CHAA CERTIFICATION | 76 Questions and Answers with complete solution

Admitting physician - 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 Advanced Beneficiary Notice (ABN) - a notice that a care provider should give a Medicare beneficiary to sign if the services being provided may not be considered medically necessary and Medicare may not pay for them Attending physician - the physician who writes outpatient orders for tests, or supervises the patient's care during an inpatient stay Accepting assignment - 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 Ambulatory Surgical Center - a freestanding facility, other than a physician's office, where surgical, diagnostic, and therapeutic services are provided on an ambulatory basis Ancillary Service - services used in the diagnosis and treatment of medical conditions. Some examples are: lab, medical imaging, cardio-vascular services Ambulatory Patient Classification - a system similar to DRG to be used for outpatients. Current scheme includes 346 APC's broken into categories of medical, diagnostic, surgical, and radiology and emergency department and partial hospitalization services Assignment of Benefits - written authorization from the policy holder for their insurance company to pay benefits directly to the care provider. Normally acquired at the time of admission or registration Authorization - approval obtained from an insurance carrier for a service that represe