CHAA FINAL EXAM PAPER 2026 COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS
◉ Meeting expectations of internal customers does not involve any
type of communication to ensure a clean claim is processed. Answer:
False
◉ Providing service excellence to external customers is vital to
ensure a positive healthcare experience for patients.. Answer: True
◉ Demonstrating compassion is as significant (important) as
competence in assuring that a clean & accurate claim is generated..
Answer: True
◉ All personnel providing services to patients and families are
responsible for knowing, promoting,
and assisting patients to exercise their rights.. Answer: True
◉ A patient can request a copy of their medical record at any time..
Answer: True
◉ Healthcare entities are not required to have policies in place that
limit how much protected information is used, disclosed and
requested for certain purposes.. Answer: False
,◉ Errors made in registration can impact patient care.. Answer:
True
◉ The policyholder may not be the person whose name appears on
the insurance card.. Answer: True
◉ CMS' mission does not include assuring health security for it's
beneficiaries. Answer: False
◉ Funding to combat fraud and abuse is provided through the
Health Insurance Portability
and Accountability Act (HIPAA).. Answer: True
◉ Medicare usually pays for treatment outside the United States.
(Exception-Medicare doesn't pay except for certain limited cases in
Canada & Mexico). Answer: False
◉ Failure to comply with completing the MSP Questionnaire can
result in fines.. Answer: True
◉ In case of fraud with intent Medicare will pursue the hospital
employee and the hospital.. Answer: True
,◉ Participants of a Medicare Managed Care Plan are still Medicare
beneficiaries and retain their Medicare rights and protections and
receive all regular Medicare covered services.. Answer: True
◉ Members of a PPO (Preferred Provider Organization) must select
a primary care physician. Answer: False
◉ Blue Cross, Auto Insurance, Worker's Compensation and HMO are
all considered commercial insurance.. Answer: True
◉ Active duty military service members are automatically enrolled
in TRICARE Standard.. Answer: False
◉ Tricare For Life will pay all Medicare co-payments and
deductibles and cover most of the costs of certain care not covered
by Medicare.. Answer: True
◉ All insurance companies require precertification or pre
authorization from the primary care physician prior to services
being performed.. Answer: False
◉ CMS. Answer: Centers for Medicare and Medicaid Services
, ◉ JCAHO. Answer: Joint Commission on Accreditation of Healthcare
Organizations
◉ OCR. Answer: Office of Civil Rights
◉ PPS. Answer: Prospective Payment System
◉ CDR. Answer: Clinical Data Repository
◉ HIPAA. Answer: Health Insurance Portability & Accountability Act
◉ COB. Answer: Coordination of Benefits
◉ CWF. Answer: Common Working Files
◉ MBN. Answer: Medicare Beneficiary Notice
◉ DHHS. Answer: Department of Health and Human Service
◉ CHIP. Answer: Children's Health Insurance Program
◉ PRO. Answer: Peer Review Organization
QUESTIONS AND VERIFIED SOLUTIONS
◉ Meeting expectations of internal customers does not involve any
type of communication to ensure a clean claim is processed. Answer:
False
◉ Providing service excellence to external customers is vital to
ensure a positive healthcare experience for patients.. Answer: True
◉ Demonstrating compassion is as significant (important) as
competence in assuring that a clean & accurate claim is generated..
Answer: True
◉ All personnel providing services to patients and families are
responsible for knowing, promoting,
and assisting patients to exercise their rights.. Answer: True
◉ A patient can request a copy of their medical record at any time..
Answer: True
◉ Healthcare entities are not required to have policies in place that
limit how much protected information is used, disclosed and
requested for certain purposes.. Answer: False
,◉ Errors made in registration can impact patient care.. Answer:
True
◉ The policyholder may not be the person whose name appears on
the insurance card.. Answer: True
◉ CMS' mission does not include assuring health security for it's
beneficiaries. Answer: False
◉ Funding to combat fraud and abuse is provided through the
Health Insurance Portability
and Accountability Act (HIPAA).. Answer: True
◉ Medicare usually pays for treatment outside the United States.
(Exception-Medicare doesn't pay except for certain limited cases in
Canada & Mexico). Answer: False
◉ Failure to comply with completing the MSP Questionnaire can
result in fines.. Answer: True
◉ In case of fraud with intent Medicare will pursue the hospital
employee and the hospital.. Answer: True
,◉ Participants of a Medicare Managed Care Plan are still Medicare
beneficiaries and retain their Medicare rights and protections and
receive all regular Medicare covered services.. Answer: True
◉ Members of a PPO (Preferred Provider Organization) must select
a primary care physician. Answer: False
◉ Blue Cross, Auto Insurance, Worker's Compensation and HMO are
all considered commercial insurance.. Answer: True
◉ Active duty military service members are automatically enrolled
in TRICARE Standard.. Answer: False
◉ Tricare For Life will pay all Medicare co-payments and
deductibles and cover most of the costs of certain care not covered
by Medicare.. Answer: True
◉ All insurance companies require precertification or pre
authorization from the primary care physician prior to services
being performed.. Answer: False
◉ CMS. Answer: Centers for Medicare and Medicaid Services
, ◉ JCAHO. Answer: Joint Commission on Accreditation of Healthcare
Organizations
◉ OCR. Answer: Office of Civil Rights
◉ PPS. Answer: Prospective Payment System
◉ CDR. Answer: Clinical Data Repository
◉ HIPAA. Answer: Health Insurance Portability & Accountability Act
◉ COB. Answer: Coordination of Benefits
◉ CWF. Answer: Common Working Files
◉ MBN. Answer: Medicare Beneficiary Notice
◉ DHHS. Answer: Department of Health and Human Service
◉ CHIP. Answer: Children's Health Insurance Program
◉ PRO. Answer: Peer Review Organization
