NHA CCMA Administrative Assisting
Review 2025 Questions and Answers
Health Insurance Portability and Accountability Act (HIPAA) - ANSWER✔✔-protects a patient's
personal and medical information including use and disclosure of personal health information (PHI)
personal health information (PHI) - ANSWER✔✔-Any individually indentifiable health information
such as name, DOB, phone number, address, etc. that is transmitted or maintained by electronic
media such as a computer
usual fee - ANSWER✔✔-normal fees charged by a provider
reasonable fee - ANSWER✔✔-fee for service or procedures that require extra time and effort for
the provider due to the level of complexity of the procedure
customary fee - ANSWER✔✔-a range of fees charged by the providers who have similar training
and experience and practice in the same geographic area
capitation - ANSWER✔✔-a fixed amount of money paid to a provider by a third-party payer per
individual enrollee for an established period
source-oriented - ANSWER✔✔-medical record documentation template that is organized by the
entity that supplied the data
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, Stream scheduling - ANSWER✔✔-also called time-specified scheduling, is scheduling patients at a
specific time with enough time reserved the visit. The amount of time for each appointment varies
depending on the patient's condition/reason
cluster scheduling - ANSWER✔✔-scheduling involving grouping patients who have similar
conditions into specific conditions into specific time slots or days
Wave scheduling - ANSWER✔✔-Scheduling three people in the first 30 min of the hour and are
taken to be seen as they arrive. All patient scheduled for that hour are seen with that hour
Modified wave scheduling - ANSWER✔✔-scheduling patients to arrive at intervals during the first
half of the hour with no patients scheduled during the second half to catch up
open hours scheduling - ANSWER✔✔-a system of scheduling in which patients arrive at the
doctor's office at their convenience and are seen on a first come, first serve basis
scheduling all cardiac patients on Mondays and Wednesdays and oncology patients on Tuesday and
Thursday is which type of scheduling? - ANSWER✔✔-cluster
what type of appointment system allows flexibility to allow for the most consistent patient flow? -
ANSWER✔✔-wave
HCPCS codes - ANSWER✔✔-service and procedure codes for medicare and are not diagnosis
codes
bundled codes - ANSWER✔✔-codes used to group together one or more procedures or services
that are billed as one procedure or service
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
Review 2025 Questions and Answers
Health Insurance Portability and Accountability Act (HIPAA) - ANSWER✔✔-protects a patient's
personal and medical information including use and disclosure of personal health information (PHI)
personal health information (PHI) - ANSWER✔✔-Any individually indentifiable health information
such as name, DOB, phone number, address, etc. that is transmitted or maintained by electronic
media such as a computer
usual fee - ANSWER✔✔-normal fees charged by a provider
reasonable fee - ANSWER✔✔-fee for service or procedures that require extra time and effort for
the provider due to the level of complexity of the procedure
customary fee - ANSWER✔✔-a range of fees charged by the providers who have similar training
and experience and practice in the same geographic area
capitation - ANSWER✔✔-a fixed amount of money paid to a provider by a third-party payer per
individual enrollee for an established period
source-oriented - ANSWER✔✔-medical record documentation template that is organized by the
entity that supplied the data
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, Stream scheduling - ANSWER✔✔-also called time-specified scheduling, is scheduling patients at a
specific time with enough time reserved the visit. The amount of time for each appointment varies
depending on the patient's condition/reason
cluster scheduling - ANSWER✔✔-scheduling involving grouping patients who have similar
conditions into specific conditions into specific time slots or days
Wave scheduling - ANSWER✔✔-Scheduling three people in the first 30 min of the hour and are
taken to be seen as they arrive. All patient scheduled for that hour are seen with that hour
Modified wave scheduling - ANSWER✔✔-scheduling patients to arrive at intervals during the first
half of the hour with no patients scheduled during the second half to catch up
open hours scheduling - ANSWER✔✔-a system of scheduling in which patients arrive at the
doctor's office at their convenience and are seen on a first come, first serve basis
scheduling all cardiac patients on Mondays and Wednesdays and oncology patients on Tuesday and
Thursday is which type of scheduling? - ANSWER✔✔-cluster
what type of appointment system allows flexibility to allow for the most consistent patient flow? -
ANSWER✔✔-wave
HCPCS codes - ANSWER✔✔-service and procedure codes for medicare and are not diagnosis
codes
bundled codes - ANSWER✔✔-codes used to group together one or more procedures or services
that are billed as one procedure or service
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
