NHA CCMA Exam 2023 100% Verified 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 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 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 1 / 3
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) Fat soluble vitamins - Correct Answer A, D, E, K Water Soluble vitamins - Correct Answer B1, B2, B3, B6, Folate, B12, Pantothenic acid, biotin, C. 2 / 3
Erikson's stages of psychosocial development - Correct Answer 1. trust vs. mistrust
- autonomy vs. shame and doubt
- initiative vs. guilt
- industry vs. inferiority
- identity vs. role confusion
- intimacy vs. isolation
- generativity vs. stagnation
- integrity vs. despair
- / 3
Grief Cycle - Correct Answer denial, anger, bargaining, depression, acceptance Sagittal Plane - Correct Answer divides body into left and right Coronal Plane - Correct Answer divides body into front and back Transverse Plane - Correct Answer horizontal division of the body into upper and lower portions Right Upper Quadrant (RUQ) - Correct Answer Right lobe of liver, gallbladder, right kidney, portions of stomach, small and large intestine Left Upper Quadrant (LUQ) - Correct Answer Left lobe of liver, stomach, pancreas, left kidney, spleen, portions of large intestine Right Lower Quadrant (RLQ) - Correct Answer cecum, appendix, right ovary and tube, right ureter, right spermatic cord Left Lower Quadrant (LLQ) - Correct Answer contains parts of the small and large intestines, left ovary, left fallopian tube, left ureter Epigastric Region - Correct Answer located above the stomach Umbilical Region - Correct Answer hypogastric region - Correct Answer Right Hypochondriac Region - Correct Answer right lateral region just below the ribs Left Hypochondriac Region - Correct Answer left upper region below the rib cartilage Right lumbar Region - Correct Answer right middle region near the waist Left Lumbar Region - Correct Answer Right Iliac Region - Correct Answer