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NAHAM CHAA Practice Test Material Questions
and Verified Answers
Which term best describes the process of determining a patients eligibility for
specific healthcare services and coverage?
Ans: Pre-authorization
A patient arrives for an appointment and is unsure about their insurance
coverage. What is the most appropriate action for the healthcare access
associate?
Ans: Verify the patient's coverage by contacting the insurance company
What is the purpose of a financial assistance program in a healthcare setting?
Ans: To assist patients who cannot afford their medical bills by offering
financial aid or payment plans
A patient expresses confusion about their billing statement. How would the
Healthcare access associate handle this situation?
Ans: Explain the charges on the statement and offer to assist with any
questions
Which of the following practices is a violation of HIPAA regulations?
Ans: Accessing patient records without a valid reason or authorization
What is the primary role of a healthcare access associate?
Ans: To manage and coordinate patient access to healthcare services
Which term refers to the process of evaluating the medical necessity of a
procedure before it is performed?
Ans: Utilization review
When a patient is scheduled for a procedure, what information should be
verified during the procedure registrations process?
Ans: Patient's insurance coverage and benefits
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What is the most appropriate action if a patient's insurance information is
incomplete at the time of their appointment?
Ans: Request that the patient provide addition insurance details right away
Which of the following statements accurately describes a sliding fee scale?
Ans: A program offering reduced fees based on the patient's ability to pay
What is the purpose of obtaining pre-certification for a medical service?
Ans: To ensure the service is covered by the patient's insurance
If the patient becomes upset about a billing discrepancy, what is the best
approach to resolve the concern?
Ans: Apologize for the inconvenience and provide a detailed explanation of
the changes
How should a healthcare access associate handle a situation where a patient
requests information about their treatment options?
Ans: Provide a general overview and refer them to their healthcare provider
for specific details
Which document outlines the rights and responsibilities of patients regarding
their health information?
Ans: HIPAA Notice of Privacy Practices
Which action is considered a breach of patient confidentiality?
Ans: Sharing patient information with a family member without patient
consent
Which term describes the system that allows healthcare providers to
communicate patient information securely and electronically?
Ans: Health Information Exchange (HIE)
What does the acronym "ICD" stand for in medical coding?
Ans: International Classification of Diseases
What is the primary purpose of conducting a patient's pre-admission testing?
NAHAM CHAA Practice Test Material Questions
and Verified Answers
Which term best describes the process of determining a patients eligibility for
specific healthcare services and coverage?
Ans: Pre-authorization
A patient arrives for an appointment and is unsure about their insurance
coverage. What is the most appropriate action for the healthcare access
associate?
Ans: Verify the patient's coverage by contacting the insurance company
What is the purpose of a financial assistance program in a healthcare setting?
Ans: To assist patients who cannot afford their medical bills by offering
financial aid or payment plans
A patient expresses confusion about their billing statement. How would the
Healthcare access associate handle this situation?
Ans: Explain the charges on the statement and offer to assist with any
questions
Which of the following practices is a violation of HIPAA regulations?
Ans: Accessing patient records without a valid reason or authorization
What is the primary role of a healthcare access associate?
Ans: To manage and coordinate patient access to healthcare services
Which term refers to the process of evaluating the medical necessity of a
procedure before it is performed?
Ans: Utilization review
When a patient is scheduled for a procedure, what information should be
verified during the procedure registrations process?
Ans: Patient's insurance coverage and benefits
, Page | 2
What is the most appropriate action if a patient's insurance information is
incomplete at the time of their appointment?
Ans: Request that the patient provide addition insurance details right away
Which of the following statements accurately describes a sliding fee scale?
Ans: A program offering reduced fees based on the patient's ability to pay
What is the purpose of obtaining pre-certification for a medical service?
Ans: To ensure the service is covered by the patient's insurance
If the patient becomes upset about a billing discrepancy, what is the best
approach to resolve the concern?
Ans: Apologize for the inconvenience and provide a detailed explanation of
the changes
How should a healthcare access associate handle a situation where a patient
requests information about their treatment options?
Ans: Provide a general overview and refer them to their healthcare provider
for specific details
Which document outlines the rights and responsibilities of patients regarding
their health information?
Ans: HIPAA Notice of Privacy Practices
Which action is considered a breach of patient confidentiality?
Ans: Sharing patient information with a family member without patient
consent
Which term describes the system that allows healthcare providers to
communicate patient information securely and electronically?
Ans: Health Information Exchange (HIE)
What does the acronym "ICD" stand for in medical coding?
Ans: International Classification of Diseases
What is the primary purpose of conducting a patient's pre-admission testing?
