Exam (elaborations)
NHA CCMA Exam 2022
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Exam of 22 pages for the course NHA at NHA (NHA CCMA Exam 2022)
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NHA CCMA Exam 2022Advance 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
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.
Erikson's stages of psychosocial development - CORRECT ANSWER-1. trust vs.
mistrust
2. autonomy vs. shame and doubt
3. initiative vs. guilt
4. industry vs. inferiority
5. identity vs. role confusion
6. intimacy vs. isolation
7. generativity vs. stagnation
8. integrity vs. despair
Grief Cycle - CORRECT ANSWER-denial, anger, bargaining, depression,
acceptance
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