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NHA CCMA Exam 2023/277 Questions with complete Answers
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NHA CCMA Exam 2023/277 Questions withcomplete Answers
Advance Beneficiary Notice (ABN) - -A form provided to the patient when the
provider believes Medicare will probably not pay for services received
-Allowed Amount - -The maximum amount a third-party payer will pay for a
particular procedure or service
-Copayment - -a small fixed fee paid by the patient at the time of an office
visit
-Coinsurance - -a provision under which both the insured and the insurer
share the covered losses, typically 80:20
-deductible - -specific amount of money a patient must pay out of pocket
before the insurance carrier begins paying
-Explanation of Benefits - -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) - -Providers who agree to write off the
difference between the amount charged by the provider and the approved
fee established by the insurer
-Medicare - -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 - -U.S. government health insurance plan for all military personnel
-CHAMPVA - -covers surviving spouses and dependent children of veterans
who died as a result of service-related disabilities
-Medicaid - -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 - -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 - -Standard insurance form used by all government and
most commercial insurance payers.
,- 33 blocks
- divided into three section
-CMS-1500 Section 1 - -Carrier Block: contains the address of the insurance
carrier and is located at the top of the form
-CMS-1500 Section 2 - -Patient/insured section: contains information about
the patient or insured; includes boxes 1-13
-CMS-1500 Section 3 - -Physician/Supplier Section: contains information
about the physician or supplier: boxes 14-33
-Supine Position - -
-Dorsal Recumbent Position - -
-Sims' Position - -
-Knee-elbow position - -
-Fowler's Position - -
-Lithotomy Position - -
-Epidural Injection - -epidural space of the spine
-Intra-arterial Injection - -injection into an artery (to break up clots)
-Intra-articular Injection - -injection into joint space
-Intradermal Injection - -Skin of the upper chest, forearms, upper pack. 5-
15º angle
-intramuscular injection - -deltoid, vastus lateralis, ventrogluteal muscles
-Intraosseous Injection - -Bone marrow
-Intraperitoneal Injection - -within the peritoneal cavity
-Intrapleural Injection - -pleural space (lungs)
-Intrathecal Injection - -Subarachnoid space (brain)
-Fat soluble vitamins - -A, D, E, K
, -Water Soluble vitamins - -B1, B2, B3, B6, Folate, B12, Pantothenic acid,
biotin, C.
-Erikson's stages of psychosocial development - -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 - -denial, anger, bargaining, depression, acceptance
-Sagittal Plane - -divides body into left and right
-Coronal Plane - -divides body into front and back
-Transverse Plane - -horizontal division of the body into upper and lower
portions
-Right Upper Quadrant (RUQ) - -Right lobe of liver, gallbladder, right kidney,
portions of stomach, small and large intestine
-Left Upper Quadrant (LUQ) - -Left lobe of liver, stomach, pancreas, left
kidney, spleen, portions of large intestine
-Right Lower Quadrant (RLQ) - -cecum, appendix, right ovary and tube, right
ureter, right spermatic cord
-Left Lower Quadrant (LLQ) - -contains parts of the small and large
intestines, left ovary, left fallopian tube, left ureter
-Epigastric Region - -located above the stomach
-Umbilical Region - -
-hypogastric region - -
-Right Hypochondriac Region - -right lateral region just below the ribs
-Left Hypochondriac Region - -left upper region below the rib cartilage
-Right lumbar Region - -right middle region near the waist
-Left Lumbar Region - -
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