10 free, exam-style Certified Healthcare Access Manager (CHAM) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CHAM practice test to study every exam domain.
A patient arrives at the Emergency Department with chest pain and presents to the registration window. The registrar's standard process is to verify insurance coverage and collect the copay before the patient is taken back. Under EMTALA, the registrar should:
Correct answer: B - Direct the patient to triage and the medical screening exam without delay; insurance discussions occur after stabilization
An uninsured patient calls on Monday to schedule an outpatient MRI for the following Monday (7 days out). Under the No Surprises Act, the Good Faith Estimate must be provided to the patient no later than:
Correct answer: B - 3 business days after scheduling
A child is covered as a dependent on both married parents' health plans. The mother was born on March 12, 1988, and the father was born on January 30, 1990. Under the Birthday Rule for coordination of benefits, which plan is primary?
Correct answer: B - The father's plan, because his birthday falls earliest in the calendar year
A Medicare beneficiary is placed in observation status at 0800 on Tuesday. By Wednesday morning at 0900, the patient has been in observation for over 24 hours. By what time must the Medicare Outpatient Observation Notice (MOON) be delivered to the patient?
Correct answer: B - By 2000 on Wednesday (36 hours after observation began)
A Medicare inpatient was admitted on Friday and the initial Important Message from Medicare (IM/IMM) was delivered Saturday morning. The patient is now being discharged on Sunday afternoon. Regarding the follow-up IM:
Correct answer: B - A follow-up IM is not required because the initial IM was delivered within 2 calendar days of discharge
A registrar is verifying a patient's identity before printing armbands for an inpatient admission. Which of the following combinations satisfies The Joint Commission's National Patient Safety Goal NPSG.01.01.01 for two patient identifiers?
Correct answer: B - Patient's full name and date of birth
A patient access manager discovers that several registrars have begun skipping the Medicare Secondary Payer Questionnaire on recurring outpatients to save time, and the practice has spread informally throughout the team. Under Just Culture principles, the MOST appropriate management response is to:
Correct answer: B - Coach the team, address the system pressures that incentivized the shortcut, and remove the incentive to skip the MSPQ
A patient access department is staffed by 6 full-time registrars working 40 hours per week and 4 part-time registrars working 24 hours per week. Based on a 40-hour workweek, what is the total FTE count for the department?
Correct answer: A - 8.4 FTE
A non-profit hospital sent a self-pay patient her first post-discharge billing statement on April 1. The patient has not paid and has not applied for financial assistance. Under IRS Section 501(r), the hospital may NOT initiate Extraordinary Collection Actions (such as reporting to credit agencies or filing a lawsuit) until at least:
Correct answer: B - 120 days after the first billing statement
A patient access manager is reviewing the department's most recent quarterly metrics against NAHAM AccessKeys 5.0 benchmarks. Point-of-service collections are at 0.8% of net patient revenue, and registration accuracy is at 91%. The manager's MOST appropriate first action is to:
Correct answer: B - Investigate root causes - both metrics are below high-performance AccessKeys thresholds, and registration accuracy below 95% drives downstream denials
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