1
CHAA Exam Study Guide Questions with
100% Correct Answers Latest Versions 2025
Graded A+
What are the three steps to communication?
Encoding, Transmission, and Decoding
What is the CMS rule that states that an inpatient stay must
cross 2 midnights to be paid for under Medicare Part A?
Medicare Two-Midnight rule
Which program is responsible for protecting integrity of the
Hospital and Human Services (HHS) program by detecting
and preventing fraud?
OIG (Office of Inspector General)
Access's role in the revenue cycle is enhanced by staff
training in what functions?
Insurance verification
Financial counseling
General knowledge of billing requirements
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.
What are these guidelines called?
Access Keys
An effective compliance level has a minimum of how many
levels?
7
This document is provided to Medicare beneficiaries who are
admitted as outpatients receiving observation status that
they may have a co-payment and co-insurance
,2
MOON (Medicare Outpatient Observation Notice)
Which government healthcare program is provided for
surviving spouses of veterans killed in the line of duty?
CHAMPVA
When a veterans local VA healthcare center cannot provide
service in a timely manner, this program allows the veteran
to seek care from the community
Veteran's Choice
What form is given to Medicare beneficiaries informing them
of potential non-coverage of out-patient services?
ABN
What is the method used to determine financial eligibility for
Medicaid, CHIP, and Marketplace cost sharing?
MAGI (Modified Adjusted Gross Income)
What is the name of the program also known as Obamacare?
PPACA (Patient Protection and Affordable Care Act)
Name of the statute created to ensure all people have access
to emergency treatment regardless of their ability to pay?
EMTALA
What is the tracking code for patients admitted as inpatients
to the hospital but do not meet the criteria?
Condition Code 44
Who is the primary payer when the Medicare patient is under
the age of 65 and is covered by their spouses BCBS plan
through the Federal Government?
BCBS
What is the time period when a Medicare Patient on ESRD's
group health plan is the primary payer?
30-month Coordination Period
Methodology used to determine income eligibility for
Medicaid?
,3
MAGI (Modified Adjusted Gross Income)
Name given when a provider screens a patient for temporary
Medicaid Coverage:
Presumptive Eligibility
What are parts of the revenue cycle?
Patient scheduling
Insurance verification
Final Billing
What is not true about Coordination of Benefits?
It applies to patients covered by one insurance plan
What is a way Access staff DO NOT influence the revenue
cycle?
Kiosks in the Access areas have resulted in shorter patient wait
times
What all should be reviewed when checking insurance
eligibility?
Patient name and DOB
Active insurance benefits
Date became eligible
What is a deductible?
The amount the insurance company requires you to pay before
insurance pays
T/F
Successful insurance verification doesn't automatically mean
insurance will pay for charges incurred during a visit
True
A minor child is brought in with insurance from both parents.
The Mothers birthdate is July 15, 1993. The fathers birthdate
is February 20, 1995. According to the Birthday rule, whose
insurance is primary?
The Mother's insurance
, 4
Which of the following is NOT an example of technology
used to ensure positive patient identity?
Palm Vein
Kiosks
Facial Recognition
Retinal
Answer: Kiosks
An interval when a system is unavailable to users is called:
Downtime
For which of the following issues would you call for desktop
support assistance?
A - Power failure in building
B - Adding an icon to a computer screen to access a new function
needed for work
C - PC won't boot up
D - Adding Facebook to your Desktop
Answer - B
Which of the following is NOT a data source for an
automated Access statistical report?
A - The facilities registration system
B - A standalone data repository or warehouse
C - The finance department
D - The electronic medical record
Answer - C
What is one of our most valuable resources?
Time
What is the largest expense in the Patient Access budget?
Salaries
CHAA Exam Study Guide Questions with
100% Correct Answers Latest Versions 2025
Graded A+
What are the three steps to communication?
Encoding, Transmission, and Decoding
What is the CMS rule that states that an inpatient stay must
cross 2 midnights to be paid for under Medicare Part A?
Medicare Two-Midnight rule
Which program is responsible for protecting integrity of the
Hospital and Human Services (HHS) program by detecting
and preventing fraud?
OIG (Office of Inspector General)
Access's role in the revenue cycle is enhanced by staff
training in what functions?
Insurance verification
Financial counseling
General knowledge of billing requirements
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.
What are these guidelines called?
Access Keys
An effective compliance level has a minimum of how many
levels?
7
This document is provided to Medicare beneficiaries who are
admitted as outpatients receiving observation status that
they may have a co-payment and co-insurance
,2
MOON (Medicare Outpatient Observation Notice)
Which government healthcare program is provided for
surviving spouses of veterans killed in the line of duty?
CHAMPVA
When a veterans local VA healthcare center cannot provide
service in a timely manner, this program allows the veteran
to seek care from the community
Veteran's Choice
What form is given to Medicare beneficiaries informing them
of potential non-coverage of out-patient services?
ABN
What is the method used to determine financial eligibility for
Medicaid, CHIP, and Marketplace cost sharing?
MAGI (Modified Adjusted Gross Income)
What is the name of the program also known as Obamacare?
PPACA (Patient Protection and Affordable Care Act)
Name of the statute created to ensure all people have access
to emergency treatment regardless of their ability to pay?
EMTALA
What is the tracking code for patients admitted as inpatients
to the hospital but do not meet the criteria?
Condition Code 44
Who is the primary payer when the Medicare patient is under
the age of 65 and is covered by their spouses BCBS plan
through the Federal Government?
BCBS
What is the time period when a Medicare Patient on ESRD's
group health plan is the primary payer?
30-month Coordination Period
Methodology used to determine income eligibility for
Medicaid?
,3
MAGI (Modified Adjusted Gross Income)
Name given when a provider screens a patient for temporary
Medicaid Coverage:
Presumptive Eligibility
What are parts of the revenue cycle?
Patient scheduling
Insurance verification
Final Billing
What is not true about Coordination of Benefits?
It applies to patients covered by one insurance plan
What is a way Access staff DO NOT influence the revenue
cycle?
Kiosks in the Access areas have resulted in shorter patient wait
times
What all should be reviewed when checking insurance
eligibility?
Patient name and DOB
Active insurance benefits
Date became eligible
What is a deductible?
The amount the insurance company requires you to pay before
insurance pays
T/F
Successful insurance verification doesn't automatically mean
insurance will pay for charges incurred during a visit
True
A minor child is brought in with insurance from both parents.
The Mothers birthdate is July 15, 1993. The fathers birthdate
is February 20, 1995. According to the Birthday rule, whose
insurance is primary?
The Mother's insurance
, 4
Which of the following is NOT an example of technology
used to ensure positive patient identity?
Palm Vein
Kiosks
Facial Recognition
Retinal
Answer: Kiosks
An interval when a system is unavailable to users is called:
Downtime
For which of the following issues would you call for desktop
support assistance?
A - Power failure in building
B - Adding an icon to a computer screen to access a new function
needed for work
C - PC won't boot up
D - Adding Facebook to your Desktop
Answer - B
Which of the following is NOT a data source for an
automated Access statistical report?
A - The facilities registration system
B - A standalone data repository or warehouse
C - The finance department
D - The electronic medical record
Answer - C
What is one of our most valuable resources?
Time
What is the largest expense in the Patient Access budget?
Salaries
