CHAM Exam| Brand New Exam
Questions with 100% Correct Clear
Verified Answers| All Graded
A+|Latest Premium Update|100%
Guaranteed Success.
Accepting Assignment - 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 - 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 - Answer✅✅A number assigned to each account. This number is
used to identify the account and all charges and payments received.
Acute Care - 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 Impatient Care - Answer✅✅A level of healthcare delivered to patients
experiencing acute illness or trauma. Generally short-term (<30 days).
Add Ons - Answer✅✅Patients who are scheduled for services less than 24 hours in
advance of the actual service time.
,Adjustor - Answer✅✅Insurance company representative.
Administrative Costs - Answer✅✅Costs associated with creating and submitting a
bill for services, which could include: registration, utilization review, coding, billing,
and collection expenses.
Admission Authorization - 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 - Answer✅✅The first date the patient entered the hospital for a
specific visit.
Admitting Diagnosis - 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 - 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 - 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 - 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 - 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 - Answer✅✅A name by which the patient is also "known as", or formerly
known as.
All Patient Diagnosis Related Groups Assignment of Benefits (APDRG) -
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 - 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 - 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) - 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 - 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 - 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.
Questions with 100% Correct Clear
Verified Answers| All Graded
A+|Latest Premium Update|100%
Guaranteed Success.
Accepting Assignment - 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 - 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 - Answer✅✅A number assigned to each account. This number is
used to identify the account and all charges and payments received.
Acute Care - 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 Impatient Care - Answer✅✅A level of healthcare delivered to patients
experiencing acute illness or trauma. Generally short-term (<30 days).
Add Ons - Answer✅✅Patients who are scheduled for services less than 24 hours in
advance of the actual service time.
,Adjustor - Answer✅✅Insurance company representative.
Administrative Costs - Answer✅✅Costs associated with creating and submitting a
bill for services, which could include: registration, utilization review, coding, billing,
and collection expenses.
Admission Authorization - 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 - Answer✅✅The first date the patient entered the hospital for a
specific visit.
Admitting Diagnosis - 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 - 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 - 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 - 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 - 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 - Answer✅✅A name by which the patient is also "known as", or formerly
known as.
All Patient Diagnosis Related Groups Assignment of Benefits (APDRG) -
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 - 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 - 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) - 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 - 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 - 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.
