CCMA Review

What is CPT coding?

5-digit codes used to describe procedures/services.

What is an ICD code?

3–7 digit code used for diagnoses.

What is a CPT modifier?

2-digit code that adds extra info to CPT codes.

What is a superbill?

Encounter form listing services for billing insurance.

What is a CMS-1500 form?

Insurance claim form used for billing.

What is required on CMS-1500?

Provider NPI number.

What is AOB?

Assignment of Benefits (insurance pays provider directly).

What is an EOB?

Explanation of Benefits from insurance.

What is remittance advice?

Payment breakdown sent to provider.

What is ABN?

Advance notice that Medicare may not cover a service.

What is pre-authorization?

Insurance approval before a procedure.

What is a referral?

PCP approval to see a specialist.

What is birthday rule?

Parent with earliest birthday = primary insurance.

What is Medicare?

Federal insurance for 65+ or disabled.

Medicare Part A?

Hospital care.

Part B?

Outpatient care.

Part C?

Medicare Advantage.

Part D?

Prescription drugs.

Medicaid?

Low-income state/federal insurance.

What is DME?

Durable medical equipment (wheelchairs, oxygen).

Usual & customary fees?

Standard local provider charges.

Order of draw?

Yellow (cultures) Blue (PT/PTT) Green/Gold (chemistry) Lavender/Pink (CBC, blood type) Gray (glucose).

When do you label tubes?

Immediately after draw.

What goes on label?

Date, time, initials.

Transport method?

Biohazard bag + lab slip outside pocket.

What is chain of custody?

Documentation for legal specimens.

Used for?

Drug screen, DNA, ETOH.

Tourniquet time limit?

Prevent hematoma?

Apply pressure.

Prevent hemolysis?

Don’t shake tubes or use small needle.

Needle angle?

15–30° (15–20 butterfly).

Vein order?

Median cubital → cephalic → dorsal hand → basilic.

PKU test?

Heel stick newborn screening (24–48 hrs).

Urine temp normal?

90–100°F within 5 min.

What type of tests are CLIA waived?

Strep, Pregnancy (HCG), Glucose, COVID, UA dipstick, Occult blood.

Types of consent?

Implied, verbal, written, informed.

What is HIPAA?

Protects patient privacy.

What is HITECH?

Strengthens electronic health records security.

What is power of attorney?

Legal decision maker for patient.

What are advance directives?

End-of-life wishes.

What is negligence?

Failure to provide standard care.

What is malpractice?

Professional negligence.

What is assault?

Threat of harm.

What is battery?

Unwanted physical contact.

What is slander?

Spoken false statement.

What is libel?

Written false statement.

PPE order DON?

Gown → Mask → Goggles → Gloves.

PPE removal?

Gloves → Goggles → Gown → Mask.

Isolation precautions for Airborne diseases?

TB, chickenpox → N95.

Isolation precautions for Droplet diseases?

Flu, COVID → surgical mask.

Isolation precautions for Contact diseases?

MRSA, VRE → gown + gloves.

What is chain of infection?

Agent → reservoir → exit → transmission → entry → host.

What is sterilization using an autoclave?

250°F steam; sterile ~30 days.

What is disinfection?

10:1 bleach solution.

What is sanitation?

≥60% alcohol.

What are the 5 rights in medication administration?

Dose, drug, patient, time, route.

SQ injection angle?

45°.

IM injection angle?

90°.

ID injection angle?

15°.

IM injection sites?

Deltoid, ventrogluteal, vastus lateralis.

SQ injection sites?

Abdomen, arm, thigh.

What is an anticoagulant?

Prevents clots.

What is an analgesic?

Pain relief.

What is an antiemetic?

Prevents nausea.

What is a diuretic?

Increases urination.

What is a statin?

Lowers cholesterol.

What is NTG?

Nitroglycerin for chest pain; sublingual.

What are controlled drugs Schedule II?

No refills; 30-day limit; e-prescribe required.

What is psoriasis?

Scaly patches.

What is erythema?

Redness.

What is urticaria?

Hives.

What are pustules?

Pus-filled bumps.

What are papules?

Bumps.

What are macules?

Flat spots.

What are vesicles?

Blisters.

What are verrucae?

Warts.

Normal blood pressure?

Stage 1 hypertension BP?

130–139/80–89.

Stage 2 hypertension BP?

≥140/90.

Crisis BP?

180/120.

Normal heart rate?

60–100.

Normal respiratory rate?

12–20.

Normal SpO₂?

≥95%.

Supine position?

On back.

Prone position?

Face down.

Fowler’s position?

Semi-sitting.

Sims position?

Side-lying.

Lithotomy position?

Legs in stirrups.

Trendelenburg position?

Head down.

Dorsal recumbent position?

Knees bent.

What is a simple fracture?

Closed fracture.

What is a compound fracture?

Open fracture.

What is a comminuted fracture?

Shattered fracture.

What does RICE stand for?

Rest, Ice, Compression, Elevation.

Fire safety protocol RACE?

Rescue Alarm Confine Extinguish.

Fire safety protocol PASS?

Pull Aim Squeeze Sweep.

What is the heart conduction sequence?

SA → AV → Bundle of His → Purkinje.

P wave indicates?

Atrial contraction.

QRS complex indicates?

Ventricular contraction.

T wave indicates?

Recovery phase.