CHAM STUDY GUIDE
What does the pre-encounter consist of? - answer Customer Service
Verification of Benefits
Referral/Transfer of Services
Scheduling
Financial clearance
Pre-registration
Prior Authorization/Referral Requirement
Customer Service - answer Project lasting first impression
Hiring right people
Provide training
Referral/Transfer of Services - answer maintaining the continuum of care for the patient
being transferred between facilities as well as intra/inter facility
Scheduling – answer Ensuring and special needs of the pt are available
Efficient pt flow
Efficient use of facility resource
Provide patient education
Proper identification of the patient
Pre-Registration - answer Streamline the Reg process
Verification of insurance benefits
Clarifying testing, pre-operative or procedure requirement
Medical necessity checking
Financial Clearance - answerAssisting patient to meet healthcare obligation
Education of the pt regarding their financial obligation for services rendered
Assisting with the applicaton process for gov or charity program
Regulatory Compliance - answer...
EMTALA Definition - answerEmergency Medical Treatment and Labor Act
EMTALA Function - answerAdhering to all contractual, legal and regulatory requirement
as well as hospital regulation
What does the pre-encounter consist of? - answer Customer Service
Verification of Benefits
Referral/Transfer of Services
Scheduling
Financial clearance
Pre-registration
Prior Authorization/Referral Requirement
Customer Service - answer Project lasting first impression
Hiring right people
Provide training
Referral/Transfer of Services - answer maintaining the continuum of care for the patient
being transferred between facilities as well as intra/inter facility
Scheduling – answer Ensuring and special needs of the pt are available
Efficient pt flow
Efficient use of facility resource
Provide patient education
Proper identification of the patient
Pre-Registration - answer Streamline the Reg process
Verification of insurance benefits
Clarifying testing, pre-operative or procedure requirement
Medical necessity checking
Financial Clearance - answerAssisting patient to meet healthcare obligation
Education of the pt regarding their financial obligation for services rendered
Assisting with the applicaton process for gov or charity program
Regulatory Compliance - answer...
EMTALA Definition - answerEmergency Medical Treatment and Labor Act
EMTALA Function - answerAdhering to all contractual, legal and regulatory requirement
as well as hospital regulation
