CHAA KPIs and Quality Assurance 2

Question 1

What is the industry benchmark for registration accuracy rate in patient access?

Accepted Answer

97% or above

Answer

Industry benchmarks from NAHAM and HFMA target registration accuracy rates of 97% or higher to minimize downstream billing errors.

Question 2

How is 'days in accounts receivable' (A/R days) affected by patient access performance?

Accepted Answer

Registration errors and verification gaps increase A/R days by causing denials and rework

Answer

Front-end errors in registration and verification directly increase A/R days through claim denials, rework cycles, and delayed payments.

Question 3

What is a registration quality audit and how often should it be performed?

Accepted Answer

A systematic review of registration accuracy performed at regular intervals, typically monthly or quarterly

Answer

Regular registration audits identify error patterns, measure accuracy trends, and provide data for targeted staff coaching and process improvement.

Question 4

Which KPI measures the percentage of patients whose insurance is verified before their appointment?

Accepted Answer

Pre-service verification rate

Answer

The pre-service verification rate tracks the percentage of scheduled patients whose insurance eligibility is confirmed before they arrive.

Question 5

What is the purpose of tracking denial rates by root cause in patient access?

Accepted Answer

To identify systemic issues, target training, and implement process improvements that reduce preventable denials

Answer

Root cause analysis of denials reveals patterns that drive targeted training, process changes, and technology solutions to prevent recurrence.

CHAA - Certified Healthcare Access Associate Practice Test