Chaa Exam Questions With Complete Solutions.

CCEPTING 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. Acute Care - 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. The care is generally short-term rather than long-term or chronic care. Administrative Costs - Costs associated with creating and submitting a bill for services which could include: registration, utilization review, coding, billing, and collection expenses APDRG - All Patient Diagnosis Related Groups Assignment of Benefits APC - Ambulatory Payment Classification CDC - The Centers for Disease Control and Prevention CMS - Centers for Medicare and Medicaid Services CDM - Charge Descrition Master CHAMPUS - Civilian Health and Medical Program of the Uniformed Services (has been replaced by TRICARE). CDR/ Clinical Data Repository - The process of receiving, reviewing, adjudicating and processing claims. Closed Access - A provision which specifies that plan members must obtain medical services only from network providers through a primary care physician to receive benefits.CMS 1450 (UB-04) - A revised version of the UB-92, federal directive requiring a hospital to follow specific billing procedures, itemizing all services included and billed for on each invoice.