CHHAA EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
PASS | 2025 UPDATE!
A patient who is admitted for an expected overnight stay or for at least
24 hours and is provided with room, board, and continuous general
nursing services for diagnostic, surgical or medical reasons. An inpatient
must meet intensity of service/severity of illness ("IS/SI")
appropriateness criteria. The physician's intent/order at the time of
admission must have been for an inpatient admission. If a patient is
expected to stay overnight after an invasive or surgical procedure and
meets IS/SI criteria, the patient is admitted as an inpatient. An
individual who receives healthcare services while admitted to the
hospital
overnight or longer. - ✔✔✔ Correct Answer > Inpatient
The medical record is a clinical record of the services, results of tests,
and progress notes associated with a patient visit. - ✔✔✔ Correct
Answer > Medical Record
The process of third party payor notification of urgent/emergent
inpatient admission with in specified time as determined by the payors
,(usually 24-48 hours or next business day). - ✔✔✔ Correct Answer >
Admission Authorization
The first date the patient entered the hospital for a specific visit. -
✔✔✔ Correct Answer > Admission Date
A number that uniquely identifies a patient. Used as the primary
identifier on the patient's chart and other medical
documentation. - ✔✔✔ Correct Answer > Medical Record Number
The process of determining coverage availability and benefits of
coverage. - ✔✔✔ Correct Answer > Insurance Verification
The individual who is the holder of healthcare coverage through an
insurance policy. Also employer, private health plan, or other payor can
be called the insured, subscriber, policyholder or subscriber or sponsor.
- ✔✔✔ Correct Answer > Insured
A health insurance plan or another entity that processes and pays
healthcare bills may be called a third party payor, payor, carrier, or
insurer. These terms are interchangeable. - ✔✔✔ Correct Answer >
Insurer
A program that passes information from one system to another. -
✔✔✔ Correct Answer > Interface
,A private business, typically an insurance company, which
contract with Centers for Medicare and Medicaid Services
(CMS) to receive, review and pay hospital and other institutional
provider benefit claims. - ✔✔✔ Correct Answer > Intermediary
The Internet, or World Wide Web (www), is an on-line computer
network connecting companies, universities, government agencies,
healthcare systems, networks, and users, etc. The Internet provides
users the ability to access remote computers and send and retrieve
files. - ✔✔✔ Correct Answer > Internet
An itemized statement is the record maintained by the health facility,
hospital or physician's office that details the charges made for services
rendered to patients and shall indicate whether an assignment of
benefits has been obtained. - ✔✔✔ Correct Answer > Itemized
Statement
The Joint Commission is an independent, not-for-profit
organization, and the nation's oldest and largest standards
setting and health care accrediting body. The mission of
JCAHO is to improve the quality of health care for the public by
providing accreditation and related services that support performance
improvement in health care organizations. - ✔✔✔ Correct Answer >
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
, Length of stay (LOS) is just that, the length of a patient's stay in a
hospital or other health facility. Length of stay is only calculated for
inpatients. The number of days the patient is in the hospital is totaled
to determine the length of stay. Only the admission date is counted;
the discharge date is not included in the count. For example, if the
patient was admitted on May 1 and discharged on May 5, count May 1,
May 2, May 3, and May 4; for a total of 4 days. - ✔✔✔ Correct
Answer > Length of Stay (LOS)
Refers to insurance coverage (including a self-insured plan) that
provides payment based on legal liability for injury, illness or damage to
property. It includes, but is not limited to, automobile liability
insurance, uninsured motorist insurance, malpractice insurance,
product liability insurance and general liability insurance. - ✔✔✔
Correct Answer > Liability Insurance
The maximum amount of benefit paid by the insurance company per
insured. Once this lifetime maximum has been exhausted, the
insurance company will not pay any benefits. - ✔✔✔ Correct Answer
> Lifetime Maximum
Lifetime reserve days (LRD) is the term for Medicare Part A
coverage that entitles the beneficiary to sixty days of inpatient
coverage beyond the coinsurance day benefit period. - ✔✔✔ Correct
Answer > Lifetime Reserve
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
PASS | 2025 UPDATE!
A patient who is admitted for an expected overnight stay or for at least
24 hours and is provided with room, board, and continuous general
nursing services for diagnostic, surgical or medical reasons. An inpatient
must meet intensity of service/severity of illness ("IS/SI")
appropriateness criteria. The physician's intent/order at the time of
admission must have been for an inpatient admission. If a patient is
expected to stay overnight after an invasive or surgical procedure and
meets IS/SI criteria, the patient is admitted as an inpatient. An
individual who receives healthcare services while admitted to the
hospital
overnight or longer. - ✔✔✔ Correct Answer > Inpatient
The medical record is a clinical record of the services, results of tests,
and progress notes associated with a patient visit. - ✔✔✔ Correct
Answer > Medical Record
The process of third party payor notification of urgent/emergent
inpatient admission with in specified time as determined by the payors
,(usually 24-48 hours or next business day). - ✔✔✔ Correct Answer >
Admission Authorization
The first date the patient entered the hospital for a specific visit. -
✔✔✔ Correct Answer > Admission Date
A number that uniquely identifies a patient. Used as the primary
identifier on the patient's chart and other medical
documentation. - ✔✔✔ Correct Answer > Medical Record Number
The process of determining coverage availability and benefits of
coverage. - ✔✔✔ Correct Answer > Insurance Verification
The individual who is the holder of healthcare coverage through an
insurance policy. Also employer, private health plan, or other payor can
be called the insured, subscriber, policyholder or subscriber or sponsor.
- ✔✔✔ Correct Answer > Insured
A health insurance plan or another entity that processes and pays
healthcare bills may be called a third party payor, payor, carrier, or
insurer. These terms are interchangeable. - ✔✔✔ Correct Answer >
Insurer
A program that passes information from one system to another. -
✔✔✔ Correct Answer > Interface
,A private business, typically an insurance company, which
contract with Centers for Medicare and Medicaid Services
(CMS) to receive, review and pay hospital and other institutional
provider benefit claims. - ✔✔✔ Correct Answer > Intermediary
The Internet, or World Wide Web (www), is an on-line computer
network connecting companies, universities, government agencies,
healthcare systems, networks, and users, etc. The Internet provides
users the ability to access remote computers and send and retrieve
files. - ✔✔✔ Correct Answer > Internet
An itemized statement is the record maintained by the health facility,
hospital or physician's office that details the charges made for services
rendered to patients and shall indicate whether an assignment of
benefits has been obtained. - ✔✔✔ Correct Answer > Itemized
Statement
The Joint Commission is an independent, not-for-profit
organization, and the nation's oldest and largest standards
setting and health care accrediting body. The mission of
JCAHO is to improve the quality of health care for the public by
providing accreditation and related services that support performance
improvement in health care organizations. - ✔✔✔ Correct Answer >
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
, Length of stay (LOS) is just that, the length of a patient's stay in a
hospital or other health facility. Length of stay is only calculated for
inpatients. The number of days the patient is in the hospital is totaled
to determine the length of stay. Only the admission date is counted;
the discharge date is not included in the count. For example, if the
patient was admitted on May 1 and discharged on May 5, count May 1,
May 2, May 3, and May 4; for a total of 4 days. - ✔✔✔ Correct
Answer > Length of Stay (LOS)
Refers to insurance coverage (including a self-insured plan) that
provides payment based on legal liability for injury, illness or damage to
property. It includes, but is not limited to, automobile liability
insurance, uninsured motorist insurance, malpractice insurance,
product liability insurance and general liability insurance. - ✔✔✔
Correct Answer > Liability Insurance
The maximum amount of benefit paid by the insurance company per
insured. Once this lifetime maximum has been exhausted, the
insurance company will not pay any benefits. - ✔✔✔ Correct Answer
> Lifetime Maximum
Lifetime reserve days (LRD) is the term for Medicare Part A
coverage that entitles the beneficiary to sixty days of inpatient
coverage beyond the coinsurance day benefit period. - ✔✔✔ Correct
Answer > Lifetime Reserve
