NHA CCMA Exam Study Guide –
Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 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
, 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
Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 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
, 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
