Medical assistant NHA Exam 2024 100% Pass

Medical assistant NHA Exam 2024 Which insurance plan requires referrals -Answer-HMO Oldest and largest insurance company -Answer-Blue cross blue shield What Specialty what a patient See for hyperthyroidism -Answer-Endocrinology What duty is a medical assistant allowed to perform independently -Answer-Vital signs Who is responsible for a medical assistant duties and performance -Answer-Doctor If a patient had a cerebrovascular accident what type of therapy will regain motor function and independence -Answer-Physical Which of the following professionals assist patient with improving mobility strength and range of motion -Answer-Physical Therapist Patient experiencing Subluxation Should be treated by what practice of medicine - Answer-Chiropractic care Who specializes in the management and treatment of interstitial cystitis -Answer- Urologist What specialist would a patient go to for vertigo -Answer-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 - Answer-Preventative medicine What healthcare delivery models emphasize patients in Baltimore and organizing their own health care -Answer-Patient centered medical home(PCMH) What is the Maximum reimbursement a third-party payer will provide -Answer-Allowable amount A provider who sees patients of all ages with a wide variety of acute severe medical conditions -Answer-Family practitioner Accountable Care Organization (ACO) -Answer-Group of physicians, hospitals and other healthcare providers provide coordinated high-quality care to Medicare patients Capitation -Answer-payment to a provider that covers each plan member's health care services for a certain period of time global budget -Answer-Fixed total dollar amount paid annually for all care Health Maintenance Organization (HMO) -Answer-insurance method that focuses on prevention of disease, must see providers from an approved list and requires referrals pay for performance -Answer-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) -Answer-Doesn't need a primary care physician and can go directly to a specialist without a referral Copayment -Answer-Due at the time of service Coinsurance -Answer-a provision under which both the insured and the insurer share the covered losses Deductible -Answer-Amount you must pay before you begin receiving any benefits from your insurance company Explanation of Benefits (EOB) -Answer-paper document from a payer that shows how the amount of a benefit was determined participating provider -Answer-one who has a contractual agreement with an insurance plan to render care to eligible beneficiaries and then bill the insurance carrier directly Medicare -Answer-65+ government insurance Medicare Part A -Answer-hospital insurance Medicare Part B -Answer-medical insurance Medicare—Part D -Answer-Prescription drug coverage Donut Hole -Answer-Medicare part D coverage gap TRICARE -Answer-U.S. government health insurance plan for all military personnel Medicaid -Answer-A health care payment program sponsored by federal & state governments managed care -Answer-A system that combines the financing and the delivery of appropriate, cost-effective health care services to its members. Workers Compensation -Answer-A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment. CMS-1500 -Answer-Standard claim form used for outpatient reimbursement hemorrhage -Answer-Excessive or profuse bleeding laceration -Answer-a cut, tear