CCMA Foundational Knowledge Module

Question 1

Where do you look up diagnosis codes?

Answer 1

ALPHABET INDEX

Question 2

An example of Durable medical equipment is?

Answer 2

CRUTCHES

Question 3

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

Answer 3

The parent with the first birthday of the year

Question 4

What is the Doctrine of professional discretion?

Answer 4

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

Question 5

What part of Medicare covers durable medical equipment?

Answer 5

Part B

Question 6

What does PCMH stand for?

Answer 6

Patient centered medical home

Question 7

When would the preauthorization be denied?

Answer 7

PROCEDURE WAS AFTER APPROVED DATE

Question 8

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

Answer 8

HIPAA

Question 9

What can occur when you use outdated or incorrect codes on a billing claim?

Answer 9

Reduction of payer reimbursement

Question 10

What procedure requires prior authorization?

Answer 10

ENDOSCOPY

Question 11

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

Answer 11

Verify Insurance will cover the procedure

Question 12

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

Answer 12

Lithotomy

Question 13

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

Answer 13

Submit an appeal for the denied claim

Question 14

What must the superbill include?

Answer 14

DIAGNOSTIC CODE

Question 15

What form is needed when billing a third party payer?

Answer 15

CMS 1500

Question 16

What is within the scope of practice on an MA?

Answer 16

FIRST AID PROCEDURES

Question 17

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

Answer 17

The parent with the earliest birthday

Question 18

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

Answer 18

$20

Question 19

What does ACO stand for?

Answer 19

Affordable Care Organization

Question 20

What does remittance advice provide?

Answer 20

Details of the claim and notifies providers of claim denials

Question 21

What is true about preauthorization?

Answer 21

Valid for a specific time frame

Question 22

What does workers comp cover?

Answer 22

Care for patients injured on the job

Question 23

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

Answer 23

Written off by the facility

Question 24

What is an ABN?

Answer 24

Advanced Beneficiary Notice

Question 25

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

Answer 25

Before the appointment

Question 26

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

Answer 26

They are considered an adult and responsible

Question 27

What microorganism is responsible for Syphilis?

Answer 27

Treponema Pallidum

Question 28

What microorganism is responsible for Thrush?

Answer 28

Candida/Fungus

Question 29

Where do controlled substances need to be stored?

Answer 29

IN A LOCKED CABINET

Question 30

Where is a transdermal patch applied?

Answer 30

ON THE SKIN

Question 31

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

Answer 31

Swallow whole with a glass of water

Question 32

What is the medication route between the cheek and gums?

Answer 32

Buccal Route

Question 33

What should be documented when recording medications?

Answer 33

Spell out the full name to prevent errors

Question 34

What is the use of antitussive medication?

Answer 34

To reduce/suppress cough

Question 35

What type of medication is Nitroglycerin?

Answer 35

Sublingual medication

Question 36

What should you do when pouring an oral medication?

Answer 36

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

Question 37

What should a patient do with insulin before administering it?

Answer 37

Roll the insulin bottle in their hands

Question 38

What is enteric coating?

Answer 38

Thick coating on oral medication to slow absorption

Question 39

What are transdermal medications?

Answer 39

Patches for slow release to reduce skin irritation

Question 40

What is the effect of epinephrine when used on lacerations?

Answer 40

Helps slow bleeding as a vasoconstrictor

Question 41

What are Schedule II drugs known for?

Answer 41

High potential for abuse

Question 42

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

Answer 42

A tongue blade

Question 43

What is the difference between an opiate and an opioid?

Answer 43

Opiates are plant-derived; opioids are synthetic drugs

Question 44

How do you convert Fahrenheit temperature to Celsius?

Answer 44

Subtract 32, multiply by 5, then divide by 9

Question 45

How many milliliters are in 1 tablespoon?

Answer 45

15 ml

Question 46

How do you convert pounds to kilograms?

Answer 46

Weight in pounds divided by 2.2

Question 47

How do you convert height from feet to centimeters?

Answer 47

1 ft = 30 cm

Question 48

What is the formula for BMI?

Answer 48

Height in inches squared X 703

Question 49

What condition may patients who eat once a day have?

Answer 49

ANOREXIA

Question 50

How many calories are in 1 gram of fat?

Answer 50

9 cals per gram

Question 51

What vitamin is essential for bone health?

Answer 51

VITAMIN D

Question 52

What are high fiber foods?

Answer 52

Pears, apples, carrots, bananas

Question 53

What are fat-soluble vitamins?

Answer 53

A, C, D

Question 54

What are examples of eating disorders?

Answer 54

Anorexia, bulimia, binge eating

Question 55

What mineral is found in fish?

Answer 55

Iodine

Question 56

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

Answer 56

Proteins like chicken, beef

Question 57

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

Answer 57

DENIAL

Question 58

What can overwhelming past experiences stem from?

Answer 58

PTSD

Question 59

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

Answer 59

BARGAINING

Question 60

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

Answer 60

BARGAINING

Question 61

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

Answer 61

FOURTH

Question 62

What are the stages of grief?

Answer 62

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