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CHAM 2025/2026 – 170+ VERIFIED EXAM 2026
QUESTIONS AND ANSWERS| ACE YOUR
GRADES QUESTIONS & ANSWERS | MEDICARE,
HIPAA, CODING, BILLING, PAYERS,
COMPLIANCE & UTILIZATION REVIEW.
1. Utilization Review - correct answer -Review of healthcare
services to determine if the services are a necessary,
appropriate, and efficient use of resources-before care is
rendered, during care delivery and after care is rendered.
2. HIPAA - correct answer -The Health Insurance Portability and
Accountability Act, a federal law protecting the privacy of
patient-specific health care information and providing the
patient with control over how this information is used and
distributed
3. HIPAA Compliant Electronic Transaction - correct answer -
ANSI transaction used to send and receive eligibility info is:
270/271
4. Best Method for effective staff education - correct answer -
Training, testing, role playing and measured outcomes
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5. Descriptive Statistics - correct answer -The branch of statistics
that includes numerical, graphical, and tabular methods for
organizing and summarizing data
6. Patient Rights - correct answer -Access to care, respect and
dignity, privacy and confidentiality, identity of all providing care,
safety, information (dx, tx, care), communication (interpreter)
7. Patient Encounter - correct answer -any personal contact
between a patient and a physician or other person authorized
to furnish healthcare services for the diagnosis or treatment of
the patient
8. Disaster Planning - correct answer -The admissions/registration
area should address the following areas; response, backup,
recovery and motivation
9. Hotwashes - correct answer -Performed after emergency
management disaster and development exercises.
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10. Common Benchmark Processes - correct answer -Customer
service/satisfaction, employee training, process improvement
and performance measurements.
11. Functions of Management - correct answer -organizing,
planning, controlling and directing
12. Stop Loss Provision - correct answer -used in health
insurance to limit the maximum amount of money the insured
would have to pay out of pocket on a health claim in any
particular claim
13. Self Administered Drugs (SAD) - correct answer -oral or
topical medications that pt's can take in on outpt settings but
typically not covered by medicare
14. Relative Value Scale - correct answer -A system of
assigning unit values to medical services based on an analysis
of the skill and time required of the physician to perform them.
CHAM 2025/2026 – 170+ VERIFIED EXAM 2026
QUESTIONS AND ANSWERS| ACE YOUR
GRADES QUESTIONS & ANSWERS | MEDICARE,
HIPAA, CODING, BILLING, PAYERS,
COMPLIANCE & UTILIZATION REVIEW.
1. Utilization Review - correct answer -Review of healthcare
services to determine if the services are a necessary,
appropriate, and efficient use of resources-before care is
rendered, during care delivery and after care is rendered.
2. HIPAA - correct answer -The Health Insurance Portability and
Accountability Act, a federal law protecting the privacy of
patient-specific health care information and providing the
patient with control over how this information is used and
distributed
3. HIPAA Compliant Electronic Transaction - correct answer -
ANSI transaction used to send and receive eligibility info is:
270/271
4. Best Method for effective staff education - correct answer -
Training, testing, role playing and measured outcomes
, Page | 2
5. Descriptive Statistics - correct answer -The branch of statistics
that includes numerical, graphical, and tabular methods for
organizing and summarizing data
6. Patient Rights - correct answer -Access to care, respect and
dignity, privacy and confidentiality, identity of all providing care,
safety, information (dx, tx, care), communication (interpreter)
7. Patient Encounter - correct answer -any personal contact
between a patient and a physician or other person authorized
to furnish healthcare services for the diagnosis or treatment of
the patient
8. Disaster Planning - correct answer -The admissions/registration
area should address the following areas; response, backup,
recovery and motivation
9. Hotwashes - correct answer -Performed after emergency
management disaster and development exercises.
, Page | 3
10. Common Benchmark Processes - correct answer -Customer
service/satisfaction, employee training, process improvement
and performance measurements.
11. Functions of Management - correct answer -organizing,
planning, controlling and directing
12. Stop Loss Provision - correct answer -used in health
insurance to limit the maximum amount of money the insured
would have to pay out of pocket on a health claim in any
particular claim
13. Self Administered Drugs (SAD) - correct answer -oral or
topical medications that pt's can take in on outpt settings but
typically not covered by medicare
14. Relative Value Scale - correct answer -A system of
assigning unit values to medical services based on an analysis
of the skill and time required of the physician to perform them.
