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CHAM DEFINITIONS 2026 QUESTIONS
AND ANSWERS| ACE YOUR GRADES|
INSURANCE TERMS, PATIENT
ACCESS, CMS, HIPAA, COMPLIANCE,
BILLING & HEALTHCARE FINANCE.
Durable Power of Attorney - correct answer -a legally assigned
individual that is empowered to make medical treatment decisions
on the patients behalf if the patient is incapacitated or cannot
speak
Emancipation - correct answer -legal term that means a child is
no longer under the control of the parent
Emergency care patient - correct answer -patients examined on
an unscheduled basis for immediate diagnosis or treatment in an
emergency facility
Employer group health plan - correct answer -health insurance
provided through an employer
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Encounter - correct answer -a face to face meeting between a
covered person and a health care provider when services are
rendered
Fee-for-service - correct answer -a traditional healthcare
payments system under which physicians and other providers
receive a payment for each unit of service provided
Fee-schedule - correct answer -a listing of accepted fees or
established allowances for specified medical procedures
Financial class - correct answer -a code that identifies the primary
insurance for an account (related to the insurance plan code)
Fiscal intermediary - correct answer -an organization contracted
with the Health Care Financing Administration of CMS to process
and pay UB-04 claims
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Gatekeeper - correct answer -a Primary care physician
responsible for overseeing and coordinating all aspects of a
patients' medical care
Health Employer Data and Information Set - correct answer -a set
performance measures designed to standardize the way health
plans report data to employers
Health maintenance organizations - correct answer -offer pre-paid
comprehensive health coverage to their enrollees by contracting
with hospitals , physicians and other health professionals for their
services
Hospice - correct answer -care that can be provided within the
home for terminally ill patients and their families
Independent practice association - correct answer -a health
maintenance organization delivery model in which a HMO
contracts with a physician organization which, in turn , contracts
with individual physicians
CHAM DEFINITIONS 2026 QUESTIONS
AND ANSWERS| ACE YOUR GRADES|
INSURANCE TERMS, PATIENT
ACCESS, CMS, HIPAA, COMPLIANCE,
BILLING & HEALTHCARE FINANCE.
Durable Power of Attorney - correct answer -a legally assigned
individual that is empowered to make medical treatment decisions
on the patients behalf if the patient is incapacitated or cannot
speak
Emancipation - correct answer -legal term that means a child is
no longer under the control of the parent
Emergency care patient - correct answer -patients examined on
an unscheduled basis for immediate diagnosis or treatment in an
emergency facility
Employer group health plan - correct answer -health insurance
provided through an employer
, Page | 2
Encounter - correct answer -a face to face meeting between a
covered person and a health care provider when services are
rendered
Fee-for-service - correct answer -a traditional healthcare
payments system under which physicians and other providers
receive a payment for each unit of service provided
Fee-schedule - correct answer -a listing of accepted fees or
established allowances for specified medical procedures
Financial class - correct answer -a code that identifies the primary
insurance for an account (related to the insurance plan code)
Fiscal intermediary - correct answer -an organization contracted
with the Health Care Financing Administration of CMS to process
and pay UB-04 claims
, Page | 3
Gatekeeper - correct answer -a Primary care physician
responsible for overseeing and coordinating all aspects of a
patients' medical care
Health Employer Data and Information Set - correct answer -a set
performance measures designed to standardize the way health
plans report data to employers
Health maintenance organizations - correct answer -offer pre-paid
comprehensive health coverage to their enrollees by contracting
with hospitals , physicians and other health professionals for their
services
Hospice - correct answer -care that can be provided within the
home for terminally ill patients and their families
Independent practice association - correct answer -a health
maintenance organization delivery model in which a HMO
contracts with a physician organization which, in turn , contracts
with individual physicians
