NHA CCMA Exam 2022//NEWEST EXAM 2025-2026
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
Coinsurance - CORRECT ANSWER- a provision under which both the insured and the
insurer share the covered losses, typically 80:20
deductible - CORRECT ANSWER- specific amount of money a patient must pay out of
pocket before the insurance carrier begins paying
Explanation of Benefits - CORRECT 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) - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- U.S. government health insurance plan for all military
personnel
Advance Beneficiary Notice (ABN) - CORRECT ANSWER- A form provided to the patient
when the provider believes Medicare will probably not pay for services received
Allowed Amount - CORRECT ANSWER- The maximum amount a third-party payer will
pay for a particular procedure or service
Copayment - CORRECT ANSWER- a small fixed fee paid by the patient at the time of an
office visit
CHAMPVA - CORRECT ANSWER- covers surviving spouses and dependent children of
veterans who died as a result of service-related disabilities
Medicaid - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- Standard insurance form used by all government
and most commercial insurance payers.
- 33 blocks
- divided into three section
CMS-1500 Section 1 - CORRECT ANSWER- Carrier Block: contains the address of the
insurance carrier and is located at the top of the form
CMS-1500 Section 2 - CORRECT ANSWER- Patient/insured section: contains information
about the patient or insured; includes boxes 1-13
CMS-1500 Section 3 - CORRECT ANSWER- Physician/Supplier Section: contains
information about the physician or supplier: boxes 14-33
Supine Position - CORRECT ANSWER-
Dorsal Recumbent Position - CORRECT ANSWER-
Sims' Position - CORRECT ANSWER-
Knee-elbow position - CORRECT ANSWER-
Fowler's Position - CORRECT ANSWER-
, Lithotomy Position - CORRECT ANSWER-
Epidural Injection - CORRECT ANSWER- epidural space of the spine
Intra-arterial Injection - CORRECT ANSWER- injection into an artery (to break up clots)
Intra-articular Injection - CORRECT ANSWER- injection into joint space
Intradermal Injection - CORRECT ANSWER- Skin of the upper chest, forearms, upper
pack. 5-15º angle
intramuscular injection - CORRECT ANSWER- deltoid, vastus lateralis, ventrogluteal
muscles
Intraosseous Injection - CORRECT ANSWER- Bone marrow
Intraperitoneal Injection - CORRECT ANSWER- within the peritoneal cavity
Intrapleural Injection - CORRECT ANSWER- pleural space (lungs)
Intrathecal Injection - CORRECT ANSWER- Subarachnoid space (brain)
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
Coinsurance - CORRECT ANSWER- a provision under which both the insured and the
insurer share the covered losses, typically 80:20
deductible - CORRECT ANSWER- specific amount of money a patient must pay out of
pocket before the insurance carrier begins paying
Explanation of Benefits - CORRECT 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) - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- U.S. government health insurance plan for all military
personnel
Advance Beneficiary Notice (ABN) - CORRECT ANSWER- A form provided to the patient
when the provider believes Medicare will probably not pay for services received
Allowed Amount - CORRECT ANSWER- The maximum amount a third-party payer will
pay for a particular procedure or service
Copayment - CORRECT ANSWER- a small fixed fee paid by the patient at the time of an
office visit
CHAMPVA - CORRECT ANSWER- covers surviving spouses and dependent children of
veterans who died as a result of service-related disabilities
Medicaid - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- Standard insurance form used by all government
and most commercial insurance payers.
- 33 blocks
- divided into three section
CMS-1500 Section 1 - CORRECT ANSWER- Carrier Block: contains the address of the
insurance carrier and is located at the top of the form
CMS-1500 Section 2 - CORRECT ANSWER- Patient/insured section: contains information
about the patient or insured; includes boxes 1-13
CMS-1500 Section 3 - CORRECT ANSWER- Physician/Supplier Section: contains
information about the physician or supplier: boxes 14-33
Supine Position - CORRECT ANSWER-
Dorsal Recumbent Position - CORRECT ANSWER-
Sims' Position - CORRECT ANSWER-
Knee-elbow position - CORRECT ANSWER-
Fowler's Position - CORRECT ANSWER-
, Lithotomy Position - CORRECT ANSWER-
Epidural Injection - CORRECT ANSWER- epidural space of the spine
Intra-arterial Injection - CORRECT ANSWER- injection into an artery (to break up clots)
Intra-articular Injection - CORRECT ANSWER- injection into joint space
Intradermal Injection - CORRECT ANSWER- Skin of the upper chest, forearms, upper
pack. 5-15º angle
intramuscular injection - CORRECT ANSWER- deltoid, vastus lateralis, ventrogluteal
muscles
Intraosseous Injection - CORRECT ANSWER- Bone marrow
Intraperitoneal Injection - CORRECT ANSWER- within the peritoneal cavity
Intrapleural Injection - CORRECT ANSWER- pleural space (lungs)
Intrathecal Injection - CORRECT ANSWER- Subarachnoid space (brain)
