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CCMA- Certification Review Part 1 > CCMA Foundational Knowledge Module > Flashcards

CCMA Foundational Knowledge Module Flashcards

1
Q

Where do you look up diagnosis codes?

A

ALPHABET INDEX

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2
Q

An example of Durable medical equipment is?

A

CRUTCHES

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3
Q

When your patient has two parents who both hold insurance, who is primary?

A

The parent with the first birthday of the year

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4
Q

What is the Doctrine of professional discretion?

A

The doctor can withhold medical information in the event they feel it may harm the patient

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5
Q

What part of Medicare covers durable medical equipment?

A

Part B

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6
Q

What does PCMH stand for?

A

Patient centered medical home

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7
Q

When would the preauthorization be denied?

A

PROCEDURE WAS AFTER APPROVED DATE

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8
Q

What allows the office to release information to the insurance company?

A

HIPAA

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9
Q

What can occur when you use outdated or incorrect codes on a billing claim?

A

Reduction of payer reimbursement

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10
Q

What procedure requires prior authorization?

A

ENDOSCOPY

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11
Q

What is the first step when scheduling a patient for an outpatient procedure?

A

Verify Insurance will cover the procedure

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12
Q

What is the correct position for a patient for a colposcopy procedure?

A

Lithotomy

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13
Q

If an insurance company denies a claim stating ‘preauthorization’ required, what should you do?

A

Submit an appeal for the denied claim

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14
Q

What must the superbill include?

A

DIAGNOSTIC CODE

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15
Q

What form is needed when billing a third party payer?

A

CMS 1500

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16
Q

What is within the scope of practice on an MA?

A

FIRST AID PROCEDURES

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17
Q

If a pediatric patient has insurance from both parents, who has primary insurance?

A

The parent with the earliest birthday

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18
Q

If the charges are $200 and the patient has a 90/10 plan, how much will they need to pay?

A

$20

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19
Q

What does ACO stand for?

A

Affordable Care Organization

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20
Q

What does remittance advice provide?

A

Details of the claim and notifies providers of claim denials

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21
Q

What is true about preauthorization?

A

Valid for a specific time frame

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22
Q

What does workers comp cover?

A

Care for patients injured on the job

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23
Q

What happens to charges above what is typically covered by Medicare?

A

Written off by the facility

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24
Q

What is an ABN?

A

Advanced Beneficiary Notice

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25
Q

When should a request for a procedure be approved for a patient with an HMO plan?

A

Before the appointment

26
Q

Who is responsible for medical charges if an emancipated minor has them?

A

They are considered an adult and responsible

27
Q

What microorganism is responsible for Syphilis?

A

Treponema Pallidum

28
Q

What microorganism is responsible for Thrush?

A

Candida/Fungus

29
Q

Where do controlled substances need to be stored?

A

IN A LOCKED CABINET

30
Q

Where is a transdermal patch applied?

A

ON THE SKIN

31
Q

What instructions should you give for a medication with an enteric coating?

A

Swallow whole with a glass of water

32
Q

What is the medication route between the cheek and gums?

A

Buccal Route

33
Q

What should be documented when recording medications?

A

Spell out the full name to prevent errors

34
Q

What is the use of antitussive medication?

A

To reduce/suppress cough

35
Q

What type of medication is Nitroglycerin?

A

Sublingual medication

36
Q

What should you do when pouring an oral medication?

A

Have the cup on a flat surface and verify at eye level

37
Q

What should a patient do with insulin before administering it?

A

Roll the insulin bottle in their hands

38
Q

What is enteric coating?

A

Thick coating on oral medication to slow absorption

39
Q

What are transdermal medications?

A

Patches for slow release to reduce skin irritation

40
Q

What is the effect of epinephrine when used on lacerations?

A

Helps slow bleeding as a vasoconstrictor

41
Q

What are Schedule II drugs known for?

A

High potential for abuse

42
Q

What should be used to apply ointments/lotions on a patient?

A

A tongue blade

43
Q

What is the difference between an opiate and an opioid?

A

Opiates are plant-derived; opioids are synthetic drugs

44
Q

How do you convert Fahrenheit temperature to Celsius?

A

Subtract 32, multiply by 5, then divide by 9

45
Q

How many milliliters are in 1 tablespoon?

46
Q

How do you convert pounds to kilograms?

A

Weight in pounds divided by 2.2

47
Q

How do you convert height from feet to centimeters?

A

1 ft = 30 cm

48
Q

What is the formula for BMI?

A

Height in inches squared X 703

49
Q

What condition may patients who eat once a day have?

50
Q

How many calories are in 1 gram of fat?

A

9 cals per gram

51
Q

What vitamin is essential for bone health?

52
Q

What are high fiber foods?

A

Pears, apples, carrots, bananas

53
Q

What are fat-soluble vitamins?

54
Q

What are examples of eating disorders?

A

Anorexia, bulimia, binge eating

55
Q

What mineral is found in fish?

56
Q

What foods should be avoided when collecting a fecal occult blood sample?

A

Proteins like chicken, beef

57
Q

What stage of grief involves refusing to accept a terminal diagnosis?

58
Q

What can overwhelming past experiences stem from?

59
Q

If your patient states they will give up _____ to receive _____, what stage of grief might they be in?

A

BARGAINING

60
Q

According to the grieving scale, if a patient is trying to buy more time, what stage are they in?

A

BARGAINING

61
Q

What is the stage number of depression in the stages of grief?

62
Q

What are the stages of grief?

A
  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance

CCMA- Certification Review Part 1 (3 decks)

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