CHAM EXAM (2025) QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
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.
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.
Account ,Number ,- ,CORRECT ,ANSWER-A ,number ,assigned ,to ,each ,account.
,This ,number ,is ,used ,to ,identify ,the ,account ,and ,all ,charges ,and ,payments
,received.
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.
Acute ,Inpatient ,Care ,- ,CORRECT ,ANSWER-A ,level ,of ,healthcare ,delivered ,to
,patients ,experiencing ,acute ,illness ,or ,trauma. ,Generally ,short-term ,(<30 ,days).
Add ,Ons ,- ,CORRECT ,ANSWER-Patients ,who ,are ,scheduled ,for ,services ,less
,than ,24 ,hours ,in ,advance ,of ,the ,actual ,service ,time.
Adjustor ,- ,CORRECT ,ANSWER-Insurance ,company ,representative.
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.
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).
,Admission ,Date ,- ,CORRECT ,ANSWER-The ,first ,date ,the ,patient ,entered ,the
,hospital ,for ,a ,specific ,visit.
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.
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.
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.
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.
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.
Alias ,- ,CORRECT ,ANSWER-A ,name ,by ,which ,the ,patient ,is ,also ,"known ,as", ,or
,formerly ,known ,as.
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.
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.
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.
Ambulatory ,Payment ,Classification ,(APC) ,- ,CORRECT ,ANSWER-A ,system ,of
,averaging ,and ,bundling ,using ,Current ,Procedural ,Terminology ,(CPT) ,procedure
,codes, ,Healthcare ,Common ,Procedure ,Coding ,System ,(HCPCS) ,Level ,II, ,and
,revenue ,codes ,submitted ,for ,payment. ,The ,______ ,system ,utilizes ,groups ,of
,CPT ,codes ,based ,on ,clinical ,and ,resource ,similarity ,and ,establishes ,payment
,rates ,for ,each ,______ ,grouping. ,The ,650+ ,______ ,are ,divided ,by ,significant
,procedures, ,medical ,services, ,ancillary ,services ,and ,partial ,hospitalization
,services. ,The ,______ ,are ,similar ,clinically, ,by ,resources ,uses ,and ,cost.
Ambulatory ,Surgical ,Center ,- ,CORRECT ,ANSWER-A ,freestanding ,facility, ,other
,than ,a ,physician's ,office, ,where ,surgical, ,diagnostic, ,and ,therapeutic ,services
,are ,provided ,on ,an ,outpatient ,ambulatory ,basis.
Ancillary ,Services ,- ,CORRECT ,ANSWER-A ,unit ,of ,the ,hospital, ,other ,than ,a
,nursing ,unit, ,that ,provides ,medical ,services ,such ,as ,diagnostic ,testing ,and
,therapeutic ,procedures, ,or ,dispenses ,medical ,products, ,such ,as ,medications
,or ,medical/surgical ,supplies. ,Examples: ,Laboratory, ,Medical ,Imaging, ,Physical
,Therapy ,and ,Pharmacy. ,Ancillary ,is ,used ,to ,describe ,diagnostic ,or ,therapeutic
,services, ,such ,as ,laboratory, ,radiology, ,pharmacy, ,or ,physical ,therapy,
,performed ,by ,departments ,that ,do ,not ,have ,inpatient ,beds.
Annual ,Maximum ,Benefit ,Amount ,Deductible ,- ,CORRECT ,ANSWER-The
,maximum ,dollar ,amount ,set ,by ,a ,Managed ,Care ,Organization ,(MCO) ,that ,limits
,the ,total ,amount ,the ,plan ,must ,pay ,for ,all ,health ,care ,services ,provided ,to ,a
,subscriber ,in ,a ,year. ,
A ,deductible ,is ,the ,set ,amount, ,per ,benefit ,year ,or ,period, ,that ,the ,third ,party
,payer ,designates ,as ,the ,patient/guarantors ,responsibility. ,Usually ,the
,deductible ,must ,be ,paid ,before ,the ,benefits ,will ,be ,paid ,by ,the ,payer.
, Appeal ,- ,CORRECT ,ANSWER-A ,special ,kind ,of ,complaint ,made ,when ,a
,beneficiary ,or ,provider ,disagrees ,with ,decisions ,about ,healthcare ,services-
typically ,related ,to ,payment ,issues. ,There ,is ,usually ,a ,special ,process ,used ,to
,appeal ,payer ,decisions.
Appropriate ,Care ,- ,CORRECT ,ANSWER-A ,diagnostic ,or ,treatment ,measure
,whose ,expected ,health ,benefits ,exceed ,its ,expected ,health ,risks ,by ,a ,wide
,enough ,margin ,to ,justify ,the ,measure.
Assignment ,of ,Benefit ,- ,CORRECT ,ANSWER-Written ,authorization ,from ,the
,policyholder ,for ,their ,insurance ,company ,to ,pay ,benefits ,directly ,to ,the ,care
,provider. ,Normally ,acquired ,at ,the ,time ,of ,admission ,or ,registration.
Attending ,Physician ,- ,CORRECT ,ANSWER-The ,physician ,who ,writes ,outpatient
,orders ,for ,tests, ,or ,supervises ,the ,patient's ,care ,during ,an ,inpatient ,stay.
Authorization ,- ,CORRECT ,ANSWER-Approval ,obtained ,from ,an ,insurance
,carrier ,for ,a ,service ,that ,represents ,an ,agreement ,for ,payment.
Authorization ,to ,Release ,Medical ,Information ,- ,CORRECT ,ANSWER-The ,form
,authorizing ,to ,release ,information ,from ,the ,medical ,records ,to ,doctors,
,hospitals, ,insurance, ,other ,agencies, ,etc.
Average ,Daily ,Census ,(ADC) ,- ,CORRECT ,ANSWER-The ,average ,number ,of
,inpatients ,maintained ,in ,the ,hospital ,for ,each ,day ,for ,a ,specific ,period ,of ,time.
Average ,Length ,of ,Stay ,- ,CORRECT ,ANSWER-The ,average ,number ,of ,days ,of
,service ,rendered ,to ,each ,patient ,during ,a ,specific ,period ,of ,time.
Bad ,Debt ,- ,CORRECT ,ANSWER-An ,accounts ,receivable ,that ,is ,regarded ,as
,uncollectible ,and ,is ,charged ,as ,a ,credit ,loss ,even ,though ,the ,patient ,has ,the
,ability ,to ,pay.
Balance ,Billing ,- ,CORRECT ,ANSWER-The ,practice ,of ,billing ,a ,patient ,for ,the
,fee ,amount ,remaining ,after ,insurer ,payment ,and ,co-payment ,have ,been ,made.
Batch ,Processing ,- ,CORRECT ,ANSWER-Information ,technology ,term ,referring
,to ,grouping ,of ,similar ,input ,items ,and ,then ,processing ,them ,together ,during ,a
,single ,machine ,run.
Behavioral ,Health ,- ,CORRECT ,ANSWER-Assessment ,and ,treatment ,of ,mental
,and/or ,psychoactive ,substance ,abuse ,disorders.
COMPLETE SOLUTIONS GRADED A+
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.
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.
Account ,Number ,- ,CORRECT ,ANSWER-A ,number ,assigned ,to ,each ,account.
,This ,number ,is ,used ,to ,identify ,the ,account ,and ,all ,charges ,and ,payments
,received.
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.
Acute ,Inpatient ,Care ,- ,CORRECT ,ANSWER-A ,level ,of ,healthcare ,delivered ,to
,patients ,experiencing ,acute ,illness ,or ,trauma. ,Generally ,short-term ,(<30 ,days).
Add ,Ons ,- ,CORRECT ,ANSWER-Patients ,who ,are ,scheduled ,for ,services ,less
,than ,24 ,hours ,in ,advance ,of ,the ,actual ,service ,time.
Adjustor ,- ,CORRECT ,ANSWER-Insurance ,company ,representative.
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.
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).
,Admission ,Date ,- ,CORRECT ,ANSWER-The ,first ,date ,the ,patient ,entered ,the
,hospital ,for ,a ,specific ,visit.
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.
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.
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.
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.
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.
Alias ,- ,CORRECT ,ANSWER-A ,name ,by ,which ,the ,patient ,is ,also ,"known ,as", ,or
,formerly ,known ,as.
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.
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.
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.
Ambulatory ,Payment ,Classification ,(APC) ,- ,CORRECT ,ANSWER-A ,system ,of
,averaging ,and ,bundling ,using ,Current ,Procedural ,Terminology ,(CPT) ,procedure
,codes, ,Healthcare ,Common ,Procedure ,Coding ,System ,(HCPCS) ,Level ,II, ,and
,revenue ,codes ,submitted ,for ,payment. ,The ,______ ,system ,utilizes ,groups ,of
,CPT ,codes ,based ,on ,clinical ,and ,resource ,similarity ,and ,establishes ,payment
,rates ,for ,each ,______ ,grouping. ,The ,650+ ,______ ,are ,divided ,by ,significant
,procedures, ,medical ,services, ,ancillary ,services ,and ,partial ,hospitalization
,services. ,The ,______ ,are ,similar ,clinically, ,by ,resources ,uses ,and ,cost.
Ambulatory ,Surgical ,Center ,- ,CORRECT ,ANSWER-A ,freestanding ,facility, ,other
,than ,a ,physician's ,office, ,where ,surgical, ,diagnostic, ,and ,therapeutic ,services
,are ,provided ,on ,an ,outpatient ,ambulatory ,basis.
Ancillary ,Services ,- ,CORRECT ,ANSWER-A ,unit ,of ,the ,hospital, ,other ,than ,a
,nursing ,unit, ,that ,provides ,medical ,services ,such ,as ,diagnostic ,testing ,and
,therapeutic ,procedures, ,or ,dispenses ,medical ,products, ,such ,as ,medications
,or ,medical/surgical ,supplies. ,Examples: ,Laboratory, ,Medical ,Imaging, ,Physical
,Therapy ,and ,Pharmacy. ,Ancillary ,is ,used ,to ,describe ,diagnostic ,or ,therapeutic
,services, ,such ,as ,laboratory, ,radiology, ,pharmacy, ,or ,physical ,therapy,
,performed ,by ,departments ,that ,do ,not ,have ,inpatient ,beds.
Annual ,Maximum ,Benefit ,Amount ,Deductible ,- ,CORRECT ,ANSWER-The
,maximum ,dollar ,amount ,set ,by ,a ,Managed ,Care ,Organization ,(MCO) ,that ,limits
,the ,total ,amount ,the ,plan ,must ,pay ,for ,all ,health ,care ,services ,provided ,to ,a
,subscriber ,in ,a ,year. ,
A ,deductible ,is ,the ,set ,amount, ,per ,benefit ,year ,or ,period, ,that ,the ,third ,party
,payer ,designates ,as ,the ,patient/guarantors ,responsibility. ,Usually ,the
,deductible ,must ,be ,paid ,before ,the ,benefits ,will ,be ,paid ,by ,the ,payer.
, Appeal ,- ,CORRECT ,ANSWER-A ,special ,kind ,of ,complaint ,made ,when ,a
,beneficiary ,or ,provider ,disagrees ,with ,decisions ,about ,healthcare ,services-
typically ,related ,to ,payment ,issues. ,There ,is ,usually ,a ,special ,process ,used ,to
,appeal ,payer ,decisions.
Appropriate ,Care ,- ,CORRECT ,ANSWER-A ,diagnostic ,or ,treatment ,measure
,whose ,expected ,health ,benefits ,exceed ,its ,expected ,health ,risks ,by ,a ,wide
,enough ,margin ,to ,justify ,the ,measure.
Assignment ,of ,Benefit ,- ,CORRECT ,ANSWER-Written ,authorization ,from ,the
,policyholder ,for ,their ,insurance ,company ,to ,pay ,benefits ,directly ,to ,the ,care
,provider. ,Normally ,acquired ,at ,the ,time ,of ,admission ,or ,registration.
Attending ,Physician ,- ,CORRECT ,ANSWER-The ,physician ,who ,writes ,outpatient
,orders ,for ,tests, ,or ,supervises ,the ,patient's ,care ,during ,an ,inpatient ,stay.
Authorization ,- ,CORRECT ,ANSWER-Approval ,obtained ,from ,an ,insurance
,carrier ,for ,a ,service ,that ,represents ,an ,agreement ,for ,payment.
Authorization ,to ,Release ,Medical ,Information ,- ,CORRECT ,ANSWER-The ,form
,authorizing ,to ,release ,information ,from ,the ,medical ,records ,to ,doctors,
,hospitals, ,insurance, ,other ,agencies, ,etc.
Average ,Daily ,Census ,(ADC) ,- ,CORRECT ,ANSWER-The ,average ,number ,of
,inpatients ,maintained ,in ,the ,hospital ,for ,each ,day ,for ,a ,specific ,period ,of ,time.
Average ,Length ,of ,Stay ,- ,CORRECT ,ANSWER-The ,average ,number ,of ,days ,of
,service ,rendered ,to ,each ,patient ,during ,a ,specific ,period ,of ,time.
Bad ,Debt ,- ,CORRECT ,ANSWER-An ,accounts ,receivable ,that ,is ,regarded ,as
,uncollectible ,and ,is ,charged ,as ,a ,credit ,loss ,even ,though ,the ,patient ,has ,the
,ability ,to ,pay.
Balance ,Billing ,- ,CORRECT ,ANSWER-The ,practice ,of ,billing ,a ,patient ,for ,the
,fee ,amount ,remaining ,after ,insurer ,payment ,and ,co-payment ,have ,been ,made.
Batch ,Processing ,- ,CORRECT ,ANSWER-Information ,technology ,term ,referring
,to ,grouping ,of ,similar ,input ,items ,and ,then ,processing ,them ,together ,during ,a
,single ,machine ,run.
Behavioral ,Health ,- ,CORRECT ,ANSWER-Assessment ,and ,treatment ,of ,mental
,and/or ,psychoactive ,substance ,abuse ,disorders.
