CHAM Definitions || All Correct 100%.
Bad Debt correct answers an accounts receivable that is regarded as uncollectable and is charged
as a credit loss, even thought the patient has the ability to pay
Appropriate care correct answers A diagnostic or treatment measure whose expected health
benefit exceeds its expected health risk by a wide enough margin to justify the measure
Access correct answers the patients ability to obtain medical care
Components that determine access correct answers • Availability of medical services
• Acceptability to the patient
• Location of the facility
• Transportation
• Hours
• Cost of care
Attending Physician correct answers the physician who writes outpatient orders for tests or
supervises the patients care during an inpatient stay
Authorization correct answers Approval obtained from an insurance carrier for a service that
represents an agreement for payment
Admission Date correct answers the first date the patient entered the hospital for a specific visit
Adjustor correct answers Insurance company representative
Acute inpatient care correct answers a level of care delivered to patients experiencing acute
illness or trauma. Acute care generally short term.
Admission authorization correct answers the process of third party payer notification of an
urgent/emergent inpatient admission within a specified time determined by payers
Administrative costs correct answers costs associated with creating and submitting a bill for
services, which could include registration, utilization review, coding, billing and collection
expenses
Add-ons correct answers patients who are scheduled for services less than 24 hours in advance of
the actual service time
Ambulatory surgical center correct answers a freestanding facility, other than a physician's office
where surgical, diagnostic and therapeutic services are provided on an outpatient ambulatory
basis
Appeal correct answers a special kind of complaint made when a beneficiary or provider
disagrees with decision about health care services
, Advance beneficiary notice correct answers 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 might not pay for them
Ancillary services correct answers a unit of the hospital, other than a nursing unit, which
provides medical services such as diagnostic testing therapeutic procedures or dispenses medical
products
Assignment of benefits correct answers a written authorization from a policyholder for their
insurance company to pay benefits directly to the care provider
Admitting physician correct answers the physician that writes the order for the patient to be
admitted to the hospital
Accepting assignment correct answers 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
providers normal fee
Ambulatory care patient correct answers patient receiving care in an outpatient setting that
involves a less specialized range of care
Advance directive correct answers a written instruction relating to the provision of healthcare
when a patient is incapacitated
Behavioral health correct answers assessment and treatment of mental and or psychiatric
substance abuse disorders
Balance billing correct answers the practice of billing a patient for the fee amount remaining
after insurer payment and co-payment has been made
Beneficiary correct answers person designated to receive the proceeds of an insurance policy; the
insured under a health insurance policy
Benefit verification correct answers the process of confirming benefits for services; the process
of verification of demographic, financial and insurance information
Benefit period correct answers the number of days that Medicare covers care in hospitals or
skilled nursing facilities; begins on the first day of services and ends 60 days after discharge
Birthday rule correct answers a rule used to determine whose insurance is primary for a child
covered under both parents insurance; parent whose birthday falls earliest in the calendar year
becomes the primary insurance
Benefit verification period correct answers the way Medicare measures the use of hospital and
skilled nursing services
Bad Debt correct answers an accounts receivable that is regarded as uncollectable and is charged
as a credit loss, even thought the patient has the ability to pay
Appropriate care correct answers A diagnostic or treatment measure whose expected health
benefit exceeds its expected health risk by a wide enough margin to justify the measure
Access correct answers the patients ability to obtain medical care
Components that determine access correct answers • Availability of medical services
• Acceptability to the patient
• Location of the facility
• Transportation
• Hours
• Cost of care
Attending Physician correct answers the physician who writes outpatient orders for tests or
supervises the patients care during an inpatient stay
Authorization correct answers Approval obtained from an insurance carrier for a service that
represents an agreement for payment
Admission Date correct answers the first date the patient entered the hospital for a specific visit
Adjustor correct answers Insurance company representative
Acute inpatient care correct answers a level of care delivered to patients experiencing acute
illness or trauma. Acute care generally short term.
Admission authorization correct answers the process of third party payer notification of an
urgent/emergent inpatient admission within a specified time determined by payers
Administrative costs correct answers costs associated with creating and submitting a bill for
services, which could include registration, utilization review, coding, billing and collection
expenses
Add-ons correct answers patients who are scheduled for services less than 24 hours in advance of
the actual service time
Ambulatory surgical center correct answers a freestanding facility, other than a physician's office
where surgical, diagnostic and therapeutic services are provided on an outpatient ambulatory
basis
Appeal correct answers a special kind of complaint made when a beneficiary or provider
disagrees with decision about health care services
, Advance beneficiary notice correct answers 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 might not pay for them
Ancillary services correct answers a unit of the hospital, other than a nursing unit, which
provides medical services such as diagnostic testing therapeutic procedures or dispenses medical
products
Assignment of benefits correct answers a written authorization from a policyholder for their
insurance company to pay benefits directly to the care provider
Admitting physician correct answers the physician that writes the order for the patient to be
admitted to the hospital
Accepting assignment correct answers 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
providers normal fee
Ambulatory care patient correct answers patient receiving care in an outpatient setting that
involves a less specialized range of care
Advance directive correct answers a written instruction relating to the provision of healthcare
when a patient is incapacitated
Behavioral health correct answers assessment and treatment of mental and or psychiatric
substance abuse disorders
Balance billing correct answers the practice of billing a patient for the fee amount remaining
after insurer payment and co-payment has been made
Beneficiary correct answers person designated to receive the proceeds of an insurance policy; the
insured under a health insurance policy
Benefit verification correct answers the process of confirming benefits for services; the process
of verification of demographic, financial and insurance information
Benefit period correct answers the number of days that Medicare covers care in hospitals or
skilled nursing facilities; begins on the first day of services and ends 60 days after discharge
Birthday rule correct answers a rule used to determine whose insurance is primary for a child
covered under both parents insurance; parent whose birthday falls earliest in the calendar year
becomes the primary insurance
Benefit verification period correct answers the way Medicare measures the use of hospital and
skilled nursing services
