CHAA 2025 Study Guide Certified
Healthcare Access Associate Study
Guide Questions And Answers With
Verified Solutions Already Passed !!!
A Financial Counselor/Financial Assistance
ANSWER✔✔ In accordance with Section 501(r) regulations through the
Affordable Care Act, a hospital must establish a written financial assistance policy
and make it available to patients.
Batch Processing
ANSWER✔✔ Execution of a series of jobs in a computer program without
manual intervention; it is used to help maximize the use of computer resources and
stabilize response time by performing system-intensive work during hours when
users are less likely to require access. Unlike real-time transactions, jobs executed
in batch are not available for users to view until after the batch is run.
A Valid Physician Order
ANSWER✔✔
Legibility
Patient name
Date (must be within specified timeline - 30 days or as defined by state
statute and/or facility policy)
Test or therapy ordered
Diagnosis, signs, or symptoms
Physician signature
Patient Contact Center
ANSWER✔✔ A central point in an organization from which all customer contacts
,are managed, including scheduling, pre-registration, pre-verification, prior
authorization, functions, etc.
Pricing Transparency
ANSWER✔✔ In healthcare, readily available information on the price of
healthcare services that, together with other information, helps define the value of
those services and enables patients and other care purchasers to identify, compare
and choose providers that offer the desired level of value.
Propensity to Pay
ANSWER✔✔ A means to evaluate payment risk, determine the most appropriate
collection policy and initiate financial counseling discussions. Based on a scoring
algorithm, programs can predict likelihood of payment. Those with a history of bad
debt can be adjusted or forwarded to collections at the earliest point possible.
Access Keys
ANSWER✔✔ NAHAM has developed a series of guidelines that identify
performance criteria, explain how to measure them and provide Good/Better/Best
benchmarks for facilities to measure. These are called:
Ambulatory Payment Classifications (APCs)
ANSWER✔✔ "Codes billed for outpatient services performed at a hospital. It is
calculated based on the national average cost (operating and capital) of the
hospitals."
Authorization
ANSWER✔✔ Means a determination required under a health benefits plan, which
based on the information provided, satisfies the requirements under the member's
health benefits plan for medical necessity.
, Benefits for Automated Quality Assurance
ANSWER✔✔ 100% of registration audited, patients access associated receive
feedback on errors and can self-correct, Errors corrected earlier in the revenue
cycle, and clean data before the bill drops.
Birthday Rule
ANSWER✔✔ According to the birthday rule, the primary plan for a child is the
health plan of the parent whose birthday comes first in the calendar year.
Remember this is the date, not the year. If both birthdays fall on the same day, then
the plan that has been in effect longer is primary.
CMS 1450 (UB-04) (UB-92)
ANSWER✔✔ A federal directive requiring a hospital to follow specific billing
procedures, itemizing all services included and billed for on each invoice. Use by
hospitals, skilled nursing facilities, home health agencies, community mental
health facilities, etc.
Minimum Necessary Standard
ANSWER✔✔ People should only access, use, or disclose the health information
that is minimally necessary to accomplish a given task or purpose.
Coordination of Benefits (COB)
ANSWER✔✔ Is a way of determining the order in which benefits are paid, and
the amounts that are payable, when a patient is covered by more than one health
plan.
HCAHPS (Hospital Consumer Assessment of Healthcare Providers)
ANSWER✔✔ Also known as Hospital CAHPS, it stands for Hospital Consumer
Assessment of Healthcare Providers and Systems and is a standardized survey of
hospital patients that will capture patients' unique perspectives on hospital care for
Healthcare Access Associate Study
Guide Questions And Answers With
Verified Solutions Already Passed !!!
A Financial Counselor/Financial Assistance
ANSWER✔✔ In accordance with Section 501(r) regulations through the
Affordable Care Act, a hospital must establish a written financial assistance policy
and make it available to patients.
Batch Processing
ANSWER✔✔ Execution of a series of jobs in a computer program without
manual intervention; it is used to help maximize the use of computer resources and
stabilize response time by performing system-intensive work during hours when
users are less likely to require access. Unlike real-time transactions, jobs executed
in batch are not available for users to view until after the batch is run.
A Valid Physician Order
ANSWER✔✔
Legibility
Patient name
Date (must be within specified timeline - 30 days or as defined by state
statute and/or facility policy)
Test or therapy ordered
Diagnosis, signs, or symptoms
Physician signature
Patient Contact Center
ANSWER✔✔ A central point in an organization from which all customer contacts
,are managed, including scheduling, pre-registration, pre-verification, prior
authorization, functions, etc.
Pricing Transparency
ANSWER✔✔ In healthcare, readily available information on the price of
healthcare services that, together with other information, helps define the value of
those services and enables patients and other care purchasers to identify, compare
and choose providers that offer the desired level of value.
Propensity to Pay
ANSWER✔✔ A means to evaluate payment risk, determine the most appropriate
collection policy and initiate financial counseling discussions. Based on a scoring
algorithm, programs can predict likelihood of payment. Those with a history of bad
debt can be adjusted or forwarded to collections at the earliest point possible.
Access Keys
ANSWER✔✔ NAHAM has developed a series of guidelines that identify
performance criteria, explain how to measure them and provide Good/Better/Best
benchmarks for facilities to measure. These are called:
Ambulatory Payment Classifications (APCs)
ANSWER✔✔ "Codes billed for outpatient services performed at a hospital. It is
calculated based on the national average cost (operating and capital) of the
hospitals."
Authorization
ANSWER✔✔ Means a determination required under a health benefits plan, which
based on the information provided, satisfies the requirements under the member's
health benefits plan for medical necessity.
, Benefits for Automated Quality Assurance
ANSWER✔✔ 100% of registration audited, patients access associated receive
feedback on errors and can self-correct, Errors corrected earlier in the revenue
cycle, and clean data before the bill drops.
Birthday Rule
ANSWER✔✔ According to the birthday rule, the primary plan for a child is the
health plan of the parent whose birthday comes first in the calendar year.
Remember this is the date, not the year. If both birthdays fall on the same day, then
the plan that has been in effect longer is primary.
CMS 1450 (UB-04) (UB-92)
ANSWER✔✔ A federal directive requiring a hospital to follow specific billing
procedures, itemizing all services included and billed for on each invoice. Use by
hospitals, skilled nursing facilities, home health agencies, community mental
health facilities, etc.
Minimum Necessary Standard
ANSWER✔✔ People should only access, use, or disclose the health information
that is minimally necessary to accomplish a given task or purpose.
Coordination of Benefits (COB)
ANSWER✔✔ Is a way of determining the order in which benefits are paid, and
the amounts that are payable, when a patient is covered by more than one health
plan.
HCAHPS (Hospital Consumer Assessment of Healthcare Providers)
ANSWER✔✔ Also known as Hospital CAHPS, it stands for Hospital Consumer
Assessment of Healthcare Providers and Systems and is a standardized survey of
hospital patients that will capture patients' unique perspectives on hospital care for
