NHA CCMA Exam 2026 Exam
Questions with 100% Correct
Answers | Latest Update
Advance Beneficiary Notice (ABN) - 🧠 ANSWER ✔✔A form provided to the
patient when the provider believes Medicare will probably not pay for
services received
Allowed Amount - 🧠 ANSWER ✔✔The maximum amount a third-party
payer will pay for a particular procedure or service
,Copayment - 🧠 ANSWER ✔✔a small fixed fee paid by the patient at the
time of an office visit
Coinsurance - 🧠 ANSWER ✔✔a provision under which both the insured
and the insurer share the covered losses, typically 80:20
deductible - 🧠 ANSWER ✔✔specific amount of money a patient must pay
out of pocket before the insurance carrier begins paying
Explanation of Benefits - 🧠 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) - 🧠 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 - 🧠 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 - 🧠 ANSWER ✔✔U.S. government health insurance plan for all
military personnel
,CHAMPVA - 🧠 ANSWER ✔✔covers surviving spouses and dependent
children of veterans who died as a result of service-related disabilities
Medicaid - 🧠 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 - 🧠 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 - 🧠 ANSWER ✔✔Standard insurance form used by all
government and most commercial insurance payers.
- 33 blocks
- divided into three section
CMS-1500 Section 1 - 🧠 ANSWER ✔✔Carrier Block: contains the address
of the insurance carrier and is located at the top of the form
CMS-1500 Section 2 - 🧠 ANSWER ✔✔Patient/insured section: contains
information about the patient or insured; includes boxes 1-13
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, CMS-1500 Section 3 - 🧠 ANSWER ✔✔Physician/Supplier Section: contains
information about the physician or supplier: boxes 14-33
Supine Position - 🧠 ANSWER ✔✔
Dorsal Recumbent Position - 🧠 ANSWER ✔✔
Sims' Position - 🧠 ANSWER ✔✔
Knee-elbow position - 🧠 ANSWER ✔✔
Fowler's Position - 🧠 ANSWER ✔✔
Lithotomy Position - 🧠 ANSWER ✔✔
Epidural Injection - 🧠 ANSWER ✔✔epidural space of the spine
Intra-arterial Injection - 🧠 ANSWER ✔✔injection into an artery (to break up
clots)
Intra-articular Injection - 🧠 ANSWER ✔✔injection into joint space
Intradermal Injection - 🧠 ANSWER ✔✔Skin of the upper chest, forearms,
upper pack. 5-15º angle
Questions with 100% Correct
Answers | Latest Update
Advance Beneficiary Notice (ABN) - 🧠 ANSWER ✔✔A form provided to the
patient when the provider believes Medicare will probably not pay for
services received
Allowed Amount - 🧠 ANSWER ✔✔The maximum amount a third-party
payer will pay for a particular procedure or service
,Copayment - 🧠 ANSWER ✔✔a small fixed fee paid by the patient at the
time of an office visit
Coinsurance - 🧠 ANSWER ✔✔a provision under which both the insured
and the insurer share the covered losses, typically 80:20
deductible - 🧠 ANSWER ✔✔specific amount of money a patient must pay
out of pocket before the insurance carrier begins paying
Explanation of Benefits - 🧠 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) - 🧠 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 - 🧠 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 - 🧠 ANSWER ✔✔U.S. government health insurance plan for all
military personnel
,CHAMPVA - 🧠 ANSWER ✔✔covers surviving spouses and dependent
children of veterans who died as a result of service-related disabilities
Medicaid - 🧠 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 - 🧠 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 - 🧠 ANSWER ✔✔Standard insurance form used by all
government and most commercial insurance payers.
- 33 blocks
- divided into three section
CMS-1500 Section 1 - 🧠 ANSWER ✔✔Carrier Block: contains the address
of the insurance carrier and is located at the top of the form
CMS-1500 Section 2 - 🧠 ANSWER ✔✔Patient/insured section: contains
information about the patient or insured; includes boxes 1-13
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, CMS-1500 Section 3 - 🧠 ANSWER ✔✔Physician/Supplier Section: contains
information about the physician or supplier: boxes 14-33
Supine Position - 🧠 ANSWER ✔✔
Dorsal Recumbent Position - 🧠 ANSWER ✔✔
Sims' Position - 🧠 ANSWER ✔✔
Knee-elbow position - 🧠 ANSWER ✔✔
Fowler's Position - 🧠 ANSWER ✔✔
Lithotomy Position - 🧠 ANSWER ✔✔
Epidural Injection - 🧠 ANSWER ✔✔epidural space of the spine
Intra-arterial Injection - 🧠 ANSWER ✔✔injection into an artery (to break up
clots)
Intra-articular Injection - 🧠 ANSWER ✔✔injection into joint space
Intradermal Injection - 🧠 ANSWER ✔✔Skin of the upper chest, forearms,
upper pack. 5-15º angle
