07/08/2025, 09:02 CHAM EXAM (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
CHAM EXAM (2025) QUESTIONS AND
(elaborated) WITH COMPLETE SOLUTIONS
Save
Terms in this set (290)
When a provider agrees to accept the allowable
charges as the full fee and cannot charge the patient
Accepting Assignment
the difference between the insurance payment and
the provider's normal fee.
The patient's ability to obtain medical care. The ease is
determined by such components as the availability of
Access medical services and their acceptability to the patient,
the location of health-care facilities, transportation,
hours of operation and cost of care.
A number assigned to each account. This number is
Account Number used to identify the account and all charges and
payments received.
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
Acute Care
wellness would deteriorate without treatment. This
care is generally short-term rather than long-term or
chronic care.
A level of healthcare delivered to patients
Acute Impatient Care experiencing acute illness or trauma. Generally short-
term (<30 days).
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,07/08/2025, 09:02 CHAM EXAM (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
Patients who are scheduled for services less than 24
Add Ons
hours in advance of the actual service time.
Adjustor Insurance company representative.
Costs associated with creating and submitting a bill
for services, which could include: registration,
Administrative Costs
utilization review, coding, billing, and collection
expenses.
The process of third-party payer notification of
urgent/emergent inpatient admission within specified
Admission Authorization
time as determined by payers (usually 24-48 hours or
next business day).
The first date the patient entered the hospital for a
Admission Date
specific visit.
Word, phrase, or International Classification of
Disease (ICD10) code used by the admitting physician
Admitting Diagnosis to identify a condition or disease from which a patient
suffers and for which the patient needs or seeks
medical care.
The physician who writes the order for the patient to
be admitted to the hospital. The physician must have
Admitting Physician
admitting privileges at the facility providing the
healthcare services.
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
Advance Beneficiary
may not pay for them. Allows the beneficiary to make
Notice
an informed decision prior to services regarding
whether or not they wish to receive services. Are not
routinely given to emergency department patients.
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,07/08/2025, 09:02 CHAM EXAM (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
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
Advance Directive
about anatomical gifts (i.e. organ donation) and
general statements about whether or not life
sustaining treatments should be withheld or
withdrawn.
Among applicants for a given group or individual
program, the tendency for those with an impaired
Adverse Selection health status, or who are prone to higher than average
utilization of benefits to be enrolled in
disproportionate number and lower deductibles.
A name by which the patient is also "known as", or
Alias
formerly known as.
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, 07/08/2025, 09:02 CHAM EXAM (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
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
All Patient Diagnosis demographic groups and clinical risk factors for
Related Groups patients treated in hospitals. This proprietary grouping
Assignment of Benefits system's (i.e. 3M) purpose is to obtain fair and
(APDRG) 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.
Letters, numbers, punctuation marks and
mathematical symbols, as opposed to "numeric" which
Alphanumeric
is numbers only. Term typically related to the kind of
data accepted in a computer field or in coding.
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CHAM EXAM (2025) QUESTIONS AND
(elaborated) WITH COMPLETE SOLUTIONS
Save
Terms in this set (290)
When a provider agrees to accept the allowable
charges as the full fee and cannot charge the patient
Accepting Assignment
the difference between the insurance payment and
the provider's normal fee.
The patient's ability to obtain medical care. The ease is
determined by such components as the availability of
Access medical services and their acceptability to the patient,
the location of health-care facilities, transportation,
hours of operation and cost of care.
A number assigned to each account. This number is
Account Number used to identify the account and all charges and
payments received.
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
Acute Care
wellness would deteriorate without treatment. This
care is generally short-term rather than long-term or
chronic care.
A level of healthcare delivered to patients
Acute Impatient Care experiencing acute illness or trauma. Generally short-
term (<30 days).
https://quizlet.com/1064376472/cham-exam-2025-questions-and-elaborated-with-complete-solutions-flash-cards/?new 1/45
,07/08/2025, 09:02 CHAM EXAM (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
Patients who are scheduled for services less than 24
Add Ons
hours in advance of the actual service time.
Adjustor Insurance company representative.
Costs associated with creating and submitting a bill
for services, which could include: registration,
Administrative Costs
utilization review, coding, billing, and collection
expenses.
The process of third-party payer notification of
urgent/emergent inpatient admission within specified
Admission Authorization
time as determined by payers (usually 24-48 hours or
next business day).
The first date the patient entered the hospital for a
Admission Date
specific visit.
Word, phrase, or International Classification of
Disease (ICD10) code used by the admitting physician
Admitting Diagnosis to identify a condition or disease from which a patient
suffers and for which the patient needs or seeks
medical care.
The physician who writes the order for the patient to
be admitted to the hospital. The physician must have
Admitting Physician
admitting privileges at the facility providing the
healthcare services.
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
Advance Beneficiary
may not pay for them. Allows the beneficiary to make
Notice
an informed decision prior to services regarding
whether or not they wish to receive services. Are not
routinely given to emergency department patients.
https://quizlet.com/1064376472/cham-exam-2025-questions-and-elaborated-with-complete-solutions-flash-cards/?new 2/45
,07/08/2025, 09:02 CHAM EXAM (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
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
Advance Directive
about anatomical gifts (i.e. organ donation) and
general statements about whether or not life
sustaining treatments should be withheld or
withdrawn.
Among applicants for a given group or individual
program, the tendency for those with an impaired
Adverse Selection health status, or who are prone to higher than average
utilization of benefits to be enrolled in
disproportionate number and lower deductibles.
A name by which the patient is also "known as", or
Alias
formerly known as.
https://quizlet.com/1064376472/cham-exam-2025-questions-and-elaborated-with-complete-solutions-flash-cards/?new 3/45
, 07/08/2025, 09:02 CHAM EXAM (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
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
All Patient Diagnosis demographic groups and clinical risk factors for
Related Groups patients treated in hospitals. This proprietary grouping
Assignment of Benefits system's (i.e. 3M) purpose is to obtain fair and
(APDRG) 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.
Letters, numbers, punctuation marks and
mathematical symbols, as opposed to "numeric" which
Alphanumeric
is numbers only. Term typically related to the kind of
data accepted in a computer field or in coding.
https://quizlet.com/1064376472/cham-exam-2025-questions-and-elaborated-with-complete-solutions-flash-cards/?new 4/45
