CHAA Financial Processes 2

Question 1

A patient's insurance plan has a $2,000 deductible and they have met $1,500. What should the access associate communicate about a $800 procedure?

Accepted Answer

The patient may owe approximately $500 toward the deductible plus any applicable coinsurance

Answer

With $500 remaining on the deductible, the patient would owe that amount plus any coinsurance on the remaining $300, depending on plan terms.

Question 2

What is the primary purpose of collecting point-of-service (POS) payments?

Accepted Answer

To reduce accounts receivable days and improve cash flow

Answer

POS collections reduce the accounts receivable cycle, improve cash flow, and decrease the cost of post-service collection efforts.

Question 3

A patient qualifies for charity care but also has Medicaid. How should this be handled?

Accepted Answer

Bill Medicaid first as the primary payer, then apply charity care to remaining balance if applicable

Answer

Insurance must always be billed as the primary payer before applying charity care or financial assistance to any remaining patient responsibility.

Question 4

What does 'timely filing' refer to in the context of healthcare billing?

Accepted Answer

Submitting insurance claims within the payer's deadline to avoid denial

Answer

Timely filing refers to the deadline by which claims must be submitted to an insurance payer, typically ranging from 90 days to one year depending on the payer.

Question 5

Which document is required before providing a patient with a good faith estimate under the No Surprises Act?

Accepted Answer

A scheduled service or a patient request for an estimate

Answer

Under the No Surprises Act, facilities must provide good faith estimates to uninsured or self-pay patients upon scheduling or upon request.

CHAA - Certified Healthcare Access Associate Practice Test

CHAA - Certified Healthcare Access Associate Practice Test

CHAA Financial Processes 2