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Medical assistant NHA Question Bank (Answered Fall 2022)

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Medical assistant NHA Question
Bank (Answered Fall 2022)
Which insurance plan requires referrals
HMO
Oldest and largest insurance company
Blue cross blue shield
What Specialty what a patient See for hyperthyroidism
Endocrinology
What duty is a medical assistant allowed to perform independently
Vital signs
Who is responsible for a medical assistant duties and performance
Doctor
If a patient had a cerebrovascular accident what type of therapy will regain motor
function and independence
Physical
Which of the following professionals assist patient with improving mobility strength and
range of motion
Physical Therapist
Patient experiencing Subluxation Should be treated by what practice of medicine
Chiropractic care
Who specializes in the management and treatment of interstitial cystitis
Urologist
What specialist would a patient go to for vertigo
Otolaryngologist
Who specializes in evaluating mental illness, Physical illness, and disability through
analyzing patient health needs and providing health education to patients of all ages
Preventative medicine
What healthcare delivery models emphasize patients in Baltimore and organizing their
own health care
Patient centered medical home(PCMH)
What is the Maximum reimbursement a third-party payer will provide
Allowable amount
A provider who sees patients of all ages with a wide variety of acute severe medical
conditions
Family practitioner
Accountable Care Organization (ACO)
Group of physicians, hospitals and other healthcare providers provide coordinated high-
quality care to Medicare patients
Capitation
payment to a provider that covers each plan member's health care services for a certain
period of time
global budget
Fixed total dollar amount paid annually for all care

,Health Maintenance Organization (HMO)
insurance method that focuses on prevention of disease, must see providers from an
approved list and requires referrals
pay for performance
A reimbursement plan that links payment to quality and efficiency as an incentive to
improve the quality of health care and to reduce costs.
Preferred Provider Organization (PPO)
Doesn't need a primary care physician and can go directly to a specialist without a
referral
Copayment
Due at the time of service
Coinsurance
a provision under which both the insured and the insurer share the covered losses
Deductible
Amount you must pay before you begin receiving any benefits from your insurance
company
Explanation of Benefits (EOB)
paper document from a payer that shows how the amount of a benefit was determined
participating provider
one who has a contractual agreement with an insurance plan to render care to eligible
beneficiaries and then bill the insurance carrier directly
Medicare
65+ government insurance
Medicare Part A
hospital insurance
Medicare Part B
medical insurance
Medicare—Part D
Prescription drug coverage
Donut Hole
Medicare part D coverage gap
TRICARE
U.S. government health insurance plan for all military personnel
Medicaid
A health care payment program sponsored by federal & state governments
managed care
A system that combines the financing and the delivery of appropriate, cost-effective
health care services to its members.
Workers Compensation
A form of insurance paid by the employer providing cash benefits to workers injured or
disabled in the course of employment.
CMS-1500
Standard claim form used for outpatient reimbursement
hemorrhage
Excessive or profuse bleeding
laceration

,a cut, tear
colostomy
the surgical creation of an artificial excretory opening between the colon and the body
surface
conjunctiva
The delicate membrane that lines the eyelids and covers the exposed surface of the
eye.
Diverticula
abnormal side pockets in the intestinal wall
metastasis
The spread of cancer cells beyond their original site
villus
folded projection that increases the surface area of the walls of the small intestine
ganglion
collection of nerve cell bodies in the peripheral nervous system
cicatrix
a normal scar resulting from the healing of a wound
Hepatitis
inflammation of the liver
Anterior
front of the body
bilateral
both sides
Caudal
toward the tail
Cephalic
head
dextro
right
Distal
farther away from
dorsal recumbent
lying on back with legs bent and feet flat
Eversion
turning outward or inside out
extension
Straightening a body part
External
outside
Flexion
bending a joint
Fowler's position
Raising the head of the bed at a 90 degree angle
Inferior
below
Internal

, inside
knee-chest, knee-elbow position
Drawing the knees to the chest
Lateral
to the side, away from the middle
lithotomy position
lying on back with legs raised and feet in stirrups
Medial
midline of the body
oblique
Slanting, on an incline
peripheral
Outside the center area
Posterior
back of body
prone
lying face down
Proximal
Closer to the point of attachment or center
quadrant
dividing an area horizontally and vertically into four parts
recumbent
lying down on side
Rotation
Turning around an axis or center point.
Sims position
lying on left side with right knee drawn up and with left arm drawn behind, parallel to the
back
sinistro
left
Superior
above
supine position
lying on the back
Trendlenburg position
lying on back with body tilted so that the head is lower than the feet
When preparing a patient for a rectal examination what position do they need to be in
Sims position
Acronym used for interpreting the correlation between body weight and height
BMI
What is the abbreviation for prescription in a patient's chart
RX
What term means slow breathing
bradypnea
What term means fast breathing
tachypnea

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