Free CHAA Practice Questions
10 free, exam-style Certified Healthcare Access Associate (CHAA) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free CHAA practice test to study every exam domain.
Question 1
A registrar is verifying a patient's identity before applying a wristband for an inpatient admission. According to The Joint Commission's National Patient Safety Goal on patient identification (NPSG.01.01.01), which of the following pairs of identifiers is acceptable?
- Patient's full legal name and assigned room number
- Patient's full legal name and date of birth
- Patient's date of birth and assigned bed number
- Patient's first name and the chief complaint
Show answer & explanation
Correct answer: B - Patient's full legal name and date of birth
Question 2
A patient walks into the emergency department complaining of chest pain. Before the medical screening examination (MSE) is performed, the registrar should:
- Verify the patient's insurance coverage and obtain pre-authorization
- Collect the standard emergency department copay
- Capture the patient's name and date of birth to begin the encounter
- Contact the insurance company to confirm in-network status
Show answer & explanation
Correct answer: C - Capture the patient's name and date of birth to begin the encounter
Question 3
An angry patient is yelling at the registration desk about a 90-minute wait. According to the HEAT service recovery model, the FIRST step the registrar should take is to:
- Apologize for the inconvenience caused by the wait
- Hear the patient out without interrupting
- Empathize with the patient's frustration
- Take responsibility for finding a solution
Show answer & explanation
Correct answer: B - Hear the patient out without interrupting
Question 4
A 67-year-old patient is enrolled in Medicare Part A and Part B and also has active group health plan coverage through her current employer, which has 18 employees. For services rendered today, which payer is PRIMARY?
- Medicare
- The group health plan through the employer
- The patient must elect which payer is primary
- Both pay equally as a coordination of benefits split
Show answer & explanation
Correct answer: A - Medicare
Question 5
A child is covered as a dependent on both parents' employer health plans. The mother was born on June 15, 1985. The father was born on March 12, 1990. The parents are married and living together with no court decree affecting coverage. According to the birthday rule, the primary plan for the child is:
- The mother's plan, because she is older
- The father's plan, because his birth month and day fall earlier in the calendar year
- The mother's plan, because the maternal plan is traditionally primary for dependents
- Either plan, at the parents' discretion
Show answer & explanation
Correct answer: B - The father's plan, because his birth month and day fall earlier in the calendar year
Question 6
A patient arrives at the registration desk with a dog and states, "This is my service animal." Under the Americans with Disabilities Act (ADA), the registrar may ask which of the following?
- What disability the patient has and to see documentation certifying the animal
- Whether the dog is required because of a disability and what work or task the dog has been trained to perform
- Whether the dog has a current vaccination certificate and an ADA registration number
- Nothing - staff may not ask any questions about a service animal
Show answer & explanation
Correct answer: B - Whether the dog is required because of a disability and what work or task the dog has been trained to perform
Question 7
A patient with limited English proficiency arrives for an outpatient procedure. The patient says, "My 12-year-old daughter speaks English fine - just use her to interpret." According to Section 1557 of the Affordable Care Act, the registrar should:
- Use the daughter to expedite the encounter as the patient requested
- Ask the patient to sign a written waiver and proceed with the daughter as interpreter
- Decline using the minor child and offer a qualified interpreter at no cost to the patient
- Reschedule the appointment for a day when an adult family member can accompany the patient
Show answer & explanation
Correct answer: C - Decline using the minor child and offer a qualified interpreter at no cost to the patient
Question 8
A patient's insurance plan has a $1,000 annual deductible (with $400 already met for the year) and 20% coinsurance after the deductible is met. The allowed amount for today's outpatient procedure is $2,000. The patient has no copay for this service. What is the patient's total financial responsibility for this visit?
- $600
- $880
- $1,000
- $1,280
Show answer & explanation
Correct answer: B - $880
Question 9
A Medicare beneficiary has been receiving observation services in the hospital for 28 hours. Which notice MUST be delivered to this patient?
- Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131
- Medicare Outpatient Observation Notice (MOON), Form CMS-10611
- Important Message from Medicare (IM), Form CMS-R-193
- Hospital-Issued Notice of Noncoverage (HINN)
Show answer & explanation
Correct answer: B - Medicare Outpatient Observation Notice (MOON), Form CMS-10611
Question 10
A patient is scheduled for an outpatient MRI in 5 business days. The patient has commercial insurance, but eligibility verification returns an inactive coverage status. The MOST appropriate action by the patient access associate is to:
- Cancel the appointment and inform the patient when they arrive
- Proceed with the scheduled MRI and bill the patient as self-pay after the service
- Contact the patient before the date of service to resolve the coverage issue or discuss financial options
- Submit the claim after service and let the back-end billing team handle any denial
Show answer & explanation
Correct answer: C - Contact the patient before the date of service to resolve the coverage issue or discuss financial options