CHAM STUDY GUIDE
Study online at https://quizlet.com/_i20c67
1. What does the pre-encounter consist of?: Customer Service
Verification of Benefits
Referral/Transfer of Services
Scheduling
Financial clearance
Pre-registration
Prior Authorization/Referral Requirement
2. Customer Service: Project lasting first impression
Hiring right people
Provide training
3. Referral/Transfer of Services: maintaining the continuum of care for the patient being transfered
between facilities as well as intra/inter facility
4. Scheduling: 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
5. Pre-Registration: Streamline the Reg process
Verification of insurance benefits
Clarifying testing, pre-operative or procedure requirement
Medical necessity checking
6. Financial Clearance: Assisting 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
7. Regulatory Compliance: ...
8. EMTALA Definition: Emergency Medical Treatment and Labor Act
9. EMTALA Function: Adhering to all contractual, legal and regulatory requirement as well as hospital regula-
tion
1/1
Study online at https://quizlet.com/_i20c67
1. What does the pre-encounter consist of?: Customer Service
Verification of Benefits
Referral/Transfer of Services
Scheduling
Financial clearance
Pre-registration
Prior Authorization/Referral Requirement
2. Customer Service: Project lasting first impression
Hiring right people
Provide training
3. Referral/Transfer of Services: maintaining the continuum of care for the patient being transfered
between facilities as well as intra/inter facility
4. Scheduling: 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
5. Pre-Registration: Streamline the Reg process
Verification of insurance benefits
Clarifying testing, pre-operative or procedure requirement
Medical necessity checking
6. Financial Clearance: Assisting 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
7. Regulatory Compliance: ...
8. EMTALA Definition: Emergency Medical Treatment and Labor Act
9. EMTALA Function: Adhering to all contractual, legal and regulatory requirement as well as hospital regula-
tion
1/1
