CHAA Exam 2019 Questions and Answers
Graded A+
Administrative systems, Financial management systems, and Patient Care Systems Correct
Answ_Data collected in Access is shared with other applications.
Quality improvement is based on Correct Answ_Developing and enforcing standards
through surveillance, Measuring and improving outcomes of care, Educating healthcare
providers about quality improvement opportunities, Educating beneficiaries to make good health
care choices.
CMS Correct Answ_Responsible for implementing federal quality assurance standards in
laboratories, nursing homes, hospitals, home health agencies and ambulatory surgical centers.
4 Correct Answ_Parts of Medicare
60 days Correct Answ_Many of days after a Medicare patient's discharge from an inpatient
hospital or skilled nursing facility does the benefit period end (providing that the patient has not
been readmitted to a facility during that time).
,100 days Correct Answ_Days Medicare will pay for in a participating skilled nursing facility
when medically necessary.
Medicare Part B Correct Answ_Component of Medicare helps pay for ambulance
transportation.
Medicaid Correct Answ_is funded and administered through a State-federal partnership to
provide health care coverage for certain low income people.
Medicare Part B Correct Answ_Patient must have to be eligible for Tricare For Life.
Insurance Eligibility, Authorization/Pre certification requirements, and deductible and Co-pay
amounts Correct Answ_The verification of benefits process determines
_________________________.
NAIC Correct Answ_In an effort to standardize the Coordination of Benefits rules.
HMO's Correct Answ_Insurance plans that strive to control health care cost by requiring
members to receive services at designated facilities.
,Body Language & Visual Behavoir Correct Answ_Non verbal communication clues.
HIPAA Correct Answ_Patient privacy protections are part of this act.
Staff Empathy Correct Answ_According to a Press-Ganey study, ____________________
has a major impact on a patient's impression of a hospital.
Documented Correct Answ_If it's not _________________________ , it didn't happen
Clinical Prerequisites Correct Answ_Part of this is reviewing service and procedure
information with the patient.
Financial Pre - Determination Correct Answ_The method through which the provider
identifies actual payment sources and assists the patient in determining expected reimbursement,
their out of pocket expenses and alternative funding sources.
Point of Service Collection Correct Answ_Collecting the patient's portion of the bill at the
time service is rendered.
, EMTALA Correct Answ_Federal law enacted in 1986 by CMS to protect patients against
discrimination based on his or her economic status and mandates patients receive a screening
exam and stabilizing treatment when seeking emergency medical care of when in active labor.
Secretary of the DHHS Correct Answ_Validates Joint Commission findings.
Office of Civil Rights (OCR) Correct Answ_responsible for the enforcement of HIPAA
regulations.
MPI Correct Answ_Will store at least all medical record numbers associated with that
entity's patients.
Policyholder/ Subscriber Correct Answ_Person who contracts with the insurance company
for health care coverage.
CMS Correct Answ_Created on March 9, 1977 to consolidate into one agency the
responsibility for administering Medicare and Medicaid.
Graded A+
Administrative systems, Financial management systems, and Patient Care Systems Correct
Answ_Data collected in Access is shared with other applications.
Quality improvement is based on Correct Answ_Developing and enforcing standards
through surveillance, Measuring and improving outcomes of care, Educating healthcare
providers about quality improvement opportunities, Educating beneficiaries to make good health
care choices.
CMS Correct Answ_Responsible for implementing federal quality assurance standards in
laboratories, nursing homes, hospitals, home health agencies and ambulatory surgical centers.
4 Correct Answ_Parts of Medicare
60 days Correct Answ_Many of days after a Medicare patient's discharge from an inpatient
hospital or skilled nursing facility does the benefit period end (providing that the patient has not
been readmitted to a facility during that time).
,100 days Correct Answ_Days Medicare will pay for in a participating skilled nursing facility
when medically necessary.
Medicare Part B Correct Answ_Component of Medicare helps pay for ambulance
transportation.
Medicaid Correct Answ_is funded and administered through a State-federal partnership to
provide health care coverage for certain low income people.
Medicare Part B Correct Answ_Patient must have to be eligible for Tricare For Life.
Insurance Eligibility, Authorization/Pre certification requirements, and deductible and Co-pay
amounts Correct Answ_The verification of benefits process determines
_________________________.
NAIC Correct Answ_In an effort to standardize the Coordination of Benefits rules.
HMO's Correct Answ_Insurance plans that strive to control health care cost by requiring
members to receive services at designated facilities.
,Body Language & Visual Behavoir Correct Answ_Non verbal communication clues.
HIPAA Correct Answ_Patient privacy protections are part of this act.
Staff Empathy Correct Answ_According to a Press-Ganey study, ____________________
has a major impact on a patient's impression of a hospital.
Documented Correct Answ_If it's not _________________________ , it didn't happen
Clinical Prerequisites Correct Answ_Part of this is reviewing service and procedure
information with the patient.
Financial Pre - Determination Correct Answ_The method through which the provider
identifies actual payment sources and assists the patient in determining expected reimbursement,
their out of pocket expenses and alternative funding sources.
Point of Service Collection Correct Answ_Collecting the patient's portion of the bill at the
time service is rendered.
, EMTALA Correct Answ_Federal law enacted in 1986 by CMS to protect patients against
discrimination based on his or her economic status and mandates patients receive a screening
exam and stabilizing treatment when seeking emergency medical care of when in active labor.
Secretary of the DHHS Correct Answ_Validates Joint Commission findings.
Office of Civil Rights (OCR) Correct Answ_responsible for the enforcement of HIPAA
regulations.
MPI Correct Answ_Will store at least all medical record numbers associated with that
entity's patients.
Policyholder/ Subscriber Correct Answ_Person who contracts with the insurance company
for health care coverage.
CMS Correct Answ_Created on March 9, 1977 to consolidate into one agency the
responsibility for administering Medicare and Medicaid.
