CHAA Certification Exam Questions with
Verified Correct Answers
Medicare A
Primary wage earner
Inpatient Medicare part A
Covers up to 90 hospital inpatient each benefit period
Carriers
Handle medical insurance part B claims
Fiscal intermediaries
Handle all hospital insurance part A claims
Medicare part C
Private Medicare advantage plans
Medicare part D
Helps cover prescription cost
Medicare part A
Pay for inpatient, skilled nursing facility services, home health, and hospice
Medicare part B
Helps pay for doctor services, outpatient hospital services, medical equipment, and supplies,
and other services and supplies.
Bcbs, commercial, and ppo
,The policyholder is the person on the card mostly
HMOs
Gives everyone a card with name on it
HMO policyholder 00,01
Policyholder
HMO policyholder 02,03
Spouse
Tricare (champva) policyholder
Will be the sponsor or active or retired military
Medicare, Medicaid policyholder
Will Always be the patient!
Original Medicare plan
Fee for service must apply 3 months before their 65th birthday.
HMO policyholder 03,04
Dependents
Medicare A prefix
Retired railroad employee
Medicare B
Entitled to benefits through spouse
Medicare C
, Child
Medicare D
Widow
Medicare D1
Widower
Medicare W
Disabled widow
Medicare W1
Disabled widower
Accepting Assignment
When 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.
Access
The Patient's ability to obtain medical care. The ease of access is determined by such
components as the availability of medical services and their acceptability to the patient, the
location of health care facilities, transportation, hours of operation and cost of care.
Account Number
A number assigned to each account. The number is used to identify the account and all
charges and payments received.
Acute Care
Verified Correct Answers
Medicare A
Primary wage earner
Inpatient Medicare part A
Covers up to 90 hospital inpatient each benefit period
Carriers
Handle medical insurance part B claims
Fiscal intermediaries
Handle all hospital insurance part A claims
Medicare part C
Private Medicare advantage plans
Medicare part D
Helps cover prescription cost
Medicare part A
Pay for inpatient, skilled nursing facility services, home health, and hospice
Medicare part B
Helps pay for doctor services, outpatient hospital services, medical equipment, and supplies,
and other services and supplies.
Bcbs, commercial, and ppo
,The policyholder is the person on the card mostly
HMOs
Gives everyone a card with name on it
HMO policyholder 00,01
Policyholder
HMO policyholder 02,03
Spouse
Tricare (champva) policyholder
Will be the sponsor or active or retired military
Medicare, Medicaid policyholder
Will Always be the patient!
Original Medicare plan
Fee for service must apply 3 months before their 65th birthday.
HMO policyholder 03,04
Dependents
Medicare A prefix
Retired railroad employee
Medicare B
Entitled to benefits through spouse
Medicare C
, Child
Medicare D
Widow
Medicare D1
Widower
Medicare W
Disabled widow
Medicare W1
Disabled widower
Accepting Assignment
When 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.
Access
The Patient's ability to obtain medical care. The ease of access is determined by such
components as the availability of medical services and their acceptability to the patient, the
location of health care facilities, transportation, hours of operation and cost of care.
Account Number
A number assigned to each account. The number is used to identify the account and all
charges and payments received.
Acute Care
