NHA CMAA EXAM- GLOSSARY TERMS
QUESTIONS & DETAILED ANSWERS
ALREADY GRADED A+
Abandonment - CORRECT ANSWER Discontinuing medical care without giving the
proper notice or providing a competent replacement.
Accounts Receivable Ledger - CORRECT ANSWER Document that provides detailed
information about charges, payments, and remaining amounts owed to a provider.
Active files - CORRECT ANSWER Section of medical charts for patients currently
receiving treatment.
Administrative Services Only (ASO) Contract - CORRECT ANSWER Contract between
employers and private insurers under which employers fund the plans themselves, and
the private insurers administer the plans for the employers.
Advance Beneficiary Notice of Noncoverage (ABN) - CORRECT ANSWER Form
provided to a patient if a provider believes that a service may be declined because
Medicare might consider it unnecessary.
Advance Directive Form - CORRECT ANSWER Document that spells out what kind of
treatment a patient wants in the event that he can't speak for himself. Also known as
living will.
Allowable Amount - CORRECT ANSWER The limit that most insurance plans put on
the amount that will be allowed for reimbursement for a service or procedure.
Appointment Cards - CORRECT ANSWER Used to remind patients of scheduled
appointments and to eliminate misunderstandings about dates and times.
Assault and Battery - CORRECT ANSWER Willful and unlawful use of intimidation and
physical force or violence on another person.
Assets - CORRECT ANSWER The properties owned by a business
Assignment of Benefits (AOB) Form - CORRECT ANSWER Form that authorizes
health insurance benefits to be sent directly to providers.
Audit Trail - CORRECT ANSWER A report that traces who has accessed electronic
information.
, Benefit Period - CORRECT ANSWER Time during which benefits are payable under a
given insurance plan.
Birthday Rule - CORRECT ANSWER The health plan of the parent whose birthday
comes first in the calendar year is designated as the primary plan.
Blue Cross and Blue Shield Plan - CORRECT ANSWER The first prepaid plan in the
US that offers health insurance to individuals, small businesses, seniors, and large
employer groups.
Bookkeeping - CORRECT ANSWER Part of the office's accounting functions, to
include recording, classifying, and summarizing financial transactions.
Business Associates - CORRECT ANSWER Individuals, groups, or organizations, who
are not members of a covered entity's workforce, that perform functions or activities on
behalf of or for a covered entity.
Capitation - CORRECT ANSWER The fixed amount a provider receives.
Certified Mail - CORRECT ANSWER First-class mail that also gives the mail added
protection by offering insurance, tracking, and return receipt options.
CHEDDAR - CORRECT ANSWER An organizational approach to keeping medical
records: Chief complaint, History, Examination, Details, Drugs and Dosages,
Assessment,Return visit information.
Closed Files - CORRECT ANSWER Section of medical charts for patients who have
died, moved away, or terminated their relationship with the physician.
Cluster or Categorization Booking - CORRECT ANSWER Booking a number of
patients who have specific needs together at the same time of day.
Coinsurance - CORRECT ANSWER A form of cost-sharing that kicks in after the
deductible has been met.
Complimentary Closing - CORRECT ANSWER The part of a letter that immediately
precedes the signature, such as "Sincerely"
Consent - CORRECT ANSWER A patient's permission.
Copayment - CORRECT ANSWER A fixed fee for a service or medication, usually
collected at the time of service or purchase.
Covered Entities - CORRECT ANSWER Providers, hospitals, laboratories facilities,
nursing homes, rehabilitation facilities, health plans, health care clearinghouses, and
QUESTIONS & DETAILED ANSWERS
ALREADY GRADED A+
Abandonment - CORRECT ANSWER Discontinuing medical care without giving the
proper notice or providing a competent replacement.
Accounts Receivable Ledger - CORRECT ANSWER Document that provides detailed
information about charges, payments, and remaining amounts owed to a provider.
Active files - CORRECT ANSWER Section of medical charts for patients currently
receiving treatment.
Administrative Services Only (ASO) Contract - CORRECT ANSWER Contract between
employers and private insurers under which employers fund the plans themselves, and
the private insurers administer the plans for the employers.
Advance Beneficiary Notice of Noncoverage (ABN) - CORRECT ANSWER Form
provided to a patient if a provider believes that a service may be declined because
Medicare might consider it unnecessary.
Advance Directive Form - CORRECT ANSWER Document that spells out what kind of
treatment a patient wants in the event that he can't speak for himself. Also known as
living will.
Allowable Amount - CORRECT ANSWER The limit that most insurance plans put on
the amount that will be allowed for reimbursement for a service or procedure.
Appointment Cards - CORRECT ANSWER Used to remind patients of scheduled
appointments and to eliminate misunderstandings about dates and times.
Assault and Battery - CORRECT ANSWER Willful and unlawful use of intimidation and
physical force or violence on another person.
Assets - CORRECT ANSWER The properties owned by a business
Assignment of Benefits (AOB) Form - CORRECT ANSWER Form that authorizes
health insurance benefits to be sent directly to providers.
Audit Trail - CORRECT ANSWER A report that traces who has accessed electronic
information.
, Benefit Period - CORRECT ANSWER Time during which benefits are payable under a
given insurance plan.
Birthday Rule - CORRECT ANSWER The health plan of the parent whose birthday
comes first in the calendar year is designated as the primary plan.
Blue Cross and Blue Shield Plan - CORRECT ANSWER The first prepaid plan in the
US that offers health insurance to individuals, small businesses, seniors, and large
employer groups.
Bookkeeping - CORRECT ANSWER Part of the office's accounting functions, to
include recording, classifying, and summarizing financial transactions.
Business Associates - CORRECT ANSWER Individuals, groups, or organizations, who
are not members of a covered entity's workforce, that perform functions or activities on
behalf of or for a covered entity.
Capitation - CORRECT ANSWER The fixed amount a provider receives.
Certified Mail - CORRECT ANSWER First-class mail that also gives the mail added
protection by offering insurance, tracking, and return receipt options.
CHEDDAR - CORRECT ANSWER An organizational approach to keeping medical
records: Chief complaint, History, Examination, Details, Drugs and Dosages,
Assessment,Return visit information.
Closed Files - CORRECT ANSWER Section of medical charts for patients who have
died, moved away, or terminated their relationship with the physician.
Cluster or Categorization Booking - CORRECT ANSWER Booking a number of
patients who have specific needs together at the same time of day.
Coinsurance - CORRECT ANSWER A form of cost-sharing that kicks in after the
deductible has been met.
Complimentary Closing - CORRECT ANSWER The part of a letter that immediately
precedes the signature, such as "Sincerely"
Consent - CORRECT ANSWER A patient's permission.
Copayment - CORRECT ANSWER A fixed fee for a service or medication, usually
collected at the time of service or purchase.
Covered Entities - CORRECT ANSWER Providers, hospitals, laboratories facilities,
nursing homes, rehabilitation facilities, health plans, health care clearinghouses, and
