NHA CCMA TEST PAPER EXAMINATION TEST
PRACTICE SOLUTION 2026 100% CORRECT.
◍ Allowed Amount - The maximum amount a third-party payer will
pay for a particular procedure or service
◍ Copayment - a small fixed fee paid by the patient at the time of an
office visit
◍ Coinsurance - a provision under which both the insured and the
insurer share the covered losses, typically 80:20
◍ deductible - specific amount of money a patient must pay out of
pocket before the insurance carrier begins paying
◍ Explanation of Benefits - 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) - Providers who agree to write off the
difference between the amount charged by the provider and the
approved fee established by the insurer
,◍ Medicare - 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 - U.S. government health insurance plan for all military
personnel
◍ CHAMPVA - covers surviving spouses and dependent children of
veterans who died as a result of service-related disabilities
◍ Medicaid - 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 - 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 - Standard insurance form used by all government
and most commercial insurance payers.
- 33 blocks
- divided into three section
◍ CMS-1500 Section 1 - Carrier Block: contains the address of the
insurance carrier and is located at the top of the form
,◍ CMS-1500 Section 2 - Patient/insured section: contains
information about the patient or insured; includes boxes 1-13
◍ CMS-1500 Section 3 - Physician/Supplier Section: contains
information about the physician or supplier: boxes 14-33
◍ Supine Position -
◍ Dorsal Recumbent Position -
◍ Sims' Position -
◍ Knee-elbow position -
◍ Fowler's Position -
◍ Lithotomy Position -
◍ Epidural Injection - epidural space of the spine
◍ Intra-arterial Injection - injection into an artery (to break up clots)
◍ Intra-articular Injection - injection into joint space
, ◍ Intradermal Injection - Skin of the upper chest, forearms, upper
pack. 5-15º angle
◍ intramuscular injection - deltoid, vastus lateralis, ventrogluteal
muscles
◍ Intraosseous Injection - Bone marrow
◍ Intraperitoneal Injection - within the peritoneal cavity
◍ Intrapleural Injection - pleural space (lungs)
◍ Intrathecal Injection - Subarachnoid space (brain)
◍ Fat soluble vitamins - A, D, E, K
◍ Water Soluble vitamins - B1, B2, B3, B6, Folate, B12, Pantothenic
acid, biotin, C.
◍ Erikson's stages of psychosocial development - 1. trust vs. mistrust
2. autonomy vs. shame and doubt
3. initiative vs. guilt
4. industry vs. inferiority
5. identity vs. role confusion
PRACTICE SOLUTION 2026 100% CORRECT.
◍ Allowed Amount - The maximum amount a third-party payer will
pay for a particular procedure or service
◍ Copayment - a small fixed fee paid by the patient at the time of an
office visit
◍ Coinsurance - a provision under which both the insured and the
insurer share the covered losses, typically 80:20
◍ deductible - specific amount of money a patient must pay out of
pocket before the insurance carrier begins paying
◍ Explanation of Benefits - 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) - Providers who agree to write off the
difference between the amount charged by the provider and the
approved fee established by the insurer
,◍ Medicare - 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 - U.S. government health insurance plan for all military
personnel
◍ CHAMPVA - covers surviving spouses and dependent children of
veterans who died as a result of service-related disabilities
◍ Medicaid - 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 - 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 - Standard insurance form used by all government
and most commercial insurance payers.
- 33 blocks
- divided into three section
◍ CMS-1500 Section 1 - Carrier Block: contains the address of the
insurance carrier and is located at the top of the form
,◍ CMS-1500 Section 2 - Patient/insured section: contains
information about the patient or insured; includes boxes 1-13
◍ CMS-1500 Section 3 - Physician/Supplier Section: contains
information about the physician or supplier: boxes 14-33
◍ Supine Position -
◍ Dorsal Recumbent Position -
◍ Sims' Position -
◍ Knee-elbow position -
◍ Fowler's Position -
◍ Lithotomy Position -
◍ Epidural Injection - epidural space of the spine
◍ Intra-arterial Injection - injection into an artery (to break up clots)
◍ Intra-articular Injection - injection into joint space
, ◍ Intradermal Injection - Skin of the upper chest, forearms, upper
pack. 5-15º angle
◍ intramuscular injection - deltoid, vastus lateralis, ventrogluteal
muscles
◍ Intraosseous Injection - Bone marrow
◍ Intraperitoneal Injection - within the peritoneal cavity
◍ Intrapleural Injection - pleural space (lungs)
◍ Intrathecal Injection - Subarachnoid space (brain)
◍ Fat soluble vitamins - A, D, E, K
◍ Water Soluble vitamins - B1, B2, B3, B6, Folate, B12, Pantothenic
acid, biotin, C.
◍ Erikson's stages of psychosocial development - 1. trust vs. mistrust
2. autonomy vs. shame and doubt
3. initiative vs. guilt
4. industry vs. inferiority
5. identity vs. role confusion
