CHAA Practice Test 2023 Solved 100% Correct

Under Title III of the Americans with Disabilities Act, hospitals are required to do what? (paf, customer experience) - ANSWER-Provide resources to eliminate barriers in communication. What is important when initiating a patient satisfaction survey? (paf, customer experience) - ANSWER-What data measures are required, What data measures are important to day to day management and What data measures are important to the organization's decision-making process. Which are the purposes of any quality improvement program? (paf, customer experience) - ANSWER-To collect data, analyze data and evaluate actions. Which of the following are part of patient satisfaction surveys? (paf, customer experience) - ANSWER-JD Power, Press Ganey and Post-service telephone calls to the patient. Customer service Communication is identified as what? (paf, customer experience) - ANSWER-Exchanging information with the patient. Which are included in a KPI in Patient Access? (paf, customer experience) - ANSWER-Accuracy rate, Patient satisfaction score, Pre-registration rate. What are the three steps to communication? (paf, customer experience) - ANSWER-Encoding, transmission and decoding HEAT stands for? (paf, customer experience) - ANSWER-Hear them out, empathize with the customer, apologize, take responsibility for actions All of the following are ways we communicate. (paf, customer experience) - ANSWER-Body Language, Talking, Facial expressions Compassion and respect can be demonstrated in all of the following ways. (paf, customer experience) - ANSWER-Smiling, Making eye contact and Greeting the patient What is the CMS rule that states that an inpatient stay must cross two midnights to be paid for under Medicare Part A? (paf, regulatory compliance) - ANSWER-Medicare Two-midnight rule Which program is responsible for protecting the integrity of the Hospital and Human Services (HHS) program by detecting and preventing fraud? (paf, regulatory compliance) - ANSWER-OIG An effective compliance level has a minimum of how many levels? (paf, regulatory compliance) - ANSWER-7 All of the following are part of an effective compliance program. (paf, regulatory compliance) - ANSWER-Performing internal audits, establishing standards, procedures and policies EMTALA is a regulation which protects patient from what? (paf, regulatory compliance) - ANSWER-Not being treating in an emergency due to lack of ability to pay. All of the following are examples of PHI (paf, regulatory compliance) - ANSWER-Patient names and computer IP addresses Meaningful Use is an incentive program to do what? (paf, regulatory compliance) - ANSWER-Increase the adoption of qualified electronic health records. This document is provided to Medicare beneficiaries who are admitted as outpatients receiving observation status that they may have a copayment and co-insurance. (paf, regulatory compliance) - ANSWER-MOON All of the following are examples of fraud and abuse. (paf, regulatory compliance) - ANSWER-Billing for services not rendered, unbundling Which government healthcare program is provided for surviving spouses of veterans killed in the line of duty? (paf, regulatory compliance) - ANSWER-CHAMPVA Tricare provides healthcare to all of the following. (paf, regulatory compliance) - ANSWER-Uniformed service members and families, Survivors and Medal of Honor recipients When a veteran's local VA healthcare center cannot provide service in a timely manner, this program allows the veteran to seek care from the community. (paf, regulatory compliance) - ANSWER-Veterans Choice Medicare is considered a primary payer in all of the following scenarios. (paf, regulatory compliance) - ANSWER-Medicare patient is over 65 and carries a GHP through their current employer with over 300 employees. Medicare patient was in an auto accident and has liability insurance.. The MSP requires that we ask pertinent questions to determine what? (paf, regulatory compliance) - ANSWER-If there are other sources of payment primary to Medicare. What is the form given to Medicare beneficiaries informing them of potential non-coverage of out-patient services? (paf, regulatory compliance) - ANSWER-ABN Which of the following is a reason that organizations seek Joint Commission accreditation? (paf, regulatory compliance) - ANSWER-It enhances community confidence in the quality and safety of care. The important message from medicare (IMM) informs the patient of the following (paf, regulatory compliance) - ANSWER-Their rights as hospital patients and instructions on what to do if they feel there are being discharged too soon. Method used to determine financial eligibility for Medicaid, CHIP and Marketplace cost sharing is? (paf, regulatory compliance) - ANSWER-MAGI (Modified Adjusted Gross Income) What is the name of the program also known as Obamacare? (paf, regulatory compliance) - ANSWER-PPACA (Patient Protection and Affordable Care Act Name of the statute created to ensure all people have access to emergency treatment regardless of their ability to pay. (paf, regulatory compliance) - ANSWER-EMTALA What is the tracking code for patients admitted as inpatients to the hospital but do not meet the criteria? (paf, regulatory compliance) - ANSWER-Condition Code 44 Who is the primary payer when the Medicare patient is under the age of 65 and is covered by their spouses BCBS plan through the Federal Government? (paf, regulatory compliance) - ANSWER-BCBS What is the time period when a Medicare patient on ESRD's group health plan is the primary payer? (paf, regulatory compliance) - ANSWER-30 Month coordination period Methodology used to determine income eligibility for Medicaid. (paf, regulatory compliance) - ANSWER-MAGI Name given when a provider screens a patient for temporary Medicaid coverage. (paf, regulatory compliance) - ANSWER-Presumptive Eligiblity All of the following are parts of the revenue cycle. (paf, revenue cycle) - ANSWER-Patient Scheduling, Insurance Verification and Final Billing Which statements about Coordination of Benefits are true. (paf, revenue cycle) - ANSWER-it is determined by accurately answering questions in the Medicare Secondary Questionnaire. Incorrect determination can result in delay in claims reimbursement. Access staff have a responsibility to determine correct COB Access's role in revenue cycle is enhanced by staff training in all of the following functions. (paf, revenue cycle) - ANSWER-Insurance Verification, Financial counseling, General knowledge of billing requirements NAHAM has developed a series of guidelines that identify performance criteria, explain how to measure them and provide Good/Better/Best benchmarks for facilities to measure. These guidelines are called? (paf, revenue cycle) - ANSWER-Access Keys Examples of how Access staff influence the revenue cycle? (paf, revenue cycle) - ANSWER-Accurate gathering of patient date helps to ensure timely reimbursement. In many facilities Access has taken over responsibility for financial counseling. Insurance pre-requisites and high patient deductibles has emphasized focus on front-end processes The following should be reviewed when checking insurance eligiblity. (paf, revenue cycle) - ANSWER-Patient name and date of birth, Active insurance benefits, Date became eligible. What is a deductible? (paf, revenue cycle) - ANSWER-The amount the insurance company requires you to pay before insurance pays Successful insurance verification does not automatically mean insurance will pay for charges incurred during a visit. True or False? (paf, revenue cycle) - ANSWER-True A minor child is brought in with insurance from both parents. The mother's birthday is July 15, 1993. The father's birthdate is February 20,1995. According to the birthday rule, whos insurance is primary? (paf, revenue cycle) - ANSWER-The father's insurance Which of the following are examples of technology used to ensure positive patient identity? (paf, Information systems) - ANSWER-Palm vein, Facial recognition, Retinal An interval when a system is unavailable to users is called? (paf, information systems) - ANSWER-Downtime Which of the following functions are typically supported by advanced technology? (paf, information systems) - ANSWER-Medical records coding, Insurance verification, Estimating patient responsibility For which of the following issues would you call for desktop support assistance? (paf, information systems) - ANSWER-Adding an icon to a computer screen to access a new function needed for work Which of the following is a data source for an automated Access statistical report. (paf, information systems) - ANSWER-The facility's registration system, A standalone data repository or warehouse, The electronic medical record