NHA CMAA EXAM CERTIFICATION EXAM 300 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS) |ALREADY GRADED A
A person who represents either party of an insurance claim is the:
A. doctor
B. adjuster
C. provider
D. subscriber - ANSWER: adjuster
A request for payment under an insurance contractor bond is called a(n):
A. insurance application
B. claim
C. dual choice request
D. total disability - ANSWER: claim
Payment made periodically to keep an insurance policy in force is called:
A. time limit
B. premium
C. coinsurance
D. fee for service - ANSWER: premium
A person or institution that gives medical care is a(n):
A. third-party payer
B. provider
C. adjuster
D. insurance agent - ANSWER: provider
Benefits that are made in the form of cash payments are known as:
A. indemnities
B. deductibles
C. medical co-pays
D. cash advances - ANSWER: indemnities
An amount the insured must pay before policy benefits begin is called:
A. indemnity
B. extended benefits
C. deductible
D. catastrophic - ANSWER: deductible
An organization that offers health insurance at a fixed monthly premium with little or
no deductible and works through a primary care provider is called a(n):
A. preferred provider
B. health maintenance organization
C. member physician
, D. private health provider - ANSWER: health maintenance organization
A patient receiving ambulatory care at a hospital or other health facility without
being admitted a bed patient is called a(n):
A. inpatient
B. outpatient
C. carrier
D. adjuster - ANSWER: outpatient
An injury that prevents a worker from performing one or more of the regular
functions of his job would be known as a :
A. partial disability
B. permanent disability
C. total disability
D. resultant disability - ANSWER: partial disability
One who belongs to a group insurance plan is called:
A. third-party payer
B. subscriber
C. carrier
D. no correct answer - ANSWER: subscriber
A sum of money provided in an insurance policy, payable for covered services is
called:
A. deductible
B. benefits
C. dues payable
D. premium - ANSWER: benefits
To prevent the insured from receiving a duplicate payment for losses under more
than one insurance policy is called:
A. fee-for-service
B. hospital benefits
C. coordination of benefits
D. non duplication benefits - ANSWER: coordination of benefits
When a patient has health insurance, the percentage of covered services that is the
responsibility of the patient to pay is known as:
A. coinsurance
B. pre-defined policy
C. comprehensive
D. in percent policy - ANSWER: coinsurance
A defense against malpractice may include acts of independent agents that stand in
the way of the causal connection between the negligent act and the damage
suffered. This is called
A. comparative negligence
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
VERIFIED ANSWERS) |ALREADY GRADED A
A person who represents either party of an insurance claim is the:
A. doctor
B. adjuster
C. provider
D. subscriber - ANSWER: adjuster
A request for payment under an insurance contractor bond is called a(n):
A. insurance application
B. claim
C. dual choice request
D. total disability - ANSWER: claim
Payment made periodically to keep an insurance policy in force is called:
A. time limit
B. premium
C. coinsurance
D. fee for service - ANSWER: premium
A person or institution that gives medical care is a(n):
A. third-party payer
B. provider
C. adjuster
D. insurance agent - ANSWER: provider
Benefits that are made in the form of cash payments are known as:
A. indemnities
B. deductibles
C. medical co-pays
D. cash advances - ANSWER: indemnities
An amount the insured must pay before policy benefits begin is called:
A. indemnity
B. extended benefits
C. deductible
D. catastrophic - ANSWER: deductible
An organization that offers health insurance at a fixed monthly premium with little or
no deductible and works through a primary care provider is called a(n):
A. preferred provider
B. health maintenance organization
C. member physician
, D. private health provider - ANSWER: health maintenance organization
A patient receiving ambulatory care at a hospital or other health facility without
being admitted a bed patient is called a(n):
A. inpatient
B. outpatient
C. carrier
D. adjuster - ANSWER: outpatient
An injury that prevents a worker from performing one or more of the regular
functions of his job would be known as a :
A. partial disability
B. permanent disability
C. total disability
D. resultant disability - ANSWER: partial disability
One who belongs to a group insurance plan is called:
A. third-party payer
B. subscriber
C. carrier
D. no correct answer - ANSWER: subscriber
A sum of money provided in an insurance policy, payable for covered services is
called:
A. deductible
B. benefits
C. dues payable
D. premium - ANSWER: benefits
To prevent the insured from receiving a duplicate payment for losses under more
than one insurance policy is called:
A. fee-for-service
B. hospital benefits
C. coordination of benefits
D. non duplication benefits - ANSWER: coordination of benefits
When a patient has health insurance, the percentage of covered services that is the
responsibility of the patient to pay is known as:
A. coinsurance
B. pre-defined policy
C. comprehensive
D. in percent policy - ANSWER: coinsurance
A defense against malpractice may include acts of independent agents that stand in
the way of the causal connection between the negligent act and the damage
suffered. This is called
A. comparative negligence
