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NHA CCMA Exam 2022 with Comprehensive
Questions and Answers
2-15 mL ✓volume range for blood collection tubes Abandonment ✓provider lets a patient go without notice, short staffed Ac ✓before meals AC interference ✓uniform spikes on an EKG caused by electrical interference Accountable Care Organization (ACO) ✓a network of doctors and hospitals that voluntarily share responsibility for managing the quality and cost of care provided to a group of patients Accounts payable ✓debt incurred but not yet paid Accounts receivable ✓amount owed to the provider for the services rendered ACO vs PCMH ✓the ACO is primarily a value-based reimbursement model that incorporates "voluntary" collaboration among providers, whereas the PCMH is primarily a care delivery model involving significant collaboration as part of the certification process ACS ✓American Cancer Society Acyclovir ✓Antiviral
Adson forceps ✓stainless steel tweezers used to move and hold tissue in place during delicate surgical procedures Advance Beneficiary Notice (ABN) ✓A form provided to the patient when the provider believes Medicare will probably not pay for services received Adverse effect (medicine) ✓Side effect or negative effect as a result of taking a medication AHA ✓American Hospital Association Albuterol ✓Bronchodilator Allowed Amount ✓The maximum amount a third-party payer will pay for a particular procedure or service Assault ✓threat or attempt to injure Assets ✓property of an individual or organization LIABILITIES + CAPITAL = ASSETS Augmented ✓having been made greater in size or value Bacillus ✓Rod shaped bacteria (causes tuberculosis) Basilic Vein ✓large vein on the inner side of the upper arm Battery ✓unlawful touching of another person without consent
Cc ✓chief complaint Cephalic Vein ✓Large vein on the outermost side of the upper arm Chain of Custody Guidelines ✓- Drug screens
- Forensic studies
- blood alcohol levels
- Parentage testing (paternity test) Chain of Infection ✓infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host CHAMPVA ✓covers surviving spouses and dependent children of veterans who died as a result of service-related disabilities Chest Lead placement ✓ CHF manifestations ✓shortness of breath, fatigue, and edema Chlorhexidine ✓used to clean skin before a blood culture draw Clonazepam ✓Klonopin, anticonvulsant Cluster Scheduling ✓the scheduling of similar appointments together at a certain time of day or week CMS ✓Centers for Medicare and Medicaid Services
CMS-1500 ✓most common health insurance claim form used to file claims for physicians' services 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- CMS-1500 Section 3 ✓Physician/Supplier Section: contains information about the physician or supplier: boxes 14- Coinsurance ✓a provision under which both the insured and the insurer share the covered losses, typically 80: colonscopy ✓- screening starts at 45
- screening every 10 years Conditioning ✓involves grouping related papers together, removing all paper clips and staples, attaching smaller papers to regular sheets, and fixing damaged records Conjunctivitis ✓pink eye, bacterial infection Contraindication (medicine) ✓Unable to take a medication due to an allergy to the ingredients
diaphoretic ✓profuse sweating Diphenhydramine ✓Benadryl. Antihistamine Disinfection ✓A process that eliminates many or all microorganisms, with the exception of bacteria spores, from inanimate objects DKA Symptom ✓Breath that smells like Acetone Dorsal Recumbent Position ✓ Durable power of attorney for health care ✓A type of advance directive executed by a competent adult that appoints another individual to make medical treatment decisions on his or her behalf in the event that the person making the appointment loses decision-making capacity. dyspnea ✓difficulty breathing ECG Leads ✓smoke over fire (right side), clouds over grass (green is last so left) Electronic Health Record (EHR) ✓An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across MORE THAN ONE healthcare organization Electronic Medical Record (EMR) ✓An electronic record of health-related information about an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within a SINGLE healthcare organization.
EMR ✓electronic medical record Encounter Form ✓A document used to collect data about elements of a patient visit that can become part of a patient record or be used for management purposes. Epidural Injection ✓epidural space of the spine Epigastric Region ✓located above the stomach Erikson's stages of psychosocial development ✓1. trust vs. mistrust
- autonomy vs. shame and doubt
- initiative vs. guilt
- industry vs. inferiority
- identity vs. role confusion
- intimacy vs. isolation
- generativity vs. stagnation
- integrity vs. despair Esomeprazole ✓TUMS. Antacid (PPI) eupnea ✓normal breathing 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 Farenheit to Celsius ✓(F-32)/1.
Fowler's Position ✓ Gold or tiger top (red-grey) Lab Use ✓for serum determinations and may be used for routine blood donor screening and diagnostic testing of serum for infectious diseases Gold or tiger top (red-grey) Stopper Color ✓- Serum separator tube (SST)
- Clot activator
- Thixotropic gel (creates barrier) Grave's Disease/ hyperthyroidism ✓an autoimmune disorder characterized by the excessive production of thyroid hormones
- weight loss
- bulging eyes Gray Lab Use ✓Glucose testing (GTT) Gray Stopper Color ✓Potassium oxalate and sodium fluoride Green Electrode ✓right leg Green Lab Use ✓for plasma determinations in chemistry Green Stopper Color ✓Sodium Heparin and Lithium Heparin Grief Cycle ✓denial, anger, bargaining, depression, acceptance Hasimoto's Thyroiditis ✓Autoimmune cause of hypothyroidism (Ig's agains TSH receptors)
- weight gain Heart Rate from EKG ✓1500/ # of boxes between 2 successive R waves Hemoptysis ✓coughing up blood hemotemesis ✓vomiting blood Heprin ✓warphrin. anticoagulant HHS ✓U.S. Department of Health and Human Services Holter monitoring rules ✓- do not move electrodes
- no exposure to electrical forces such as metal detectors
- no showering (birth baths only) Hordeolum ✓sty; an acute infection of a sebaceous gland of the eyelid How far away does the patient stand for a Snellen chart vision test? ✓ 20 feet how long to wash hands for ✓at least 15 seconds hypogastric region ✓ ICD-10-CM ✓3-7 characters used Immunity from breast milk ✓passive
Intramuscular Needle gauge ✓20- Intramuscular Needle Length ✓1-3 inches Intraosseous Injection ✓Bone marrow Intraperitoneal Injection ✓within the peritoneal cavity Intrapleural Injection ✓pleural space (lungs) Intrathecal Injection ✓Subarachnoid space (brain) Ishihara Book ✓used to test color vision. If the patient misses four or more, there might be a color deficiency Isopropyl Alcohol ✓used for phlebotomy procedures other than blood cultures kg -> lbs ✓1 kg = 2.2 lbs Knee-elbow position ✓ Kyphosis ✓hunchback, exaggerated thoracic curvature Lavender Lab Use ✓WHOLE BLOOD hematology determinations, routine immunohematology testing and blood donor screening Lavender Stopper Color ✓EDTA (anticoagulant)
Left Hypochondriac Region ✓left upper region below the rib cartilage Left Iliac Region ✓ Left Lower Quadrant (LLQ) ✓contains parts of the small and large intestines, left ovary, left fallopian tube, left ureter Left Lumbar Region ✓ Left Upper Quadrant (LUQ) ✓Left lobe of liver, stomach, pancreas, left kidney, spleen, portions of large intestine Legal Aid Society ✓One of a network of community law offices that provides free or low-cost legal assistance. Liabilities ✓items that are outstanding (debts) Light Blue Lab Use ✓Coagulation studies Light Blue Stopper Color ✓Sodium citrate (anticoagulant) Lisinopril ✓propranolol. antihypertensive Lithotomy Position ✓ Living will ✓A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes and under what conditions
Misfeasance ✓performance of a lawful action in an illegal or improper manner (EX: performing on the correct pt but doing it incorrectly) Modified Block Letter Format ✓- Date sign off and signature start at the center of the page
- paragraphs and subject line are indented Modified wave scheduling ✓system where multiple patients are scheduled at the beginning of each hour, followed by single appointments every 10 to 20 minutes the rest of the hour MOLST ✓Medical document that specifies which treatments will be allowed during end of life care. these orders move with the patient if they move facilities, and is bright pink NAACLS ✓National Accrediting Agency for Clinical Laboratory Sciences Nonfeasance ✓failure to perform a task, duty, or undertaking that one has agreed to perform or has a legal duty to perform nystagmus ✓Involuntary rapid eye movements Nystatin ✓Antifungal Open Scheduling ✓Patients are seen on a first come first serve basis. Walk-ins Order of Cleaning Instruments ✓- Sanitization
- Disinfection
- Sterilization (chemical or autoclave)
OSHA ✓Occupational Safety and Health Administration OSHA form 301 ✓*Injury and illness incident report *Use this to report what happened when an employee experiences a work related injury or illness *Must complete form or an acceptable substitute such as state workers compensation form within 7 calendar days after notification of injury or illness Otalgia ✓pain in the ear P Wave ✓atrial depolarization P-R Interval ✓starts at the beginning of the P wave and ends at the beginning of the Q wave. Atrial depolarization -> ventricular depolarization Pancreas ✓digestion and endocrine Pap smear ✓- screening starts at 21
- screening every 3 years Papule ✓small, solid, raised lesion on surface of the skin 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
prefix ✓a syllable or word that comes before a root word to change its meaning Presbycusis ✓age related hearing loss Probe ✓used to explore and navigate through tissue, cannot actually cut and remove stuff ( aka cannot dissect) Purchase Order ✓before buying supplies you should fill out this Pustules ✓Variously sized circumscribed elevations containing pus Qd ✓every day QRS Wave ✓ventricular depolarization and atrial repolarization QT Interval ✓starts at the beginning of the Q wave and ends at the end of the T wave. Ventricular depolarization -> ventricular repolarization RACE (fire safety) ✓rescue, alarm, confine, extinguish Rales ✓Crackles; wet crackling noise in lungs Reasonable Fee ✓The generally accepted fee a physician charges for an exceptionally difficult or complicated service. A charge is considered reasonable if it is deemed acceptable after peer review even if it does not meet the criteria for a customary fee or prevailing charges. Red Cross ✓An international organization dedicated to the medical care of the sick or wounded in wars and natural disasters
Red electrode ✓left leg Red Lab Use ✓for serum determinations and may be used for routine blood donor screening and diagnostic testing of serum for infectious diseases Red Stopper Color ✓Plastic: clot activator Glass: no additive (plain) Releasing ✓marking the form to be filed with a mark of designated preference
- ready to be filed
- provider's initials
- using a stamp remittance advice (RA) ✓a document that lists the amount that has been paid on each claim as well as the reasons for nonpayment or partial payment. used to pot payments to patient accounts Remittent Fever ✓Fluctuating, remains elevated and does not return to baseline Rhonchi ✓loud rumbling sounds heard on auscultation of bronchi obstructed by sputum Right Hypochondriac Region ✓right lateral region just below the ribs Right Iliac Region ✓
