CHAM Practice Questions - NAHAM Certified Healthcare Access Manager Exam - CHAM Practice Questions - NAHAM Certified Healthcare Access Manager Exam

Question 1

A transfer center asks Patient Access to coordinate a patient moving from a community hospital to the health system's tertiary facility. Which action best reflects the Patient Access manager's role in the pre-arrival process?

Accept the patient before verifying contractual, capacity, and required transfer documentation requirements Coordinate referral and transfer data so clinical acceptance, payer requirements, and registration needs are addressed before arrival Tell the sending facility to route all information directly to billing after the patient arrives Delay account creation until discharge so duplicate accounts cannot occur

Correct Answer:

Coordinate referral and transfer data so clinical acceptance, payer requirements, and registration needs are addressed before arrival

Question 2

A scheduler receives an order for an MRI with sedation for a patient who uses a wheelchair and needs an interpreter. What should the scheduler do first?

Book the next open MRI slot and let the department solve the accommodations on arrival Assess special needs and coordinate the location, staff, interpreter, and equipment requirements before finalizing the appointment Schedule only after the patient's insurance claim from the visit has been paid Decline scheduling because sedation always requires an emergency department arrival

Correct Answer:

Assess special needs and coordinate the location, staff, interpreter, and equipment requirements before finalizing the appointment

Question 3

During pre-registration, a registrar finds two existing records for the same patient with slightly different addresses. What is the best management response?

Create a third record so today's encounter is not delayed Use the record with the most recent address and ignore the other record Follow the duplicate-record resolution process to protect EMPI integrity before completing the account Ask the patient which medical record number they prefer

Correct Answer:

Follow the duplicate-record resolution process to protect EMPI integrity before completing the account

Question 4

A payer requires prior authorization for a scheduled infusion. Which pre-arrival activity most directly prevents a medical-necessity or authorization denial?

Validate eligibility, benefits, authorization rules, and order requirements before the service date Collect the full estimated balance and skip payer verification Wait for the claim denial and then submit a retroactive authorization request Ask the clinical department to remove the diagnosis from the order

Correct Answer:

Validate eligibility, benefits, authorization rules, and order requirements before the service date

Question 5

A patient schedules a service and says they will not use insurance. Under No Surprises Act good-faith-estimate workflow, what should Patient Access do?

Treat the estimate as optional because the patient chose self-pay Give the patient an expected-charge estimate according to the organization's uninsured and self-pay process Tell the patient estimates are available only after coding reviews the final claim Collect a deposit and avoid discussing expected charges

Correct Answer:

Give the patient an expected-charge estimate according to the organization's uninsured and self-pay process

Question 1

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About this Exam

Prepare with the CHAM Practice Questions - NAHAM Certified Healthcare Access Manager Exam practice quiz. This question bank includes 100 questions covering patient, access, scheduled, payer, and arrival. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CHAM Practice Questions - NAHAM Certified Healthcare Access Manager Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, access, scheduled, payer, and arrival. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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About this Exam

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CHAM Practice Questions - NAHAM Certified Healthcare Access Manager Exam

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