Page |1
CHAA 2025 Certification Questions with
Detailed Verified Answers (100% Correct
Answers) /Already Graded A+
Accepting Assignment
Ans: 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
Ans: The Patient's ability to obtain medical care. The ease of access 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
Ans: A number assigned to each account. The number is used to identify the account and all
charges and payments received.
Acute Care
Ans: 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. The care is generally short-term rather than long-term or chronic care.
Acute Inpatient Care
Ans: A level of health care delivered to patients experiencing acute illness or trauma. Acute
care is generally short-term less than 30 days.
Add-Ons
Ans: Patients who are scheduled for services less than 24 hours in advance of the actual
service time.
Adjustor
Ans: Insurance company representative
Administrative Costs
, Page |2
Ans: Costs associated with creating and submitting a bill for services, which could include,
registration, utilization review, coding, billing, and collection expenses.
Admission Authorization
Ans: The process of third party payor notification of urgent/emergent inpatient admission
within specified time as determined by payors which is usually within a 24 to 48 hour or next
business day.
Admission Date
Ans: The first date the patient entered the hospital for a specific visit.
Admitting Diagnosis
Ans: Word, phrase, International Classification of Disease (ICD9) 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
Ans: 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 health care services.
Advance Beneficiary Notice (ABN)
Ans: 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. The advanced beneficiary notice (ABN) allows the beneficiary to make a informed
decision prior to services whether or not he/she wishes to receive services. ABNs are not
routinely given to emergency department patients.
Advanced Directives
Ans: An advance directive is a written instruction relating to the provision of health care when
a patient is incapacitated. It could include appointing someone to make medical decisions, a
state expressing the patients wishes about anatomical gifts (like organ donation), and general
statements about whether or not life-sustaining treatments should be withheld or withdrawn.
Adverse Selection
Ans: 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 numbers and lower deductible plans.
Alias
Ans: An alias is a name by which the patient is also known as or formerly known as.
All patient Diagnosis Related Groups Assignment of Benefits (APDRG)
CHAA 2025 Certification Questions with
Detailed Verified Answers (100% Correct
Answers) /Already Graded A+
Accepting Assignment
Ans: 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
Ans: The Patient's ability to obtain medical care. The ease of access 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
Ans: A number assigned to each account. The number is used to identify the account and all
charges and payments received.
Acute Care
Ans: 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. The care is generally short-term rather than long-term or chronic care.
Acute Inpatient Care
Ans: A level of health care delivered to patients experiencing acute illness or trauma. Acute
care is generally short-term less than 30 days.
Add-Ons
Ans: Patients who are scheduled for services less than 24 hours in advance of the actual
service time.
Adjustor
Ans: Insurance company representative
Administrative Costs
, Page |2
Ans: Costs associated with creating and submitting a bill for services, which could include,
registration, utilization review, coding, billing, and collection expenses.
Admission Authorization
Ans: The process of third party payor notification of urgent/emergent inpatient admission
within specified time as determined by payors which is usually within a 24 to 48 hour or next
business day.
Admission Date
Ans: The first date the patient entered the hospital for a specific visit.
Admitting Diagnosis
Ans: Word, phrase, International Classification of Disease (ICD9) 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
Ans: 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 health care services.
Advance Beneficiary Notice (ABN)
Ans: 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. The advanced beneficiary notice (ABN) allows the beneficiary to make a informed
decision prior to services whether or not he/she wishes to receive services. ABNs are not
routinely given to emergency department patients.
Advanced Directives
Ans: An advance directive is a written instruction relating to the provision of health care when
a patient is incapacitated. It could include appointing someone to make medical decisions, a
state expressing the patients wishes about anatomical gifts (like organ donation), and general
statements about whether or not life-sustaining treatments should be withheld or withdrawn.
Adverse Selection
Ans: 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 numbers and lower deductible plans.
Alias
Ans: An alias is a name by which the patient is also known as or formerly known as.
All patient Diagnosis Related Groups Assignment of Benefits (APDRG)
