MANMED Chapter 18 Quiz

Questions and Answers

Who can approve Limited Duty Medical Evaluation Boards on officers?

Service Headquarters

Who has the responsibility to ensure that the Medical Board Report is complete?

Convening authority for the MTF

Who owns the suitability screening process and makes the suitability determination?

Unit Commanding Officer of the transferring command

Where do you call to obtain authorization for routine medical care if you are on leave in a TRICARE region different from the region where you are enrolled?

PCM Signup and view all the answers

You must notify your PCM within 24 hours of receiving civilian emergency care.

True Signup and view all the answers

Which of the following is not true about the Continued Health Care Benefit Program?

False Signup and view all the answers

An Active Duty Service member has the right to refuse medical care.

True Signup and view all the answers

A copy of an inpatient narrative summary and operative report, if any, should be placed in the outpatient record.

True Signup and view all the answers

A Service member's last level of appeal in the Disability Evaluation System is to the Director, Naval Council of Personnel Boards through a Petition for Relief (PFR). Which of the following is NOT a valid reason for a PFR?

Request for PLD from Service Headquarters was denied on conditional acceptance of Preliminary Findings Signup and view all the answers

A Service member has been found unfit by the Informal Board. Which answer is not an option for the member?

Request a new board Signup and view all the answers

A specialty service or department wishing to withhold or remove information from a patient's primary treatment record must request approval from the MTF's:

Chair, Medical Records Committee Signup and view all the answers

In accordance with MANMED Chapter 18, who has convening authority over Medical Evaluation Boards (MEB)?

Commanding Officer of a naval hospital or naval ambulatory care center Signup and view all the answers

Which of the following statements is NOT true when an active duty Service member plans to become a living organ/tissue donor?

Donor status guarantees promotion eligibility Signup and view all the answers

After two periods of Limited Duty for enlisted Service members (maximum 12 months), additional periods must be forwarded to which organization(s) for approval?

PERS and MMSR-4 Signup and view all the answers

Who can serve as Medical Evaluation Board (MEB) members and initiate a Medical Evaluation Board Report (MEBR)?

Branch medical clinic clinical staff (if delegated by the Convening Authority) Signup and view all the answers

Which of the following is not true about the Continued Health Care Benefit Program?

Eligibility for Federal Employee Health Benefit Plan Signup and view all the answers

What is the maximum period Temporary Limited Duty can be assigned for?

6 months Signup and view all the answers

An Active Duty Service member has the right to refuse medical care.

True Signup and view all the answers

Second periods of limited duty for enlisted Sailors and Marines may be ordered by the convening authority (CA) without Service Headquarters review as long as the total time does not exceed 12 months.

True Signup and view all the answers

Enrollment in EFMP guarantees the Service member will not have to do an unaccompanied tour overseas.

False Signup and view all the answers

Members on active duty who wish to donate an organ or tissue while living, need approval from the Navy Department or Commandant of the Marine Corps.

True Signup and view all the answers

A Courtesy CACO may be assigned for active duty patients placed on the very serious list.

True Signup and view all the answers

A copy of an inpatient narrative summary and operative report should be placed in the outpatient record.

True Signup and view all the answers

Which of the following is NOT a valid reason for a Petition for Relief (PFR)?

Request for PLD from Service Headquarters was denied Signup and view all the answers

An incapacitation ruling for medical evaluation board must have at least one signature by a?

Psychiatrist or PHD level Psychologist Signup and view all the answers

What determines the member's 'fitness or unfitness' determination for continued Naval service?

PEB Signup and view all the answers

Which answer is not an option for a member found unfit by the Informal Board?

Request a new board Signup and view all the answers

A specialty service wishing to withhold or remove information from a patient's primary treatment record must request approval from whom?

Chair, Medical Records Committee Signup and view all the answers

Abbreviated MEBRs prepared for enlisted Sailors or Marines on temporary limited duty shall have final approval from the Convening Authority within ____ days of initial referral.

5 Signup and view all the answers

Active Duty Service Members are Prime enrollees who have first priority of care in MTF's regardless of the enrollment status reflected in DEERS.

True Signup and view all the answers

Active Duty patients admitted for 48 hours or less can be admitted on the SF-539 (Abbreviated Clinical Record).

True Signup and view all the answers

Active duty members are typically placed Sick-in-Quarters (SIQ) for a maximum of how many hours?

72 Signup and view all the answers

An ADSM in a major MTF who becomes critically ill must have a statement of competency included in the medical board signed by a psychiatrist and two other medical officers.

True Signup and view all the answers

How often must an appointed auditor verify the patient's valuables system?

Quarterly Signup and view all the answers

Assignment of a CACO is determined by?

PNOK's address Signup and view all the answers

At fixed Naval MTFs, the CO is responsible for assuring consultative visits by an RHIA or RHIT occur:

Quarterly Signup and view all the answers

The deductible a family must be responsible for if at least two dependent members of an active duty family have utilized TRICARE Prime during the current fiscal year is:

There is no deductible for TRICARE Prime enrollees. Signup and view all the answers

Dependents of active duty members of NATO and other Foreign Military Personnel entitled to MTF care have the same medical access priority as family members of U.S. active duty members enrolled in Prime.

True Signup and view all the answers

Dependents of reservists on 2-week active duty for training are eligible for care at MTFs.

False Signup and view all the answers

Diagnosis Related Groups (DRGs) are based on:

Principal diagnosis, Principal procedure, Substantial complications, Substantial comorbidities Signup and view all the answers

Active duty health records need to be verified upon arriving and detaching, annually, and at _____.

physical exam Signup and view all the answers

For the MEB phase of a medical board, the MTF goal is to submit a complete package to the PEB within ____ days.

78 Signup and view all the answers

What commands are responsible for decedent affairs matters?

Navy Personnel Command Signup and view all the answers

From the following list, identify the time period within which a Personal Casualty Report should be sent.

4 hours Signup and view all the answers

Government funding associated with preparation, casketing, and transportation of remains is provided by?

Marine Corps Casualty Affairs, Navy Casualty Affairs Signup and view all the answers

Honorably discharged veterans, not entitled to retired pay and rated 100% disabled by the Department of Veterans Affairs (DVA), are eligible for care in an MTF.

False Signup and view all the answers

How many Exceptional Family Member categories are there?

Six Signup and view all the answers

How many central screening committees are there for the Exceptional Family Member Program?

Two Signup and view all the answers

How often must someone on the Temporary Disability Retired List (TDRL) be re-evaluated for all conditions except mental health?

Every 18 Months Signup and view all the answers

If a member does not act on the preliminary findings of the Informal PEB, acceptance is presumed on the ____ day after receipt of findings.

16th Signup and view all the answers

If a member is being processed for both disciplinary and disability separation, what will the PEBLO inform the PEB?

That the member is undergoing Dual Process Signup and view all the answers

If a member is found unfit to continue naval service by the Informal PEB, which rights do they have?

Request a formal hearing Signup and view all the answers

If it is anticipated that a Reservist on a Line of Duty cannot be found fit for full duty within ____ months, they must receive a medical board.

12 Signup and view all the answers

In CONUS, when an officer needs to be sent to an MTF for medical care on an outpatient basis, funding is provided by?

The member's command Signup and view all the answers

In all cases, once a divorce decree is finalized the spouse loses all medical benefits.

False Signup and view all the answers

In the field of eligibility, what does the 20-20-20 and 20-20-15 rule refer to?

At least 20 years of creditable service Signup and view all the answers

Inactive patient records should be maintained by the treating hospital for a period of?

2 years plus current year Signup and view all the answers

Individuals who elect to enroll in a Uniformed Services Family Health Plan cannot receive routine care in a Military Treatment Facility.

True Signup and view all the answers

What actions must the PEB take if LCpl Spiker has a medical board pending before the PEB and is awaiting a General Court-Martial?

Dual Process: case stops if a general discharge is received. Signup and view all the answers

Members shall be considered under the Presumption of Fitness rule when the dictation of the member's MEB report occurs:

after the member's request for voluntary retirement is approved, when member is within 12 months of mandatory retirement. Signup and view all the answers

Navy Secretarial Designation approved for an individual could be extended to an Army Military Treatment Facility.

True Signup and view all the answers

Newborns of ex-service maternity beneficiaries and newborns of dependent daughters have the same opportunity for extended Health Care coverage utilizing network care available in the local area.

False Signup and view all the answers

Normally, transfer cases are only used to ship human remains from OCONUS locations.

True Signup and view all the answers

North Atlantic Treaty Organization (NATO), Partnership for Peace (PFP), and Reciprocal Health Care Agreement (RHCA) active duty members and their accompanying family members are eligible for both inpatient and outpatient care in CONUS MTFs.

True Signup and view all the answers

Of the following statements concerning a Medical Transition Company, which is incorrect?

Exclusive to active duty members Signup and view all the answers

Original medical information about a patient should not be removed from a medical record without proper authorization from?

Chair, Medical Records Committee, BUMED, OJAG General Counsel, Board of Correction of Naval Records Signup and view all the answers

Patients being referred to the PEB for adjudication are concurrently placed on LIMDU.

True Signup and view all the answers

Permanent Limited Duty is generally designed for members who wish to be retained until they reach retirement eligibility. This is usually reserved for members with more than how many years of service?

18 Signup and view all the answers

Permanent Limited Duty is requested by the member, approved by the service headquarters, after being found unfit by the Physical Evaluation Board.

True Signup and view all the answers

Personnel suffering from PTSD and no physical traumas are eligible for TSGLI.

False Signup and view all the answers

The Line of Duty/Misconduct Investigation associated with an injury is the responsibility of?

The member's command Signup and view all the answers

The Physical Evaluation Board makes determinations for service members based on?

Fitness for continued naval service Signup and view all the answers

The Statement of Recognition of Deceased (DD565), and the Record of Preparation and Disposition of Remains (DD 2063) are two forms that should always be completed by the decedent affairs officer upon the death of an active duty member.

False Signup and view all the answers

What is the final level of appeal available to an active duty member who disagrees with the findings of the PEB after they appear at the formal board?

Petition for Relief to Director, Naval Council of Personnel Boards Signup and view all the answers

The maximum amount of convalescent leave that may be granted to an active duty service member (with exception to pregnancy) at any one time is?

30 days Signup and view all the answers

The medical record is the property of the U.S. Government and must be maintained by the MTF or DTF which has primary cognizance over the care of the patient.

True Signup and view all the answers

The patient category entered into the system will determine the rate for billing a potentially billable beneficiary.

True Signup and view all the answers

The statement a beneficiary receives in the mail articulating charges, cost shares, deductibles and balances owed is called the _____

Explanation of Benefits (EOB) Signup and view all the answers

To correct a medical record entry, one must draw a line through the information in error, add new information, date, and _____.

sign Signup and view all the answers

Transportation for deceased active duty dependents is paid for by the government.

True Signup and view all the answers

US Naval Hospital is preparing their April edition of the Commander Statement. What month's data are they reviewing?

February Signup and view all the answers

Under the Decedent Affairs program, which of the following is not considered a primary care benefit?

Funeral expenses Signup and view all the answers

Use of the Abbreviated Medical Evaluation Board Report is not acceptable for Officers for the first or second 6 month period of limited duty.

False Signup and view all the answers

What are the three kinds of secondary records commonly used?

Temporary, Convenience, and Ancillary Signup and view all the answers

What conditions have to be met before an active duty member can be considered for the Tricare Prime Remote Program?

Member must work more than 50 miles from an MTF, live more than 50 miles from an MTF, geographic hardships considered. Signup and view all the answers

What determines the color of a medical record jacket?

Second to last digit of SSN Signup and view all the answers

What document must be provided to authorize benefits provided by law for any condition incurred or aggravated by Naval Reserve service requiring medical care extending beyond the termination of duty?

Line of Duty/Notice of Eligibility Signup and view all the answers

What is the minimum percentage of disability rating a service member needs to get disability retired pay?

30% Signup and view all the answers

When can a daughter, age 24, still be eligible for care without being enrolled in the Tricare Young Adult program?

They had an incapacitation ruling prior to age 21 Signup and view all the answers

Which conditions are not eligible for TSGLI?

Depression Signup and view all the answers

Which leave type is recommended by the MTF and approved by the member's chain of command?

Convalescent Leave Signup and view all the answers

Which of the following are SECNAV Designee categories?

Blanket Signup and view all the answers

Which of the following categories of beneficiaries are eligible for interment at Arlington National Cemetery?

Those retired for disability Signup and view all the answers

Which of the following has been delegated down to local COs of Navy MTFs for SECNAV designee status determination?

Newborns of ex-service maternity members Signup and view all the answers

Which of the following is NOT true about the Transition Assistance Management Program (TAMP)?

Provides 12 months of coverage Signup and view all the answers

Which of the following is not an exception under HIPAA for disclosure of personal health information?

Spouse Signup and view all the answers

Which of the following is not authorized to receive a physical exam at an MTF?

21 year old dependent of a sponsor, not enrolled as a full-time college student Signup and view all the answers

Which of the following is required to be submitted with each member being processed for a medical disability?

Report of Medical Examination Signup and view all the answers

Which of the following records contain the original medical documentation?

Outpatient Record Signup and view all the answers

Who are given priority for Access Standards at the MTF?

Active duty service members, their dependents, and retirees Signup and view all the answers

Study Notes

Commanding Officers of naval hospitals or ambulatory care centers hold convening authority over MEBs.
MEB members can include branch medical clinic clinical staff if delegated authority by the Convening Authority.
A Service member's unfitness for continued service is officially determined by the Physical Evaluation Board (PEB).
Second periods of limited duty can be initiated without review by Service Headquarters if combined duration does not exceed 12 months.
Active duty members may request a reconsideration of their findings after being found unfit by the Informal Board.

Medical Care and Rights of Service Members

Active Duty Service members retain the right to refuse medical care.
Members wishing to donate organs or tissues must obtain approval from appropriate authorities like the Navy Department.
Counseling must be provided to members considering living organ donation, including implications for duty assignments and disability benefits.
Service members admitted for 48 hours or less can be recorded on SF-539 for abbreviated clinical records.

Evaluation, Rating, and Disability

A Service member must receive a medical board if not expected to return to full duty within 12 months.
The last appeal level in the Disability Evaluation System is a Petition for Relief (PFR) to the Director, Naval Council of Personnel Boards.
Members eligible for disability retirement must have a minimum disability rating of 30%.

Health Care Benefits and Eligibility

Dependents of active-duty members of NATO and similar foreign personnel receive the same access to MTF care as U.S. dependents.
The TRICARE Prime Remote Program requires members to live or work over 50 miles from an MTF for enrollment.
There is no deductible for families enrolled in TRICARE Prime.
The Continued Health Care Benefit Program does not permit simultaneous participation in the Federal Employee Health Benefit Plan.

Records Management and Privacy

Original medical documentation must remain intact within medical records without unauthorized removal.
Patients can access priority care through MTFs, with Prime enrollees receiving first priority.
Medical records should be verified upon arrival and detachment, annually, and at physical exams.

Decedent Affairs and Casualty Reporting

Responsibilities for decedent affairs fall under the Navy Personnel Command.
The initiation of a Personal Casualty Report should occur within 4 hours of a pertinent event.
Government funding covers the transportation of deceased active-duty dependents.

General Procedures and Documentation

MEB processes require complete reporting within established timeframes, such as 78 days for submitting to PEB.
The use of secondary medical records includes temporary, convenience, and ancillary records.
An abbreviated MEB report cannot be utilized for officers in the initial or second 6-month period of limited duty without proper authorization.

Six categories exist within the Exceptional Family Member Program.
Dual processing may occur if a member is undergoing a disciplinary separation while also being evaluated for disability.

Leave, Benefits, and Miscellaneous

The maximum convalescent leave granted is 30 days and is recommended by MTFs.
Transportation for the remains of deceased dependents is funded by the government.
The explanation of benefits (EOB) outlines the financial responsibilities of beneficiaries regarding charges and coverage.

Additional Regulations and Updates

Documentation for secondary record purposes must adhere to governance from the Chair of the Medical Records Committee.
Service members with PTSD without physical trauma are not eligible for TSGLI.
Children who have an incapacitated ruling before age 21 may remain eligible for care beyond age 24 without enrollment in other programs.

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Test your knowledge on the rules and authority regarding Medical Evaluation Boards as outlined in MANMED Chapter 18. This quiz will cover key aspects such as convening authority and organ donation policies for active duty Service members.