length of time (month), for the care provided at the HCO to all
members- a preset amount per enrolled patient each month (PMPM- per member per
month)
CEO - CORRECT ANSWER: chief executive officer, leads a healthcare organization
and may report to a board of directors or trustees
CFO - CORRECT ANSWER: chief financial officer, manages the fiscal aspects of the
organization, including the operating budget, contracts, income, expenditures, billing,
and compensation
CHIP - CORRECT ANSWER: Children's Health Insurance Program, covers children
whose families cannot afford private insurance, may also be covered under Medicaid,
includes preventive care ie vaccines, doctor visits, emergency care, hospital care,
prescription drugs, vision, hearing, dental care. Other services offered at low premiums
and deductibles
CIO - CORRECT ANSWER: chief information officer, leader of health IT department. In
charge of planning, choosing, installing, and supporting a healthcare organization's
computer and information-processing operation
CMIO - CORRECT ANSWER: chief medical information officer, liaison between
clinicians and IT services. Reports to CIO, CMO, or CEO
