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CCMA National EXAM| Questions With Complete Solutions
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CCMA National EXAM| Questions WithComplete Solutions
What is the standard claims form used by health care professionals to request
reimbursement for services rendered? - ✔CMS-1500
Also known as a Superbill, an itemized form of services submitted to insurance companies for
reimbursement: - ✔An encounter form
This document allows patients access to their own medical records and allows release of those
records to other providers and individuals. - ✔Release of Information Form
What organization manages providers, hospitals, and other health care entities who have
agreed with an insurer or third party to provide health care at reduced rates? - ✔PPO
What Federal program provides heath insurance for those with limited income and resources? -
✔Medicaid
,This Federal health insurance program provides insurance for those aged 65 or older,
certain people with disabilities, and those with ESRD. - ✔Medicare
What is the healthcare plan for military personnel and their dependents to receive care
from civilian providers at the expense of the Federal government? - ✔Tricare
Wage replacement and medical benefits for those injured on the job is: -
✔Workers' Compensation
What does ABN stand for? - ✔Advanced Beneficiary Notice
This document is a notice the provider gives the patient before services are provided if,
based on Medicare coverage rules, the provider has reason to believe Medicare will not pay
for the service: - ✔ABN
An insurance payment structure in which the insured pays a share of the payment made
against a claim, always written as a fraction for which the insurer pays the top number and the
patient pays the bottom number, e.g. 80/20. - ✔Coinsurance
A part of insurance for which the patient pays a fee at the time of service: - ✔Copay
A specified amount of money that the insured must pay before an insurance company will pay
a claim: - ✔Deductible
What does EOB stand for? - ✔Explanation of Benefits
A statement detailing which services were paid, denied, or reduced by the patient's insurance
company: - ✔EOB
,Prior approval for treatment and procedures is called: - ✔Preauthorization
What is the process required by some insurance carriers in which the provider must prove
medical necessity before performing a procedure? - ✔Precertification
When a provider sends a patient to another provider for specific care, what is this
process called? - ✔A referral
This process confirms how a patient or their insurance provider will pay for services:
- ✔Verification of Eligibility
What term in ICD-10 coding indicates that one procedure was used multiple times on a
patient? - ✔Modifier
What does the acronym CPT mean? - ✔Current Procedural Terminology
What does the acronym ICD stand for? - ✔International Classification of Diseases
What is the first character in ICD-10? - ✔Alphabetical
What is the second and third character in ICD-10? - ✔Numeric
How many characters are there in ICD-10? - ✔Seven
What are the fourth, fifth, six, or seventh characters in ICD 10? - ✔either alphabetical
or numeric
, Scheduling appointments for patients on a future date is: - ✔Advanced booking
Scheduling patients on the same day at the same time is called? - ✔Clustering
Scheduling two patients to see the provider at the same time is called: - ✔Double booking
Communicating with a deaf or hard-of-hearing patient requires: - ✔An interpreter
What should a Medical Assistant do if a provider is late? - ✔Offer to reschedule the
patient's appointment
A patient who has not been seen before or has not seen the provider in three years
is considered: - ✔A new patient
A patient who has missed their scheduled appointment is considered a: - ✔No-show (NS)
When scheduling a patient that is receiving multiple tests, which test should be
performed first? - ✔The least invasive
Which method would a Medical Assistant use to measure an infant from head to toe? -
✔Anthropometric measurement
What is the medical term for hair loss? - ✔Alopecia
What is the medical term for swallowing air? - ✔Aerophagia
A primary symptom that a patient states as the reason for seeking medical care: - ✔CC
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