CHAA CERTIFICATION Questions with
Verified Correct Answers
Admitting physician
the physician who writes the order for the patient to be admitted to the hospital. This
physician must have admitting privileges at the facility providing the healthcare services
Advanced Beneficiary Notice (ABN)
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
Attending physician
the physician who writes outpatient orders for tests, or supervises the patient's care during an
inpatient stay
Accepting assignment
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
Ambulatory Surgical Center
a freestanding facility, other than a physician's office, where surgical, diagnostic, and
therapeutic services are provided on an ambulatory basis
Ancillary Service
services used in the diagnosis and treatment of medical conditions. Some examples are: lab,
medical imaging, cardio-vascular services
Ambulatory Patient Classification
, a system similar to DRG to be used for outpatients. Current scheme includes 346 APC's
broken into categories of medical, diagnostic, surgical, and radiology and emergency
department and partial hospitalization services
Assignment of Benefits
written authorization from the policy holder for their insurance company to pay benefits
directly to the care provider. Normally acquired at the time of admission or registration
Authorization
approval obtained from an insurance carrier for a service that represents an agreement for
payment
Benefit Period
the way that Medicare measures the use of hospital and skilled nursing facility and ends when
the beneficiary has not received hospital or skilled nursing care for 60 days in a row. After
the 60 days have elapsed, a new one begins. The beneficiary must pay the inpatient hospital
deductible for each of these. There is no limit on the number of these
Capitation
a fixed rate of payment to cover a specified set of health services. The rate is usually provided
on a per member/ per month basis regardless of the services that are actually rendered
Clinical Data Repository (CDR)
typically an electronic storage and retrieval system for patient specific medical information
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)
this has been replaced by TRICARE
Children's Health Insurance Program (CHIPs)
Verified Correct Answers
Admitting physician
the physician who writes the order for the patient to be admitted to the hospital. This
physician must have admitting privileges at the facility providing the healthcare services
Advanced Beneficiary Notice (ABN)
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
Attending physician
the physician who writes outpatient orders for tests, or supervises the patient's care during an
inpatient stay
Accepting assignment
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
Ambulatory Surgical Center
a freestanding facility, other than a physician's office, where surgical, diagnostic, and
therapeutic services are provided on an ambulatory basis
Ancillary Service
services used in the diagnosis and treatment of medical conditions. Some examples are: lab,
medical imaging, cardio-vascular services
Ambulatory Patient Classification
, a system similar to DRG to be used for outpatients. Current scheme includes 346 APC's
broken into categories of medical, diagnostic, surgical, and radiology and emergency
department and partial hospitalization services
Assignment of Benefits
written authorization from the policy holder for their insurance company to pay benefits
directly to the care provider. Normally acquired at the time of admission or registration
Authorization
approval obtained from an insurance carrier for a service that represents an agreement for
payment
Benefit Period
the way that Medicare measures the use of hospital and skilled nursing facility and ends when
the beneficiary has not received hospital or skilled nursing care for 60 days in a row. After
the 60 days have elapsed, a new one begins. The beneficiary must pay the inpatient hospital
deductible for each of these. There is no limit on the number of these
Capitation
a fixed rate of payment to cover a specified set of health services. The rate is usually provided
on a per member/ per month basis regardless of the services that are actually rendered
Clinical Data Repository (CDR)
typically an electronic storage and retrieval system for patient specific medical information
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)
this has been replaced by TRICARE
Children's Health Insurance Program (CHIPs)
