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A comprehensive review of key concepts related to the map certification exam. It includes a series of multiple-choice questions with answers covering topics such as workers' compensation, debt collection practices, tricare, patient education, medical records, and administrative procedures. Designed to help students prepare for the map certification exam and gain a deeper understanding of the relevant concepts.
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Course Title and Number: MAP Certification Exam Exam Title: MAP Certification Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
180 minutes
**1. Read each question carefully.
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Workers' compensation will usually deny coverage for injuries sustained when the employee is under the influence of a mind altering substance. - =Answer>> True Because workers' compensation claims can take a long time to resolve, most providers bill the patient's medical insurance at the same time. - =Answer>> False The Fair Debt Collection Practices Act addresses: - =Answer>> b. collectors of any type of debt c. abusive debt collection practices TRICARE's allowable charge for each CPT code is that same as the Medicare fee schedule. - =Answer>> False The Veterans Administration health care system has defined categories of veterans who are eligible for free health care in that system. - =Answer>> True In the TRICARE system, the sponsor is: - =Answer>> the service member through whom beneficiaries are covered Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
specified intervals is: - =Answer>> time specified scheduling Patient education should be limited to the specific illness for which the patient is being seen. - =Answer>> False Federal unemployment tax is a deduction from an employee's paycheck. - =Answer>> False Just like a medical record, a schedule or appointment book is: - =Answer>> a legal document, property of the physician practice, subject to standard correction procedures A physician called in to substitute for the practice's physician when he/she is going to be away for a length of time is called a locum tenens. - =Answer>> True Patients who have already arrived for appointments need to be told this if an emergency patient arrives: - =Answer>> that a situation has come up that could delay their visit with an offer to be scheduled for another day Before scheduling an appointment for a patient, make sure that: - =Answer>> the patient is not chronically tardy for appointments, you know if there are dietary restrictions required for the visit, times when the physician is unavailable are blocked off the schedule The appropriate reading level for educational materials is: - =Answer>> grade 6 The agenda of a meeting is the list of subjects that need to be covered during the meeting. - =Answer>> True Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
It is a good idea to keep snacks and beverages available for diabetic patients who may have to wait if the schedule gets behind. - =Answer>> True Before scheduling a vendor visit with the physician: - =Answer>> ask the physician if he/she wants to meet with the vendor Patients should be educated about medications in the following way: - =Answer>> not to change the dosage on their own The secondary level of prevention is: - =Answer>> diagnostic testing An advantage of pre-procedure education is: - =Answer>> it reduces recovery time, it reduces the use of pain medication, it reduces complications Sending a letter to a patient two months before they should schedule their next annual appointment is an example of using: - =Answer>> a tickler file and a recall notice The appropriate procedure for dealing with a walk in patient is: - =Answer>> to follow the policy that the practice has for walkins The primary level of prevention is: - =Answer>> health promoting behaviors This Account Payable is generally the largest for any employer: - =Answer>> payroll and benefits The process of signing the back of a check in order for the practice to be able to cash it or deposit it to the Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
The proper way to correct an error in a medical record is to: - =Answer>> Draw a single line through the error, write the correct information above or below the error, note the reason for the correction, initial and date and time the correction A file is only considered lost and in need of replacement only when it is missing for at least a week. - =Answer>> False Many practices obtain this before they will release a patient's medical record to a medical insurance company for claim review and payment: - =Answer>> The patient's written consent Define the abbreviation SOB - =Answer>> shortness of breath You are speaking with the patient to review the current complaint. The patient states "I have an earache and a sore throat". These are examples of symptoms to be noted in the "S" section of the SOAP documentation. - =Answer>> True The best way to package inactive files for transfer to off site storage is: - =Answer>> in plastic file containers with secure lids Define the abbreviation BID - =Answer>> twice daily The way that patient records are created, filed, and maintained is: - =Answer>> a records management system Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
It is necessary to document in the patient's medical record when the patient calls in for a prescription refill.
True - =Answer>> Poorly written materials can indicate poor education, poor communication skills, and can result in low patient confidence in the staff's abilities. check back with the caller every couple of minutes - =Answer>> If you have to put a caller on hold: Grammar - =Answer>> Proofreading involves checking spelling, formatting and: enunciation - =Answer>> Saying a word clearly and distinctly is called: know what the physician's wishes are regarding his/her incoming personal calls - =Answer>> Before routing personal calls directly to the physician, you should: tell the patient you will ask the physician to call them back to discuss the results - =Answer>> When patients call in about laboratory results they are concerned about: false - =Answer>> Calls from laboratories with test results should be routed immediately to the physician. False - =Answer>> If you cannot pronounce a patient's name, use their first name when you speak with them. Letterhead - =Answer>> This identifies the business name, address, and telephone number on the office stationary: True - =Answer>> End phone calls by summarizing the conversation, saying goodbye, and waiting for the caller to hang up first. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
True - =Answer>> Patients calling in to give a progress report on their condition can be directed to speak to the medical assistant. True - =Answer>> Editing insures that a document is accurate, clear, logical and written in the appropriate style. identify the practice and yourself - =Answer>> The first thing to do when answering the practice's telephone is: speak calmly and carefully and let them know you will make every effort to help - =Answer>> When speaking to an angry patient over the telephone: True - =Answer>> It is always a good idea to have another person proofread your written work. 10 - =Answer>> The most common envelope size used for business purposes is the Number: throw rugs - =Answer>> The following is a safety concern in a reception area: The type of contract that typically exists between a patient and a health care provider is a: - =Answer>> implied A contract must be "legal", meaning that it cannot break the law, before it can be enforced. - =Answer>> True Experienced health care professionals do not need to be concerned with the legal and ethical responsibilities of caring for patients. - =Answer>> False Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
The earliest and best known commercial insurer in the US is: - =Answer>> Blue Cross Under a staff model HMO plan, enrollees can use any provider they wish in the local area. - =Answer>> False (they use the employees of the HMO for all medical services ) The process of obtaining approval from a health plan for a hospital admission is: - =Answer>> precertification In the Medicare program, the notice the patient receives describing how the claim was adjudicated and paid is called an Advance Beneficiary Notice. - =Answer>> False When a service or procedure meets Medicare's or Medicaid's criteria for coverage and payment, it is said to be: - =Answer>> medically necessary A private organization, usually another medical insurance company, that contracts with the federal government to adjudicate and pay Medicare Part B claims in a region is called a: - =Answer>> carrier This "part" of the traditional Medicare program pays for inpatient hospital care, home health care, and skilled nursing care. - =Answer>> Part A The Medicare Part B coinsurance is 70% of allowed charges after the annual Part B deductible has been met. - =Answer>> False Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
The difference between what the provider charges and the basis on which Medicare or Medicaid will pay is called the: - =Answer>> contractual adjustment When a Medicaid beneficiary has no other health care coverage, the type of claim that is submitted is called a: - =Answer>> Medicaid simple claim When one state allows Medicaid beneficiaries to be treated in an adjacent state, it is referred to as: - =Answer>> reciprocity After verifying the Medicaid patient's name and demographic information against their Medicaid card and picture ID, always check this before providing service: - =Answer>> their current period of eligibility The Medicare and Medicaid programs are administered by this federal agency: - =Answer>> CMS Medically needy individuals can reduce their assets to the Medicaid eligibility level by using assets to pay for medical care in a process called: - =Answer>> spend down When an individual is covered under both Medicaid and Medicare and/or a private health care policy, Medicaid is always the "payer of last resort". - =Answer>> True All Medicaid plans are strictly fee-for-service and managed care types of programs do not exist with state Medicaid programs. - =Answer>> False When Medicare automatically forwards claim and payment information to the supplemental insurance plan, such as Medicaid, the process is called a: - =Answer>> crossover Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
This "part" of the traditional Medicare program helps beneficiaries pay for prescription drugs. - =Answer>> Part D Medicare beneficiaries covered under the original Part A and Part B coverage do not have to pay an annual deductible. - =Answer>> False (there is a part A deductible for hospital admission for every spell of illness and one annual part B deductible) The managed care option of the Medicare program is: - =Answer>> Part C This is the term used when Medicare is not responsible for paying first because coverage under another insurance policy, like a employer large group plan, is required: - =Answer>> Medicare Secondary Payer Providers who do not participate in the Medicare program can bill patients for the non-allowed amount up to the limiting charge determined by the program. - =Answer>> True The amount that Medicare and Medicaid will pay for a service provided to a beneficiary is called the: - =Answer>> allowed amount An individual, like a pregnant woman, who does not meet Medicaid's financial eligibility criteria, but who still qualifies for Medicaid is considered: - =Answer>> medically needy On the CMS 1500 claim form, the physician and service information is: - =Answer>> on the bottom half of the claim Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
Rejected claims are usually the fault of the: - =Answer>> provider When a provider "writes off" a patient balance determined to be noncollectable, it is called a: - =Answer>> bad debt adjustment All electronic claims must be sent to insurance companies through a claims clearinghouse. - =Answer>> False Claims tracking, or making sure the claim has been received, processed and adjudicated is the responsibility of the provider. - =Answer>> True On the 1500 claim form, patient information is entered:
When a practice sends patient documents out to be shredded, the practice is still responsible for the confidentiality of those documents. - =Answer>> True The supply budget of a physician practice is only to satisfy the accountants; order what you want when you want it. - =Answer>> False An example of a computer pointing device is: - =Answer>> a. A mouse b. A trackball c. A touchpad The most commonly used data input device is the: - =Answer>> The keyboard Medical supplies should be stored: - =Answer>> a. In clearly labeled cabinets b. Close to where they are routinely used c. Away from possible water/insect damage Ideally, the practice's computer files should be backed up routinely to an off site location for safe keeping. - =Answer>> True Before leaving for the evening, the medical assistant should make sure that: - =Answer>> a. The fax machine is turned on and has paper added b. The answering machine (if in use) is turned on to receive incoming calls c. The answering service (if in use) has been notified which physician is on call for emergencies If a piece of office equipment breaks and cannot be fixed by the staff after all of the routine procedures have been attempted, office personnel should: - Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
=Answer>> a. Call the service technician as soon as possible b. Arrange for replacement service if necessary c. Put an "out of order" sign on the equipment Sending and receiving messages through a network is called: - =Answer>> Electronic Mail A collection of records created and stored on a computer is: - =Answer>> a database "Backing up" computer files means periodically saving all data to another source just in case the computer stops working correctly. - =Answer>> True Fax machines that are turned off or are out of paper are reasons for not receiving a fax. - =Answer>> True Paper towels, liquid soap, and toilet paper are examples of this type of supply: - =Answer>> General supplies Which feature is not available on a photocopier? - =Answer>> Folding A printer is considered an output device. - =Answer>> True Durable items are things that can be used over and over for long periods of time. - =Answer>> True An example of an item that is routinely scanned into the computer in many physician practices is: - =Answer>> a. an insurance card b. a consult report c. a test referral Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔