Exam 14: Tricare Medical Billing

Once the standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) has been met, for a beneficiary on TRICARE Standard or TRICARE Extra, TRICARE pays:

(Multiple Choice)

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Question 21

An individual who qualifies for TRICARE is known as a(n):

(Multiple Choice)

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Question 22

Under TRICARE, what does NAS stand for?

(Multiple Choice)

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Question 23

The TRICARE Standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) for retired members' families is:

(Multiple Choice)

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Question 24

The TRICARE plan that offers a higher-cost, point-of-service option for care received from out-of-network providers is:

(Multiple Choice)

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Question 25

Charges for visits to providers outside the TRICARE Prime network are paid 50% by TRICARE and 50% by the beneficiary.

(True/False)

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Question 26

Match the following -An individual who is eligible to receive TRICARE benefits

(Multiple Choice)

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Question 27

The primary care manager (PCM) under TRICARE Prime may be a single military or civilian provider or a group of providers.

(True/False)

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Question 28

Enrollment is NOT required for:

(Multiple Choice)

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Question 29

Under TRICARE Standard, the group of beneficiaries that pays 25% cost share for outpatient services includes all of the following EXCEPT:

(Multiple Choice)

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Question 30

Under the access standards for TRICARE Prime enrollees, appointment wait time for urgent care should NOT exceed:

(Multiple Choice)

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Question 31

The plan that provides benefits for veterans with 100% service-related disabilities and their families is:

(Multiple Choice)

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Question 32

What are the seven health plans available to individuals who are eligible for TRICARE benefits?

(Essay)

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Question 33

The TRICARE reform package submitted in 2016 is projected to save TRICARE about:

(Multiple Choice)

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Question 34

Under the TRICARE Prime point-of-service option, charges for visits to non-network providers are:

(Multiple Choice)

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Question 35

Explain the process for claim examiners who review and receive returned claims that contain sensitive and confidential information.

(Essay)

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Question 36

The TRICARE program covers active-duty service members, retirees, family members, and survivors of eligible armed services members.

(True/False)

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Question 37

Due to confidentiality regulations, TRICARE claims examiners do NOT provide information to parents or guardians of minors in regard to healthcare services that are related to:

(Multiple Choice)

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Question 38

Explain the difference between TRICARE Standard and TRICARE Extra.

(Essay)

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Question 39

The TRICARE plan that is similar to an HMO and requires care to be coordinated by a primary care manager (PCM) is ________.

(Short Answer)

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Question 40

Showing 21 - 40 of 100

Once the standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) has been met, for a beneficiary on TRICARE Standard or TRICARE Extra, TRICARE pays:

An individual who qualifies for TRICARE is known as a(n):

Under TRICARE, what does NAS stand for?

The TRICARE Standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) for retired members' families is:

The TRICARE plan that offers a higher-cost, point-of-service option for care received from out-of-network providers is:

Charges for visits to providers outside the TRICARE Prime network are paid 50% by TRICARE and 50% by the beneficiary.

Match the following -An individual who is eligible to receive TRICARE benefits

The primary care manager (PCM) under TRICARE Prime may be a single military or civilian provider or a group of providers.

Enrollment is NOT required for:

Under TRICARE Standard, the group of beneficiaries that pays 25% cost share for outpatient services includes all of the following EXCEPT:

Under the access standards for TRICARE Prime enrollees, appointment wait time for urgent care should NOT exceed:

The plan that provides benefits for veterans with 100% service-related disabilities and their families is:

What are the seven health plans available to individuals who are eligible for TRICARE benefits?

The TRICARE reform package submitted in 2016 is projected to save TRICARE about:

Under the TRICARE Prime point-of-service option, charges for visits to non-network providers are:

Explain the process for claim examiners who review and receive returned claims that contain sensitive and confidential information.

The TRICARE program covers active-duty service members, retirees, family members, and survivors of eligible armed services members.

Due to confidentiality regulations, TRICARE claims examiners do NOT provide information to parents or guardians of minors in regard to healthcare services that are related to:

Explain the difference between TRICARE Standard and TRICARE Extra.

The TRICARE plan that is similar to an HMO and requires care to be coordinated by a primary care manager (PCM) is ________.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

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