CHAA Exam 2024 Questions & Answers
100% Correct!!
Internal and external - ANSWERSPatient access service's customers
are_____________________.
External Customers - ANSWERSis Vital to ensure a positive healthcare experience for
patients.
Demonstrating compassion - ANSWERSis as significant (important) as competence in
assuring that a clean & accurate claim is generated.
All personnel providing services to patients and families - ANSWERSare responsible for
knowing, promoting, and assisting patients to exercise their rights.
At anytime - ANSWERSA patient can request a copy of their medical record.
Healthcare entities - ANSWERSare required to have policies in place that limit how
much protected information is used, disclosed and requested for certain purposes.
Impact patient care - ANSWERSErrors made in registration can
____________________.
The policyholder - ANSWERSmay not be the person whose name appears on the
insurance card.
CMS's mission - ANSWERSIncludes assuring health security for it's beneficiaries.
Health Insurance Portability and Accountability Act (HIPAA) - ANSWERSFunding to
combat fraud and abuse is provided through ______________________.
Result in fines - ANSWERSFailure to comply with completing the MSP Questionnaire
can ________________________.
Participants of a Medicare Managed Care Plan - ANSWERSare still Medicare
beneficiaries and retain their Medicare rights and protections and receive all regular
Medicare covered services.
Commercial Insurance - ANSWERSBlue Cross, Auto Insurance, Workers's
Compensation and HMO are all considered ___________________________.
Tricare For Life - ANSWERSwill pay all Medicare co-payments and deductibles and
cover most of the costs of certain care not covered by Medicare.
,CMS - ANSWERSCenters for Medicare and Medicaid Services: The federal agency
responsible for maintaining and monitoring the Medicare program, beneficiary services,
and Medicaid and state operations.
JCAHO - ANSWERSJoint Commission on Accreditation of Healthcare Organizations
OCR - ANSWERSOffice of Civil Rights
PPS - ANSWERSProspective Payment System
CDR - ANSWERSClinical Data Repository; a central database that focuses on clinical
information
HIPAA - ANSWERSHealth Insurance Portability and Accountability Act
COB - ANSWERScoordination of benefits
CWF - ANSWERSCommon Working File
MBN - ANSWERSMedicare Beneficiary Notice
DHHS - ANSWERSDepartment of Health and Human Services
CHIP - ANSWERSChildren's Health Insurance Program
PRO - ANSWERSPeer Review Organization
HMO - ANSWERShealth maintenance organization
CHAMPVA - ANSWERSCivilian Health and Medical Program of the Veterans
Administration; The Civilian Health and Medical Program for the Veterans
Administration is an insurance program for the families of veterans.
NAIC - ANSWERSNational Association of Insurance Commissioners
A behavior - ANSWERSAn action/reaction, The way we conduct ourselves, a role under
specific circumstances.
Steps to communication - ANSWERSEncoding, Transmission, and Decoding
Cognitive Characteristics of Adults - ANSWERSAt peak of mental abilities; verbal skills;
information recall; reasoning.
Patients expect - ANSWERSAll healthcare workers & volunteers are compassionate
and caring, Staff members are technically competent, Privacy is protected and their
, individual needs are anticipated & fulfilled, Staff communicates with them using terms &
language they understand, and healthcare workers are sensitive to the inconvenience &
stress that result from health problems.
10 - ANSWERSMaximum number of years that a patient's medical record will be
maintained.
Pre-Registration - ANSWERSPoint where a patient's request such as needs for a
translator, special equipment, dietary requirements, ect be obtained to enable timely
referrals to social services and initiation of discharge planning.
Joint Commission (JCAHO) - ANSWERSThis agency's mission is to improve the quality
of healthcare for the public by providing accreditation and related services that support
performance improvement in healthcare organizations.
3 years - ANSWERSTypical JCAHO accreditation cycle
Administrative systems, Financial management systems, and Patient Care Systems -
ANSWERSData collected in Access is shared with other applications.
Quality improvement is based on - ANSWERSDeveloping 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 - ANSWERSResponsible for implementing federal quality assurance standards in
laboratories, nursing homes, hospitals, home health agencies and ambulatory surgical
centers.
4 - ANSWERSParts of Medicare
60 days - ANSWERSMany 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 - ANSWERSDays Medicare will pay for in a participating skilled nursing facility
when medically necessary.
Medicare Part B - ANSWERSComponent of Medicare helps pay for ambulance
transportation.
Medicaid - ANSWERSis funded and administered through a State-federal partnership to
provide health care coverage for certain low income people.
Medicare Part B - ANSWERSPatient must have to be eligible for Tricare For Life.
100% Correct!!
Internal and external - ANSWERSPatient access service's customers
are_____________________.
External Customers - ANSWERSis Vital to ensure a positive healthcare experience for
patients.
Demonstrating compassion - ANSWERSis as significant (important) as competence in
assuring that a clean & accurate claim is generated.
All personnel providing services to patients and families - ANSWERSare responsible for
knowing, promoting, and assisting patients to exercise their rights.
At anytime - ANSWERSA patient can request a copy of their medical record.
Healthcare entities - ANSWERSare required to have policies in place that limit how
much protected information is used, disclosed and requested for certain purposes.
Impact patient care - ANSWERSErrors made in registration can
____________________.
The policyholder - ANSWERSmay not be the person whose name appears on the
insurance card.
CMS's mission - ANSWERSIncludes assuring health security for it's beneficiaries.
Health Insurance Portability and Accountability Act (HIPAA) - ANSWERSFunding to
combat fraud and abuse is provided through ______________________.
Result in fines - ANSWERSFailure to comply with completing the MSP Questionnaire
can ________________________.
Participants of a Medicare Managed Care Plan - ANSWERSare still Medicare
beneficiaries and retain their Medicare rights and protections and receive all regular
Medicare covered services.
Commercial Insurance - ANSWERSBlue Cross, Auto Insurance, Workers's
Compensation and HMO are all considered ___________________________.
Tricare For Life - ANSWERSwill pay all Medicare co-payments and deductibles and
cover most of the costs of certain care not covered by Medicare.
,CMS - ANSWERSCenters for Medicare and Medicaid Services: The federal agency
responsible for maintaining and monitoring the Medicare program, beneficiary services,
and Medicaid and state operations.
JCAHO - ANSWERSJoint Commission on Accreditation of Healthcare Organizations
OCR - ANSWERSOffice of Civil Rights
PPS - ANSWERSProspective Payment System
CDR - ANSWERSClinical Data Repository; a central database that focuses on clinical
information
HIPAA - ANSWERSHealth Insurance Portability and Accountability Act
COB - ANSWERScoordination of benefits
CWF - ANSWERSCommon Working File
MBN - ANSWERSMedicare Beneficiary Notice
DHHS - ANSWERSDepartment of Health and Human Services
CHIP - ANSWERSChildren's Health Insurance Program
PRO - ANSWERSPeer Review Organization
HMO - ANSWERShealth maintenance organization
CHAMPVA - ANSWERSCivilian Health and Medical Program of the Veterans
Administration; The Civilian Health and Medical Program for the Veterans
Administration is an insurance program for the families of veterans.
NAIC - ANSWERSNational Association of Insurance Commissioners
A behavior - ANSWERSAn action/reaction, The way we conduct ourselves, a role under
specific circumstances.
Steps to communication - ANSWERSEncoding, Transmission, and Decoding
Cognitive Characteristics of Adults - ANSWERSAt peak of mental abilities; verbal skills;
information recall; reasoning.
Patients expect - ANSWERSAll healthcare workers & volunteers are compassionate
and caring, Staff members are technically competent, Privacy is protected and their
, individual needs are anticipated & fulfilled, Staff communicates with them using terms &
language they understand, and healthcare workers are sensitive to the inconvenience &
stress that result from health problems.
10 - ANSWERSMaximum number of years that a patient's medical record will be
maintained.
Pre-Registration - ANSWERSPoint where a patient's request such as needs for a
translator, special equipment, dietary requirements, ect be obtained to enable timely
referrals to social services and initiation of discharge planning.
Joint Commission (JCAHO) - ANSWERSThis agency's mission is to improve the quality
of healthcare for the public by providing accreditation and related services that support
performance improvement in healthcare organizations.
3 years - ANSWERSTypical JCAHO accreditation cycle
Administrative systems, Financial management systems, and Patient Care Systems -
ANSWERSData collected in Access is shared with other applications.
Quality improvement is based on - ANSWERSDeveloping 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 - ANSWERSResponsible for implementing federal quality assurance standards in
laboratories, nursing homes, hospitals, home health agencies and ambulatory surgical
centers.
4 - ANSWERSParts of Medicare
60 days - ANSWERSMany 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 - ANSWERSDays Medicare will pay for in a participating skilled nursing facility
when medically necessary.
Medicare Part B - ANSWERSComponent of Medicare helps pay for ambulance
transportation.
Medicaid - ANSWERSis funded and administered through a State-federal partnership to
provide health care coverage for certain low income people.
Medicare Part B - ANSWERSPatient must have to be eligible for Tricare For Life.
