CHAM Comprehensive Resource To Help You Ace 2026-2027
Exams Includes Frequently Tested Questions With
Elaborated 100% Correct Complete Solutions
Guaranteed Pass First Attempt!! Current Update!!
1. Accepting Assignment - CORRECT ANSWER 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.
2. Access - CORRECT ANSWER The patient's ability to obtain medical care. The
ease 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.
3. Account Number - CORRECT ANSWER A number assigned to each account.
This number is used to identify the account and all charges and payments
received.
4. Acute Care - CORRECT ANSWER Medical attention given to patients with
conditions of sudden onset that demand urgent attention or care of limited
duration when the patient's health and wellness would deteriorate without
treatment. This care is generally short-term rather than long-term or
chronic care.
,5. Acute Impatient Care - CORRECT ANSWER A level of healthcare delivered to
patients experiencing acute illness or trauma. Generally short-term (<30
days).
6. Add Ons - CORRECT ANSWER Patients who are scheduled for services less
than 24 hours in advance of the actual service time.
7. Adjustor - CORRECT ANSWER Insurance company representative.
8. Administrative Costs - CORRECT ANSWER Costs associated with creating and
submitting a bill for services, which could include: registration, utilization
review, coding, billing, and collection expenses.
9. Admission Authorization - CORRECT ANSWER The process of third-party
payer notification of urgent/emergent inpatient admission within specified
time as determined by payers (usually 24-48 hours or next business day).
10.Admission Date - CORRECT ANSWER The first date the patient entered the
hospital for a specific visit.
11.Admitting Diagnosis - CORRECT ANSWER Word, phrase, or International
Classification of Disease (ICD10) code used by the admitting physician to
identify a condition or disease from which a patient suffers and for which
the patient needs or seeks medical care.
,12.Admitting Physician - CORRECT ANSWER The physician who writes the order
for the patient to be admitted to the hospital. The physician must have
admitting privileges at the facility providing the healthcare services.
13.Advance Beneficiary Notice - CORRECT ANSWER A notice that a care
provider should give a Medicare beneficiary to sign if the services being
provided may not be considered medically necessary and Medicare may not
pay for them. Allows the beneficiary to make an informed decision prior to
services regarding whether or not they wish to receive services. Are not
routinely given to emergency department patients.
14.Advance Directive - CORRECT ANSWER A written instruction relating to the
provision of healthcare when a patient is incapacitated. It could include
appointing someone to make medical decisions, a statement expressing the
patient's wishes about anatomical gifts (i.e. organ donation) and general
statements about whether or not life sustaining treatments should be
withheld or withdrawn.
15.Adverse Selection - CORRECT ANSWER Among applicants for a given group
or individual program, the tendency for those with an impaired health
status, or who are prone to higher than average utilization of benefits to be
enrolled in disproportionate number and lower deductibles.
16.Alias - CORRECT ANSWER A name by which the patient is also "known as",
or formerly known as.
17.All Patient Diagnosis Related Groups Assignment of Benefits (APDRG) -
CORRECT ANSWER A prospective hospital claims reimbursement system
, currently utilized by the federal government Medicaid program and the
states of New York and New Jersey. Designed to describe the complete cross
section of patients seen in acute care hospitals. Approximately 639 are
defined according to the principal diagnosis, secondary diagnoses,
procedures, age, birth weight, sex and discharge status. Each category has
an established fixed reimbursement rate based on average cost of
treatment within a geographic area. Were developed to quantify the
difference in demographic groups and clinical risk factors for patients
treated in hospitals. This proprietary grouping system's (i.e. 3M) purpose is
to obtain fair and accurate statistical comparisons between disparate
populations and groups. Unlike the Diagnosis Related Group (DRG)
reimbursement system, which is intended to capture resource utilization
intensity, this system captures and relates the severity of illness and risk of
mortality factors present as a result of a patient's disease and disorders and
the interaction of those disorders. A form is signed by the patient giving the
healthcare provider authority to bill his/her insurance plan and receive
payment. The form is generally presented and signed at the time of
registration.
18.Alphanumeric - CORRECT ANSWER Letters, numbers, punctuation marks
and mathematical symbols, as opposed to "numeric" which is numbers
only. Term typically related to the kind of data accepted in a computer field
or in coding.
19.Ambulatory Care Patient - CORRECT ANSWER Patient receives medical or
surgical care in an outpatient setting that involves a broader, less specialized
range of care. Ambulatory patients are generally able to walk and are not
confined to a bed. In a hospital setting, ambulatory care generally refers to
healthcare services provided on an outpatient basis.
Exams Includes Frequently Tested Questions With
Elaborated 100% Correct Complete Solutions
Guaranteed Pass First Attempt!! Current Update!!
1. Accepting Assignment - CORRECT ANSWER 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.
2. Access - CORRECT ANSWER The patient's ability to obtain medical care. The
ease 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.
3. Account Number - CORRECT ANSWER A number assigned to each account.
This number is used to identify the account and all charges and payments
received.
4. Acute Care - CORRECT ANSWER Medical attention given to patients with
conditions of sudden onset that demand urgent attention or care of limited
duration when the patient's health and wellness would deteriorate without
treatment. This care is generally short-term rather than long-term or
chronic care.
,5. Acute Impatient Care - CORRECT ANSWER A level of healthcare delivered to
patients experiencing acute illness or trauma. Generally short-term (<30
days).
6. Add Ons - CORRECT ANSWER Patients who are scheduled for services less
than 24 hours in advance of the actual service time.
7. Adjustor - CORRECT ANSWER Insurance company representative.
8. Administrative Costs - CORRECT ANSWER Costs associated with creating and
submitting a bill for services, which could include: registration, utilization
review, coding, billing, and collection expenses.
9. Admission Authorization - CORRECT ANSWER The process of third-party
payer notification of urgent/emergent inpatient admission within specified
time as determined by payers (usually 24-48 hours or next business day).
10.Admission Date - CORRECT ANSWER The first date the patient entered the
hospital for a specific visit.
11.Admitting Diagnosis - CORRECT ANSWER Word, phrase, or International
Classification of Disease (ICD10) code used by the admitting physician to
identify a condition or disease from which a patient suffers and for which
the patient needs or seeks medical care.
,12.Admitting Physician - CORRECT ANSWER The physician who writes the order
for the patient to be admitted to the hospital. The physician must have
admitting privileges at the facility providing the healthcare services.
13.Advance Beneficiary Notice - CORRECT ANSWER A notice that a care
provider should give a Medicare beneficiary to sign if the services being
provided may not be considered medically necessary and Medicare may not
pay for them. Allows the beneficiary to make an informed decision prior to
services regarding whether or not they wish to receive services. Are not
routinely given to emergency department patients.
14.Advance Directive - CORRECT ANSWER A written instruction relating to the
provision of healthcare when a patient is incapacitated. It could include
appointing someone to make medical decisions, a statement expressing the
patient's wishes about anatomical gifts (i.e. organ donation) and general
statements about whether or not life sustaining treatments should be
withheld or withdrawn.
15.Adverse Selection - CORRECT ANSWER Among applicants for a given group
or individual program, the tendency for those with an impaired health
status, or who are prone to higher than average utilization of benefits to be
enrolled in disproportionate number and lower deductibles.
16.Alias - CORRECT ANSWER A name by which the patient is also "known as",
or formerly known as.
17.All Patient Diagnosis Related Groups Assignment of Benefits (APDRG) -
CORRECT ANSWER A prospective hospital claims reimbursement system
, currently utilized by the federal government Medicaid program and the
states of New York and New Jersey. Designed to describe the complete cross
section of patients seen in acute care hospitals. Approximately 639 are
defined according to the principal diagnosis, secondary diagnoses,
procedures, age, birth weight, sex and discharge status. Each category has
an established fixed reimbursement rate based on average cost of
treatment within a geographic area. Were developed to quantify the
difference in demographic groups and clinical risk factors for patients
treated in hospitals. This proprietary grouping system's (i.e. 3M) purpose is
to obtain fair and accurate statistical comparisons between disparate
populations and groups. Unlike the Diagnosis Related Group (DRG)
reimbursement system, which is intended to capture resource utilization
intensity, this system captures and relates the severity of illness and risk of
mortality factors present as a result of a patient's disease and disorders and
the interaction of those disorders. A form is signed by the patient giving the
healthcare provider authority to bill his/her insurance plan and receive
payment. The form is generally presented and signed at the time of
registration.
18.Alphanumeric - CORRECT ANSWER Letters, numbers, punctuation marks
and mathematical symbols, as opposed to "numeric" which is numbers
only. Term typically related to the kind of data accepted in a computer field
or in coding.
19.Ambulatory Care Patient - CORRECT ANSWER Patient receives medical or
surgical care in an outpatient setting that involves a broader, less specialized
range of care. Ambulatory patients are generally able to walk and are not
confined to a bed. In a hospital setting, ambulatory care generally refers to
healthcare services provided on an outpatient basis.
