Medical assistant NHA Question Bank (Answered Fall 2022)

Medical assistant NHA Question Bank (Answered Fall 2022) Which insurance plan requires referrals HMO Oldest and largest insurance company Blue cross blue shield What Specialty what a patient See for hyperthyroidism Endocrinology What duty is a medical assistant allowed to perform independently Vital signs Who is responsible for a medical assistant duties and performance Doctor If a patient had a cerebrovascular accident what type of therapy will regain motor function and independence Physical Which of the following professionals assist patient with improving mobility strength and range of motion Physical Therapist Patient experiencing Subluxation Should be treated by what practice of medicine Chiropractic care Who specializes in the management and treatment of interstitial cystitis Urologist What specialist would a patient go to for vertigo Otolaryngologist Who specializes in evaluating mental illness, Physical illness, and disability through analyzing patient health needs and providing health education to patients of all ages Preventative medicine What healthcare delivery models emphasize patients in Baltimore and organizing their own health care Patient centered medical home(PCMH) What is the Maximum reimbursement a third-party payer will provide Allowable amount A provider who sees patients of all ages with a wide variety of acute severe medical conditions Family practitioner Accountable Care Organization (ACO) Group of physicians, hospitals and other healthcare providers provide coordinated high-quality care to Medicare patients Capitation payment to a provider that covers each plan member's health care services for a certain period of time global budget Fixed total dollar amount paid annually for all care Health Maintenance Organization (HMO) insurance method that focuses on prevention of disease, must see providers from an approved list and requires referrals pay for performance A reimbursement plan that links payment to quality and efficiency as an incentive to improve the quality of health care and to reduce costs. Preferred Provider Organization (PPO) Doesn't need a primary care physician and can go directly to a specialist without a referral Copayment Due at the time of service Coinsurance a provision under which both the insured and the insurer share the covered losses Deductible Amount you must pay before you begin receiving any benefits from your insurance company Explanation of Benefits (EOB) paper document from a payer that shows how the amount of a benefit was determined participating provider one who has a contractual agreement with an insurance plan to render care to eligible beneficiaries and then bill the insurance carrier directly Medicare 65+ government insurance Medicare Part A hospital insurance Medicare Part B medical insurance Medicare—Part D Prescription drug coverage Donut Hole Medicare part D coverage gap TRICARE U.S. government health insurance plan for all military personnel Medicaid A health care payment program sponsored by federal & state governments managed care A system that combines the financing and the delivery of appropriate, cost-effective health care services to its members. Workers Compensation A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment. CMS-1500 Standard claim form used for outpatient reimbursement hemorrhage Excessive or profuse bleeding laceration