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A comprehensive review of the map certification exam, covering key concepts and providing answers to frequently asked questions. It is a valuable resource for individuals preparing for the map certification exam, offering insights into various aspects of medication administration, including osha regulations, insurance billing, and coding practices. A wide range of questions and answers, covering topics such as medical necessity, fraud, and the role of insurance specialists in healthcare.
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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
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - When was OSHA created - =Answer>> 1970 time limit for the first report of injury - =Answer>> 24 hours to 14 calendar days federal employee health benefit program part of BCBS - =Answer>> FEHBP The pioneers on nonprofit prepaid health care - =Answer>> the blues Who regulates outsourcing of active collection agencies
documentation submitted to an insurance plan requesting reimbursement for services provided by provider - =Answer>> claim what payment system includes CHAMPVA, medicaid and medicare - =Answer>> federal established payment system for ambulance services for Medicare beneficiaries - =Answer>> ambulance fee services home health prospective payment system established: reimbursement rates for ___ days - =Answer>> 60 what are divided into these three components: work + practice expense + malpractice - =Answer>> RVUs DHHS - =Answer>> Department of Health and Human Services process of reporting diagnoses, procedure, and service as numeric and alphanumeric characters on insurance claims forms - =Answer>> coding what are the levels of coding: _______ , ________ and level three was phased out - =Answer>> CPT and HCPCS a claim is ______ to the patient if the 3rd party payer denies due to non-covered services - =Answer>> billed skills of _____ include: knowledge of anatomy, physiology, and medical terminology - =Answer>> HIS _________ of HIS do not include calling the patient concerning prescriptions - =Answer>> responsibilities Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
GAF, payment limits are also established by adjusting the RVU's for each locality - =Answer>> geographic adjustment factors a particular diagnosis may not have received direct treatment during the visit but it affect what the provider does and must be considered - =Answer>> medically managed S in SOAP - =Answer>> subjective O in SOAP - =Answer>> objective A in SOAP - =Answer>> assessment P in SOAP - =Answer>> plan the plan is a _________of physicians plan for work-up and medical management of the case - =Answer>> statement short narrative of minor procedure in physician office - =Answer>> operative report OCR - =Answer>> optical character reader Who receives reimbursement for assignment of benefits - =Answer>> provider agrees to accept payment from the payer excludes deductibles, co-pays, and co-insurance - =Answer>> accept assignment Contract that protects the policyholder from loss of guaranteed payment to the insurance in case of an Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
alternative to group health insurance covered and provides comprehensive health care services to voluntary enrolled members on a prepaid basis - =Answer>> HMO HMO, PPO, EPO, IDS, POS - =Answer>> managed care models managed care organization - =Answer>> MCO franklin health assurance company of massachusetts was the _____ health insurance policy - =Answer>> first Who reports changes in insurance information to the news media - =Answer>> secretary of DHHS occupational safety issues and work related issues - =Answer>> OSHA Health insurance portability and accountability act of ____ to improve the portability and continuity of health insurance coverage - =Answer>> 1996 Health insurance portability and accountability act - =Answer>> HIPAA provides plan offered by a single insurance plan that offers a choice of HMO, PPO, and or traditional insurance plan - =Answer>> triple option _________ uninsured children are federally funded in Arizona - =Answer>> 75% state children's health insurance program with a monthly premium - =Answer>> SCHIP Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
65 or older, disabled, renal kidney chronic disease, 10+ years work with medicare, total blindness - =Answer>> medicare eligible designed to supplement medicare benefits; pays services medicare does not; does not replace medicare benefits - =Answer>> medigap medicare part _____: physician's services inpatient and outpatient - =Answer>> b patient that has not been seen in the office after one and a half year - =Answer>> established patient person responsible to pay - =Answer>> guarantor person who is name is on the insurance - =Answer>> policyholder participating provider; accepts assignment - =Answer>> PAR non-participating provider - =Answer>> non-PAR policyholder whose birth month and day are earlier, year does not count - =Answer>> birthday rule document used by the provider and other personnel to record diagnosis and services rendered at the time of the patient's visit - =Answer>> superbill Patient responsibility after medicare pays is ______ % of allowed - =Answer>> 20% resource based relative value scale - =Answer>> RBRVS Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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