NHA CCMA Exam
1.Advance Beneficiary Notice (ABN): A form provided to the patient when the provider believes Medicare will probably not
pay for services received
2.Allowed Amount: The maximum amount a third-party payer will pay for a particular procedure or service
3.Copayment: a small fixed fee paid by the patient at the time of an office visit
4.Coinsurance: a provision under which both the insured and the insurer share the covered losses, typically 80:20
5.deductible: specific amount of money a patient must pay out of pocket before the insurance carrier begins paying
6.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
7.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
8.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)
9.Tricare: U.S. government health insurance plan for all military personnel
10. CHAMPVA: covers surviving spouses and dependent children of veterans who died as a result of service-related
disabilities
11. 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
12. 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
13. CMS-1500 form: Standard insurance form used by all government and most commercial insurance payers. - 33
blocks
- divided into three section
14. CMS-1500 Section 1: Carrier Block: contains the address of the insurance carrier and is located at the top of the
form
15. CMS-1500 Section 2: Patient/insured section: contains information about the patient or insured; includes boxes 1-
13
16. CMS-1500 Section 3: Physician/Supplier Section: contains information about the physician or supplier:
boxes 14-33
17. Supine Position:
, 18 Dorsal Recumbent Position:
19. Sims' Position:
20. Knee-elbow position:
21. Fowler's Position:
22. Lithotomy Position:
24. Intra-arterial Injection:
injection into an artery (to break up clots)
25. Intra-articular Injection: injection into joint space
26. Intradermal Injection: Skin of the upper chest, forearms, upper pack. 5-15º angle
27. intramuscular injection: deltoid, vastus lateralis, ventrogluteal muscles
28. Intraosseous Injection: Bone marrow
29. Intraperitoneal Injection: within the peritoneal cavity
30. Intrapleural Injection: pleural space (lungs)
31. Intrathecal Injection: Subarachnoid space (brain)
32. Fat soluble vitamins: A, D, E, K
33. Water Soluble vitamins: B1, B2, B3, B6, Folate, B12, Pantothenic acid, biotin, C.
34. Erikson's stages of psychosocial development: 1. trust vs. mistrust
2.autonomy vs. shame and doubt
3.initiative vs. guilt
, NHA CCMA Exam
4.industry vs. inferiority
5.identity vs. role confusion
6.intimacy vs. isolation
7.generativity vs. stagnation
8.integrity vs. despair
35. Grief Cycle: denial, anger, bargaining, depression, acceptance
36. Sagittal Plane: divides body into left and right
37. Coronal Plane: divides body into front and back
38. Transverse Plane: horizontal division of the body into upper and lower portions
1.Advance Beneficiary Notice (ABN): A form provided to the patient when the provider believes Medicare will probably not
pay for services received
2.Allowed Amount: The maximum amount a third-party payer will pay for a particular procedure or service
3.Copayment: a small fixed fee paid by the patient at the time of an office visit
4.Coinsurance: a provision under which both the insured and the insurer share the covered losses, typically 80:20
5.deductible: specific amount of money a patient must pay out of pocket before the insurance carrier begins paying
6.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
7.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
8.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)
9.Tricare: U.S. government health insurance plan for all military personnel
10. CHAMPVA: covers surviving spouses and dependent children of veterans who died as a result of service-related
disabilities
11. 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
12. 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
13. CMS-1500 form: Standard insurance form used by all government and most commercial insurance payers. - 33
blocks
- divided into three section
14. CMS-1500 Section 1: Carrier Block: contains the address of the insurance carrier and is located at the top of the
form
15. CMS-1500 Section 2: Patient/insured section: contains information about the patient or insured; includes boxes 1-
13
16. CMS-1500 Section 3: Physician/Supplier Section: contains information about the physician or supplier:
boxes 14-33
17. Supine Position:
, 18 Dorsal Recumbent Position:
19. Sims' Position:
20. Knee-elbow position:
21. Fowler's Position:
22. Lithotomy Position:
24. Intra-arterial Injection:
injection into an artery (to break up clots)
25. Intra-articular Injection: injection into joint space
26. Intradermal Injection: Skin of the upper chest, forearms, upper pack. 5-15º angle
27. intramuscular injection: deltoid, vastus lateralis, ventrogluteal muscles
28. Intraosseous Injection: Bone marrow
29. Intraperitoneal Injection: within the peritoneal cavity
30. Intrapleural Injection: pleural space (lungs)
31. Intrathecal Injection: Subarachnoid space (brain)
32. Fat soluble vitamins: A, D, E, K
33. Water Soluble vitamins: B1, B2, B3, B6, Folate, B12, Pantothenic acid, biotin, C.
34. Erikson's stages of psychosocial development: 1. trust vs. mistrust
2.autonomy vs. shame and doubt
3.initiative vs. guilt
, NHA CCMA Exam
4.industry vs. inferiority
5.identity vs. role confusion
6.intimacy vs. isolation
7.generativity vs. stagnation
8.integrity vs. despair
35. Grief Cycle: denial, anger, bargaining, depression, acceptance
36. Sagittal Plane: divides body into left and right
37. Coronal Plane: divides body into front and back
38. Transverse Plane: horizontal division of the body into upper and lower portions
