CHAA Certification Exam 2023.
Accepting Assignment - -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 - -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 - -A number assigned to each account. The number is used to
identify the account and all charges and payments received.
-Acute Care - -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 - -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 - -Patients who are scheduled for services less than 24 hours in advance of
the actual service time.
-Adjustor - -Insurance company representative
-Administrative Costs - -Costs associated with creating and submitting a bill for
services, which could include, registration, utilization review, coding, billing, and
collection expenses.
, -Admission Authorization - -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 - -The first date the patient entered the hospital for a specific visit.
-Admitting Diagnosis - -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 - -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) - -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 - -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 - -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.
Accepting Assignment - -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 - -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 - -A number assigned to each account. The number is used to
identify the account and all charges and payments received.
-Acute Care - -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 - -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 - -Patients who are scheduled for services less than 24 hours in advance of
the actual service time.
-Adjustor - -Insurance company representative
-Administrative Costs - -Costs associated with creating and submitting a bill for
services, which could include, registration, utilization review, coding, billing, and
collection expenses.
, -Admission Authorization - -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 - -The first date the patient entered the hospital for a specific visit.
-Admitting Diagnosis - -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 - -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) - -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 - -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 - -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.
