CHAA EXAMINATION TEST 2026 UPDATED
COMPLETE QUESTIONS AND ANSWERS
⩥What components of the establishment of compliance standards,
procedures and policies have an impact on Patient Access? Answer: -
Code of conduct
-Admission policy
-Discharge policy
-Patient referrals
-Physician agreements
-Claim development
⩥Name some special areas at high risk for non-compliance:. Answer: -
Billing for items or services not rendered
-Providing medically unnecessary services
-Upcoding
-Outpatient services rendered in connection with inpatient stays
-Duplicate billing
-Unbundling
-Patients' freedom of choice
-Credit balances
,⩥Name some provisions of the The Patient Protection and Affordable
Care Act (PPACA):. Answer: -Ensure access to health insurance and
protect against unaffordable out-of-pocket costs
-Tax credits established for low-income Americans
-Eliminating lifetime limits on benefits
-Provide assistance for those with pre-existing conditions
-Extend dependent coverage up to age 26
-Expand Medicaid coverage to more low-income Americans
-Reduce the prescription drug coverage gap ("donut hole") for those
receiving the Medicare Part D Prescription Drug Benefit. A whole title
of the law focuses on Medicare reform.
-Require coverage of preventative services and immunizations
-Establish internet portals to assist with the identification of coverage
options (e.g., The Exchange)
⩥What is the main goal of the PPACA?. Answer: To increase the amount
of Americans who have access to affordable healthcare.
⩥How did the PPACA increase the amount of Americans that had access
to affordable healthcare?. Answer: It accomplished this by expanding
Medicaid coverage, providing tax credits to both small employers and
individuals who need help paying for insurance, and providing online
health insurance exchanges, or marketplaces, where individuals can buy
insurance and receive cost-assistance through income-based tax credits.
Most marketplace plans had several different options available —
,Platinum, Gold, Silver and Bronze — so that individuals could choose a
plan that most served their needs.
⩥Purpose of EMTALA:. Answer: At the time the law was enacted,
hospitals were allowed to refuse treatment to anyone. Many hospitals
believed that indigent patients should receive care through charitable
organizations or through uncompensated care hospitals and would
transfer patients without adequate screenings or stabilization, resulting in
lost lives, suffering and additional medical care. EMTALA was put in
place to ensure that all emergency patients receive care, regardless of
their socioeconomic status.
⩥How are EMTALA surveys issued?. Answer: EMTALA surveys are
complaint-driven; state agency surveyors acting for CMS only conduct
an EMTALA investigation in response to a complaint about emergency
services care.
⩥MSE. Answer: Medical Screening Exam
⩥What are debt collectors required to do per the FDCPA?. Answer: A
few of the things debt collectors are required to do include identifying
themselves and notifying the consumer that the communication is an
attempt to collect a debt in every conversation; advising that any
information collected will be used to aid in the collection of the debt;
and notifying the consumer of their right to dispute the debt in full or in
part, with the creditor.
, ⩥Who must follow the TCPA and what steps must they take to remain
compliant?. Answer: Healthcare organizations that use a telephone to
contact patients legally fall under this law and must follow it. Under this
act, TCPA companies are required to maintain and honor the National
Do Not Call (DNC) Registry and a company-specific DNC list.
Additionally, companies cannot call residences prior to 8 am, or after 9
pm, without previous consumer consent, and must provide their name,
the company they are calling for, and a means to contact them if
requested.
⩥What additional tasks are assigned to the CMS?. Answer: CMS was
tasked with administration simplification standards under HIPAA, and
oversees quality standards in long-term care facilities, or nursing homes,
as well as maintains oversight of the HealthCare.gov website.
⩥CMS has several rules of particular importance to Patient Access
professionals concerning:. Answer: -Registration
-Meaningful Use
-Payers
-Medical necessity
-Fraud and abuse.
⩥Portability in HIPAA means:. Answer: That once a person has
insurance coverage, when they change health plans (most commonly
when changing jobs), the previous coverage may be used to reduce or
COMPLETE QUESTIONS AND ANSWERS
⩥What components of the establishment of compliance standards,
procedures and policies have an impact on Patient Access? Answer: -
Code of conduct
-Admission policy
-Discharge policy
-Patient referrals
-Physician agreements
-Claim development
⩥Name some special areas at high risk for non-compliance:. Answer: -
Billing for items or services not rendered
-Providing medically unnecessary services
-Upcoding
-Outpatient services rendered in connection with inpatient stays
-Duplicate billing
-Unbundling
-Patients' freedom of choice
-Credit balances
,⩥Name some provisions of the The Patient Protection and Affordable
Care Act (PPACA):. Answer: -Ensure access to health insurance and
protect against unaffordable out-of-pocket costs
-Tax credits established for low-income Americans
-Eliminating lifetime limits on benefits
-Provide assistance for those with pre-existing conditions
-Extend dependent coverage up to age 26
-Expand Medicaid coverage to more low-income Americans
-Reduce the prescription drug coverage gap ("donut hole") for those
receiving the Medicare Part D Prescription Drug Benefit. A whole title
of the law focuses on Medicare reform.
-Require coverage of preventative services and immunizations
-Establish internet portals to assist with the identification of coverage
options (e.g., The Exchange)
⩥What is the main goal of the PPACA?. Answer: To increase the amount
of Americans who have access to affordable healthcare.
⩥How did the PPACA increase the amount of Americans that had access
to affordable healthcare?. Answer: It accomplished this by expanding
Medicaid coverage, providing tax credits to both small employers and
individuals who need help paying for insurance, and providing online
health insurance exchanges, or marketplaces, where individuals can buy
insurance and receive cost-assistance through income-based tax credits.
Most marketplace plans had several different options available —
,Platinum, Gold, Silver and Bronze — so that individuals could choose a
plan that most served their needs.
⩥Purpose of EMTALA:. Answer: At the time the law was enacted,
hospitals were allowed to refuse treatment to anyone. Many hospitals
believed that indigent patients should receive care through charitable
organizations or through uncompensated care hospitals and would
transfer patients without adequate screenings or stabilization, resulting in
lost lives, suffering and additional medical care. EMTALA was put in
place to ensure that all emergency patients receive care, regardless of
their socioeconomic status.
⩥How are EMTALA surveys issued?. Answer: EMTALA surveys are
complaint-driven; state agency surveyors acting for CMS only conduct
an EMTALA investigation in response to a complaint about emergency
services care.
⩥MSE. Answer: Medical Screening Exam
⩥What are debt collectors required to do per the FDCPA?. Answer: A
few of the things debt collectors are required to do include identifying
themselves and notifying the consumer that the communication is an
attempt to collect a debt in every conversation; advising that any
information collected will be used to aid in the collection of the debt;
and notifying the consumer of their right to dispute the debt in full or in
part, with the creditor.
, ⩥Who must follow the TCPA and what steps must they take to remain
compliant?. Answer: Healthcare organizations that use a telephone to
contact patients legally fall under this law and must follow it. Under this
act, TCPA companies are required to maintain and honor the National
Do Not Call (DNC) Registry and a company-specific DNC list.
Additionally, companies cannot call residences prior to 8 am, or after 9
pm, without previous consumer consent, and must provide their name,
the company they are calling for, and a means to contact them if
requested.
⩥What additional tasks are assigned to the CMS?. Answer: CMS was
tasked with administration simplification standards under HIPAA, and
oversees quality standards in long-term care facilities, or nursing homes,
as well as maintains oversight of the HealthCare.gov website.
⩥CMS has several rules of particular importance to Patient Access
professionals concerning:. Answer: -Registration
-Meaningful Use
-Payers
-Medical necessity
-Fraud and abuse.
⩥Portability in HIPAA means:. Answer: That once a person has
insurance coverage, when they change health plans (most commonly
when changing jobs), the previous coverage may be used to reduce or
