CAHIMS Class Questions with 100% Verified
Correct Answers
Three Types of Healthcare
Primary, Secondary, and Tertiary
Five Non-Hospital Inpatient Facilities
Post-Acute Inpatient Care, Skilled Nursing Facilities (SNFs or "Sniffs"), Long-Term Acute
Care Hospitals, Long-Term Adult Care, and Hospice Care
Seven Outpatient Healthcare Service Centers
Physician Office, ASC, ED, Diagnostic Services, Community Health Clinics, School-Based
Health Centers, and Employer Based Clinic
Seven places where care is provided
Inpatient Hospitals, Inpatient Non-Hospital Facilities, Outpatient Facilities, Home
Healthcare, Federal Healthcare Facilities, and Networks both Horizontal and Vertical
Five executives in management patient care and information
CIO, CMO, CNO, CMIO, and CNIO
Three managed care plans
HMO, PPO, and POS
Types of Medicare
A - Hospital Insurance and Skilled Nursing, B - Medical Insurance Clinic and Outpatient, C -
Medicare Advantage put A/B and sometimes D together, D - Drug Coverage
Eight parts of medical billing process
, Scheduling, Registration, Delivery of Medical Services, Charge Capture, Coding, EOB,
Reimbursement, Final and Settlement
What ICD CM and CPT stand for
International Classification of Disease Clinical Modification and Current Procedural
Terminology
DRG or Diagnosis Related Group
How Medicare and some insurance classify hospital cases into 467 groups of "products"
provided and determine how much to pay
ERISA or Employee Retirement Income Security Act
Act in 1974 set minimum standards in pensions and health plans
COBRA
Act providing health benefit provisions in 1986 which amended ERISA to provide
continuation of group health coverage that would otherwise be terminated
HIPAA or Health Insurance Portability and Accountability Act
Act in 1996 which protects health insurance coverage on loss of job and established standards
for electronic health care transactions
Patient Protection and Affordable Care Act
Act in 2010 overhauled hospital and primary physician practices to drive better outcomes and
lower costs. It also was intended to increase health insurance accessibility, quality, and
affordability
HITECH or Health Information Technology for Economic and Clinical Health Act
Correct Answers
Three Types of Healthcare
Primary, Secondary, and Tertiary
Five Non-Hospital Inpatient Facilities
Post-Acute Inpatient Care, Skilled Nursing Facilities (SNFs or "Sniffs"), Long-Term Acute
Care Hospitals, Long-Term Adult Care, and Hospice Care
Seven Outpatient Healthcare Service Centers
Physician Office, ASC, ED, Diagnostic Services, Community Health Clinics, School-Based
Health Centers, and Employer Based Clinic
Seven places where care is provided
Inpatient Hospitals, Inpatient Non-Hospital Facilities, Outpatient Facilities, Home
Healthcare, Federal Healthcare Facilities, and Networks both Horizontal and Vertical
Five executives in management patient care and information
CIO, CMO, CNO, CMIO, and CNIO
Three managed care plans
HMO, PPO, and POS
Types of Medicare
A - Hospital Insurance and Skilled Nursing, B - Medical Insurance Clinic and Outpatient, C -
Medicare Advantage put A/B and sometimes D together, D - Drug Coverage
Eight parts of medical billing process
, Scheduling, Registration, Delivery of Medical Services, Charge Capture, Coding, EOB,
Reimbursement, Final and Settlement
What ICD CM and CPT stand for
International Classification of Disease Clinical Modification and Current Procedural
Terminology
DRG or Diagnosis Related Group
How Medicare and some insurance classify hospital cases into 467 groups of "products"
provided and determine how much to pay
ERISA or Employee Retirement Income Security Act
Act in 1974 set minimum standards in pensions and health plans
COBRA
Act providing health benefit provisions in 1986 which amended ERISA to provide
continuation of group health coverage that would otherwise be terminated
HIPAA or Health Insurance Portability and Accountability Act
Act in 1996 which protects health insurance coverage on loss of job and established standards
for electronic health care transactions
Patient Protection and Affordable Care Act
Act in 2010 overhauled hospital and primary physician practices to drive better outcomes and
lower costs. It also was intended to increase health insurance accessibility, quality, and
affordability
HITECH or Health Information Technology for Economic and Clinical Health Act
