MAAC Practice Questions (2026) — Free Sample Questions with Answers

Answer: D

Ask the parent detailed questions about how each bruise happened: Investigating is not the MAA's role and may put the child at risk.

Note the bruises in the chart and see whether they recur at the next visit: Waiting delays a report that is required on reasonable suspicion, not proof.

Call the child's school to ask whether staff have noticed bruising: Contacting the school discloses PHI and investigates instead of reporting.

Tell the provider promptly and report per state law and office policy: Correct. Suspected abuse must be reported to the appropriate agency per state law; notifying the provider promptly starts the office's reporting process.

Mandatory reporting is based on reasonable suspicion; report through the provider and the agency named in state law.

Answer: A

What work or task has the dog been trained to perform?: Correct. When the need is not obvious, staff may ask only whether the dog is required because of a disability and what work or task it is trained to perform.

Can you show a certification or ID card for the dog?: The ADA does not allow staff to demand documentation for a service animal.

What disability requires you to have the dog with you?: Staff may not ask about the nature of the person's disability.

Can the dog show me the task it performs for you?: Staff may not ask for a demonstration of the dog's task.

ADA: only two questions are allowed (is it required because of a disability; what task is it trained to do), with no documentation or demonstration.

Answer: D

Cancel the visit, since care cannot start without the acknowledgment: Treatment cannot be conditioned on signing the acknowledgment.

Have the patient sign a HIPAA authorization form instead: An authorization is a different document for disclosures outside TPO.

Ask the provider to sign the acknowledgment for the patient: Only the patient can acknowledge receipt; others cannot sign for them.

Document the good-faith attempt and refusal, then continue: Correct. HIPAA requires only a good-faith effort to obtain the acknowledgment; a refusal is documented and care proceeds.

NPP acknowledgment: make a good-faith attempt; if refused, document and proceed.

Answer: C

1. 1. A 30-minute procedure needs two open 15-minute slots in a row.
2. 2. 1:15 is followed by a booked slot at 1:30, so it fails.
3. 3. 2:00 is followed by a booked slot at 2:15, so it fails.
4. 4. 2:30 and 2:45 are both open, so the procedure runs 2:30–3:00.

1:15: Only one 15-minute slot is open before the 1:30 new patient visit.

2:00: Only one slot is open before the 2:15 follow-up; the procedure would overlap it.

2:30: Correct. 2:30 and 2:45 are two open 15-minute slots in a row, giving 30 minutes before the 3:00 physical.

3:30: This time fits, but it is not the earliest; 2:30 already works.

Book by procedure length: find consecutive open slots that cover the full time needed.

Answer: B

A prior authorization from the Medicare contractor: Original Medicare generally does not use prior authorization for routine screening tests; frequency limits are handled with an ABN.

A signed ABN explaining that Medicare may not pay: Correct. The ABN is given before a service that Medicare may deny, so the patient can choose and accept financial responsibility.

A signed ABN obtained after the claim is denied: Right form, wrong time: an ABN signed after the service is not valid.

A referral from the patient's primary care provider: Referrals are a managed-care requirement, not a Medicare frequency notice.

ABN: Original Medicare, before the service, when it may be denied as not reasonable and necessary.

Answer: D

1. 1. Sort by the last pair (primary digits): 02, then 03, 03, then 11.
2. 2. 40-15-02 is first.
3. 3. Break the 03 tie with the middle pair: 02 before 14, so 91-02-03 is second and 22-14-03 third.
4. 4. 05-36-11 is last.

05-36-11: This would be first in straight numeric filing; in terminal-digit filing its primary digits (11) put it last.

22-14-03: Primary 03 ties with 91-02-03, but secondary 14 is higher than 02, so this files third.

40-15-02: Primary digits 02 are the lowest, so this label files first, not second.

91-02-03: Correct. Primary 02 (40-15-02) files first; of the two 03s, secondary 02 comes before 14, so 91-02-03 is second.

Terminal-digit filing sorts by the last pair, then the middle pair, then the first pair.

Answer: C

The father, as the policyholder: The policyholder (subscriber) owns the insurance; the guarantor named on the agreement owns the bill.

The patient, as the person treated: A minor is generally not financially responsible; the statement goes to the guarantor.

The mother, as the guarantor: Correct. Statements go to the guarantor, the person who accepted financial responsibility for the account.

Both parents, as joint guarantors: Only the mother signed as guarantor; listing the father adds a party who did not accept the account.

The guarantor receives patient statements; the insurance subscriber and the patient may be different people.

Answer: D

Send the claim as marked, since the provider checked both services: A checkmark on the encounter form does not replace documentation; billing an undocumented service risks a false claim.

Delete the lesion removal and send the claim for the visit only: The MAA should not change charges on assumption; the procedure may have been done and not yet documented.

Send the claim now and ask the provider to add the note later: This is the right request in the wrong order; the claim must not go out until documentation supports it.

Hold the claim and ask the provider to review the note and charges: Correct. Every billed service must be supported by documentation; the provider must either document the procedure or remove the charge before the claim is sent.

If it was not documented, it was not done: claims are released only after the record supports each charge, and the provider resolves discrepancies.

Answer: A

Correct the ID and resubmit it as a new claim: Correct. A rejected claim never entered the payer's system, so it is fixed and sent again as a new claim.

Submit a corrected claim that replaces the original: A replacement claim is used for a claim the payer already processed; a rejected claim has no original on file to replace.

File an appeal with the payer's appeals unit: Appeals dispute a payer's payment decision; the payer never received this claim.

Wait for the payer's remittance to explain it: No remittance will come, because the payer never received the claim.

Rejections (front-end edits) are corrected and resubmitted; denials (adjudicated claims) are corrected or appealed.

Answer: C

Not covered, since she has no PCP referral: The referral rule applies to in-network specialists; the card shows out-of-network care is covered without one.

In network, with the $45 specialist copay: The $45 copay is an in-network benefit, and this practice is not in her network.

Out of network: 60% after the deductible: Correct. A POS plan lets members go outside the network without a referral at a lower benefit level: here, 60% after the $1,000 deductible.

In network, once a PCP referral is on file: A referral does not make an out-of-network practice in network; the visit would still be paid at the out-of-network level.

POS = HMO-style referrals in network, plus out-of-network coverage without a referral at a lower benefit; read the card to see which tier applies.

Answer: D

Medicare, because she is no longer working: Her own retirement does not matter; coverage through her spouse's current employment counts under MSP.

Medicare, because the employer has under 100 employees: The 100-employee threshold applies to disability-based Medicare; the working-aged threshold is 20 employees.

Medicare, because she is covered as a dependent, not the employee: Coverage as a spouse counts the same as the worker's own coverage under the MSP working-aged rule.

Her husband's group health plan: Correct. Under the MSP working-aged rule, a group plan based on the current employment of the patient or spouse is primary when the employer has 20 or more employees.

MSP working aged: a group health plan from the patient's or spouse's current employment with 20+ employees pays before Medicare.

Answer: A

As not breathing normally; start the CPR and AED response: Correct. Occasional gasping (agonal breathing) is not normal breathing and signals cardiac arrest.

As adequate breathing; place him in the recovery position: Gasping is not adequate breathing; the recovery position would delay CPR.

As a sign he is waking up; recheck him in two minutes: Waiting delays CPR and defibrillation during cardiac arrest.

As a seizure; protect his head and time the event: Brief jerking can accompany arrest, but unresponsiveness with gasping calls for CPR and the AED.

An unresponsive person who is only gasping is in cardiac arrest: call 911, get the AED and begin CPR.