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CHAA Study Guide: Healthcare Compliance and Regulations Q&A, Exams of Management of Health Service

Cape Fear Community CollegeManagement of Health Service

A comprehensive set of questions and answers related to healthcare compliance, regulations, and patient access. It covers topics such as the americans with disabilities act, patient satisfaction surveys, quality improvement programs, key performance indicators in patient access, medicare rules, fraud prevention, and the emergency medical treatment and labor act (emtala). The guide also addresses insurance verification, coordination of benefits, and revenue cycle management, making it a valuable resource for students and professionals in healthcare administration.

Typology: Exams

2024/2025

Available from 10/22/2025

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Under Title III of the Americans with Disabilities Act, hospitals are required to: - ✔✔Provide resources to
eliminate barriers in communication
What is not important when initiating a patient satisfaction survey - ✔✔What data measures are needed
to care for the patient
Which is not purpose of any quality improvement program - ✔✔Blame someone for the mistake
Which of the following is not present satisfaction survey - ✔✔CMS survey
Communication is - ✔✔Exchanging information with the patient
Which is not a KPI in Patient Access - ✔✔CLABSI rate- CLABSI is a primary laboratory-confirmed
bloodstream infection in a patient with a central line at the time of (or within 48-hours prior to) the
onset of symptoms and the infection is not related to an infection from another site.
HEAT stands for - ✔✔Hear them out, empathize with the customer, apologize, take responsibility for
actions
All of the following are ways we communicate, except: - ✔✔Eating
What are the three steps to communication - ✔✔Encoding, Transmission, Decoding
Compassion and respect can be demonstrated in all the following ways, except - ✔✔Calling the patient
"Dear"
CHAA STUDY GUIDE Questions with
100% Correct Answers | Latest Version
2025 | Verified
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Under Title III of the Americans with Disabilities Act, hospitals are required to: - ✔✔Provide resources to eliminate barriers in communication What is not important when initiating a patient satisfaction survey - ✔✔What data measures are needed to care for the patient Which is not purpose of any quality improvement program - ✔✔Blame someone for the mistake Which of the following is not present satisfaction survey - ✔✔CMS survey Communication is - ✔✔Exchanging information with the patient Which is not a KPI in Patient Access - ✔✔CLABSI rate- CLABSI is a primary laboratory-confirmed bloodstream infection in a patient with a central line at the time of (or within 48 - hours prior to) the onset of symptoms and the infection is not related to an infection from another site. HEAT stands for - ✔✔Hear them out, empathize with the customer, apologize, take responsibility for actions All of the following are ways we communicate, except: - ✔✔Eating What are the three steps to communication - ✔✔Encoding, Transmission, Decoding Compassion and respect can be demonstrated in all the following ways, except - ✔✔Calling the patient "Dear"

CHAA STUDY GUIDE Questions with

100% Correct Answers | Latest Version

2025 | Verified

What is the CMS rules that states that an inpatient stay must cross midnights to be paid for under Medicare Part A - ✔✔Medicare Two-Midnight rule Which program is responsible for protecting the integrity of the Hospital and Human Services (HHS) program by detecting and pretending fraud - ✔✔OIG - Office of the Inspector General An effective compliance level has a minimum of many levels - ✔✔ 7 All of the following are part of an effective compliance program except - ✔✔Creating standards of privacy EMTLA (Emergency medical treatment and Labor Act) is a regulation which protects patient from what - ✔✔Not being treating in an emergency due to lack of ability to pay All of the following are examples of PHI except - ✔✔Financial Assistance Bruchore Meaning Use is a incentive program to - ✔✔Increase the adoption of qualified electronic health records This document is provided to Medicare beneficiaries who are admitted as outpatients receiving observation status that they may have a copayment and co insurance - ✔✔MOON (Medicare Outpatient Observation Notice All the following are examples of fraud and abuse except - ✔✔Unknowingly billing for services at higher complexity Which government healthcare program is provided for surviving spouses of veterans killed in the line of duty - ✔✔CHAMPVA - is an insurance program for the families of veterans. Tricare provides healthcare to all of the following except - ✔✔Civilians working in a military treatment facility

What is the time period when a Medicare patient on ESRD's group health plan is the primary payer - ✔✔ 30 month coordination period Methodology used to determine income eligibility for Medicaid - ✔✔MAGI (Modified Adjusted Gross Income) Name given when a provider screens a patient for temporary Medicaid coverage - ✔✔Presumptive Eligibilty Which of the following are components of the revenue cycle - ✔✔Patient scheduling, pre registration, financial pre requisites, medical necessity, arrival, registration, wayfinding, discharge, Q/A billing requisites, MR coding, insurance verification, final billing, bad debt and collections Which statement about coordination of Benefits is false - ✔✔It applies to patients covered by one insurance plan Access's role in revenue cycle is enhanced by staff training in which of the following functions except - ✔✔Patients diagnosis NAHAM has developed a series of guidelines that identify performance criteria, explain how to measure them and provide Good/Better/Best benchmarks for facilities to measure. These guidelines are called - ✔✔Access Keys Which is not an example of how Access staff influence the revenue cycle - ✔✔Kiosks in the Access areas have resulted in shorter patient wait time All the following should be reviewed when checking insurance eligibility, except - ✔✔When eligibility ends What is a deductible - ✔✔The amount the insurance the insurance company pays

Successful insurance verification doesn't automatically mean insurance will pay for charges incurred during visit - ✔✔True A minor child is brought in with insurance from both parents. The mother's birthday is July 15,1993. The father's is February 20,1995. According to the birthday rule whose insurance is primary - ✔✔The fathers insurance An interval when a system is unavailable to users is called - ✔✔Downtime