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NHA CCMA Exam 2024 Questions and Answers 100- Pass.
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NHA CCMA Exam 2024 Questions and Answers 100- Pass.
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NHA CCMA Exam 2024Questions and Answers
100% Pass
Denning [Date] [Course title]
,Advance Beneficiary Notice (ABN) - Correct Answers A form provided to the patient when the provider
believes Medicare will probably not pay for services received
Allowed Amount - Correct Answers The maximum amount a third-party payer will pay for a particular
procedure or service
Copayment - Correct Answers a small fixed fee paid by the patient at the time of an office visit
Coinsurance - Correct Answers a provision under which both the insured and the insurer share the
covered losses, typically 80:20
deductible - Correct Answers specific amount of money a patient must pay out of pocket before the
insurance carrier begins paying
Explanation of Benefits - Correct Answers 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 Answers 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 Answers 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 Answers U.S. government health insurance plan for all military personnel
CHAMPVA - Correct Answers covers surviving spouses and dependent children of veterans who died as a
result of service-related disabilities
Medicaid - Correct Answers 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 Answers 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 Answers Standard insurance form used by all government and most
commercial insurance payers.
- 33 blocks
- divided into three section
CMS-1500 Section 1 - Correct Answers Carrier Block: contains the address of the insurance carrier and is
located at the top of the form
CMS-1500 Section 2 - Correct Answers Patient/insured section: contains information about the patient
or insured; includes boxes 1-13
CMS-1500 Section 3 - Correct Answers Physician/Supplier Section: contains information about the
physician or supplier: boxes 14-33
Supine Position - Correct Answers
Dorsal Recumbent Position - Correct Answers
Sims' Position - Correct Answers
Knee-elbow position - Correct Answers
Fowler's Position - Correct Answers
Lithotomy Position - Correct Answers
Epidural Injection - Correct Answers epidural space of the spine
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