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NHA study guide CBCS chapter 3 Front-end Duties questions and answers already graded A+ 2025/2026
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NHA study guide CBCS chapter 3 Front-end Duties questions and answers already graded A+ 2025/2026
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NHA study guide CBCS chapter 3Front-end Duties
1. Birth Rule - ANS-Applies to dad and mom who each have medical health insurance and
list their children as dependents
2. The health plan of the figure whose birthday comes first in the calendar year is
3. distinctive as the primary plan.
4. Capitation - ANS-The fixed amount a provider receives
5. CHAMPVA - ANS-Medical software thru which the department of veterans affairs assist
pay the value of scientific services
6. Coinsurance - ANS-The pre-stablished percent of costs paid by way of the insurance
enterprise after the
7. deductible has been met.
8. Coordination of benefits - ANS-Determine which insurance plan is number one and that
is secondary
9. Copayment - ANS-A constant dollar amount that should be paid every time a patient
visits a company
10. Deductible - ANS-The sum of money a affected person should pay out of pocket before
the insurance corporation
11. will begin to pay for included benefits.
12. Insurance Eligibility - ANS-Is the method used to verify the affected person's health
insurance , benefits and in comparison it to the
13. records in record.
14. Medicare element A - ANS-Provides hospitalization insurance, inpatient remains in a
skilled nursing facility
15. Medicare Part B - ANS-Helps cover medical doctor offerings,outpatient care, a few
preventive services
16. Medicare Part C - ANS-Private coverage ought to be entitled to component a and join in
component b known as alternative plans
17. Medicare Part D - ANS-Is a voluntary plan that allows cover pharmaceuticals
18. Medicare vs Medicaid - ANS-For patient enrolled in both. Medicare always will pay for
offerings first. Medicaid
19. is referred to as the payer of remaining inn.
20. Medigap - ANS-A private medical health insurance that pays for most of the charges not
blanketed by using part A and B
21. Preauthorization - ANS-Is approval from the fitness plan for an inpatient health center
stay or surgery.
22. Precertification - ANS-A evaluate that appears at whether or not the process will be
executed accurately but much less luxurious
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