NHA CCMA Exam Questions With Correct Answers

NHA CCMA Exam Questions With Correct
Answers

Advance |Beneficiary |Notice |(ABN) |- |CORRECT |ANSWER✔✔-A |form |provided |to |the |patient |
when |the |provider |believes |Medicare |will |probably |not |pay |for |services |received



Allowed |Amount |- |CORRECT |ANSWER✔✔-The |maximum |amount |a |third-party |payer |will |pay |
for |a |particular |procedure |or |service



Copayment |- |CORRECT |ANSWER✔✔-a |small |fixed |fee |paid |by |the |patient |at |the |time |of |an |
office |visit



Coinsurance |- |CORRECT |ANSWER✔✔-a |provision |under |which |both |the |insured |and |the |
insurer |share |the |covered |losses, |typically |80:20



deductible |- |CORRECT |ANSWER✔✔-specific |amount |of |money |a |patient |must |pay |out |of |
pocket |before |the |insurance |carrier |begins |paying



Explanation |of |Benefits |- |CORRECT |ANSWER✔✔-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 |ANSWER✔✔-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 |ANSWER✔✔-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 |ANSWER✔✔-U.S. |government |health |insurance |plan |for |all |military |
personnel



CHAMPVA |- |CORRECT |ANSWER✔✔-covers |surviving |spouses |and |dependent |children |of |
veterans |who |died |as |a |result |of |service-related |disabilities



Medicaid |- |CORRECT |ANSWER✔✔-provides |health |insurance |to |the |medically |indigent |
population |through |a |cost-sharing |program |between |federal |and |state |governments |for |those |
who |meet |specific |eligibility |criteria



Managed |Care |- |CORRECT |ANSWER✔✔-is |an |umbrella |term |for |plans |that |provide |health |care |
in |return |for |preset |scheduled |payments |and |coordinated |care |through |a |defined |network |of |
providers |and |hospitals



CMS-1500 |form |- |CORRECT |ANSWER✔✔-Standard |insurance |form |used |by |all |government |and
|most |commercial |insurance |payers.



- |33 |blocks

- |divided |into |three |section



CMS-1500 |Section |1 |- |CORRECT |ANSWER✔✔-Carrier |Block: |contains |the |address |of |the |
insurance |carrier |and |is |located |at |the |top |of |the |form



CMS-1500 |Section |2 |- |CORRECT |ANSWER✔✔-Patient/insured |section: |contains |information |
about |the |patient |or |insured; |includes |boxes |1-13



CMS-1500 |Section |3 |- |CORRECT |ANSWER✔✔-Physician/Supplier |Section: |contains |information |
about |the |physician |or |supplier: |boxes |14-33

, Supine |Position |- |CORRECT |ANSWER✔✔-



Dorsal |Recumbent |Position |- |CORRECT |ANSWER✔✔-



Sims' |Position |- |CORRECT |ANSWER✔✔-



Knee-elbow |position |- |CORRECT |ANSWER✔✔-



Fowler's |Position |- |CORRECT |ANSWER✔✔-



Lithotomy |Position |- |CORRECT |ANSWER✔✔-



Epidural |Injection |- |CORRECT |ANSWER✔✔-epidural |space |of |the |spine



Intra-arterial |Injection |- |CORRECT |ANSWER✔✔-injection |into |an |artery |(to |break |up |clots)



Intra-articular |Injection |- |CORRECT |ANSWER✔✔-injection |into |joint |space



Intradermal |Injection |- |CORRECT |ANSWER✔✔-Skin |of |the |upper |chest, |forearms, |upper |pack. |
5-15º |angle



intramuscular |injection |- |CORRECT |ANSWER✔✔-deltoid, |vastus |lateralis, |ventrogluteal |muscles



Intraosseous |Injection |- |CORRECT |ANSWER✔✔-Bone |marrow