NHA CCMA EXAM 2022 QUESTIONS AND ANSWERS ALREADY PASSED A+

Advance Beneficiary Notice (ABN) - CORRECT ANS A form provided to the patient when the provider believes Medicare will probably not pay for services received Allowed Amount - CORRECT ANS The maximum amount a third-party payer will pay for a particular procedure or service Copayment - CORRECT ANS a small fixed fee paid by the patient at the time of an office visit Coinsurance - CORRECT ANS a provision under which both the insured and the insurer share the covered losses, typically 80:20 deductible - CORRECT ANS specific amount of money a patient must pay out of pocket before the insurance carrier begins paying Explanation of Benefits - CORRECT ANS a form created by the insurance company to explain what charges were covered, denied, or need more documentation based on the claims submitted by the physician's office Participating provider (PAR) - CORRECT ANS Providers who agree to write off the difference between the amount charged by the provider and the approved fee established by the insurer Medicare - CORRECT ANS A federal program of health insurance for persons 65 years of age and older by Part A (hospitalization) or Part B (routine medical office visits) Tricare - CORRECT ANS U.S. government health insurance plan for all military personnel