Question 1

TRICARE Standard and TRICARE Extra are available to beneficiaries throughout the United States and overseas.

Accepted Answer

A) True 
 B)False

Question 2

Which of the following services is covered under TRICARE Standard?

Accepted Answer

A)  chiropractic care 
B)  cosmetic surgery 
C)  mental healthcare 
D)  custodial care 
A)  chiropractic care 
B)  cosmetic surgery 
C)  mental healthcare 
D)  custodial care

Question 3

Match the following
-The TRICARE plan that provides benefits to active-duty service members assigned to permanent duty in a location that is at a distance from sources of military healthcare

Accepted Answer

A)  TRICARE Prime Remote 
B)  TRICARE Senior Prime/TRICARE for Life 
C)  beneficiary 
D)  nonavailability statement (NAS) 
E)  CHAMPVA
F) TRICARE Prime
G) TRICARE Standard
H) sponsor
I) TRICARE Extra
J) primary care manager (PCM) 
A)  TRICARE Prime Remote 
B)  TRICARE Senior Prime/TRICARE for Life 
C)  beneficiary 
D)  nonavailability statement (NAS) 
E)  CHAMPVA
F) TRICARE Prime
G) TRICARE Standard
H) sponsor
I) TRICARE Extra
J) primary care manager (PCM)

Question 4

Paper claims for CHAMPVA may be submitted to:

Accepted Answer

A)  Blue Cross/Blue Shield. 
B)  the Veterans Administration (V
A)  facility that authorized payment of services. 
C)  the Wisconsin Physicians Service (WPS). 
D)  This is dependent on the location of the provider. 
A)  Blue Cross/Blue Shield. 
B)  the Veterans Administration (V
A)  facility that authorized payment of services. 
C)  the Wisconsin Physicians Service (WPS). 
D)  This is dependent on the location of the provider.

Question 5

Match the following
-The TRICARE plan that is a health maintenance organization (HMO) option

Accepted Answer

A)  TRICARE Prime Remote 
B)  TRICARE Senior Prime/TRICARE for Life 
C)  beneficiary 
D)  nonavailability statement (NAS) 
E)  CHAMPVA
F) TRICARE Prime
G) TRICARE Standard
H) sponsor
I) TRICARE Extra
J) primary care manager (PCM) 
A)  TRICARE Prime Remote 
B)  TRICARE Senior Prime/TRICARE for Life 
C)  beneficiary 
D)  nonavailability statement (NAS) 
E)  CHAMPVA
F) TRICARE Prime
G) TRICARE Standard
H) sponsor
I) TRICARE Extra
J) primary care manager (PCM)

Question 6

The TRICARE plan option that provides benefits using a fee-for-service, cost-sharing structure is:

Accepted Answer

A)  TRICARE Standard. 
B)  TRICARE for Life 
C)  TRICARE Prime. 
D)  CHAMPVA. 
A)  TRICARE Standard. 
B)  TRICARE for Life 
C)  TRICARE Prime. 
D)  CHAMPVA.

Question 7

If a TRICARE beneficiary receives services from a nonauthorized provider, the physician can bill:

Accepted Answer

A)  only the usual, customary, and reasonable amount. 
B)  only the authorized contracted amount. 
C)  only the limiting charge. 
D)  any amount for the services. 
A)  only the usual, customary, and reasonable amount. 
B)  only the authorized contracted amount. 
C)  only the limiting charge. 
D)  any amount for the services.

Question 8

Under TRICARE Prime, the primary care manager provides all of the following services EXCEPT:

Accepted Answer

A)  preventive care. 
B)  nonavailability statements when required. 
C)  care for routine illnesses. 
D)  referral to specialists. 
A)  preventive care. 
B)  nonavailability statements when required. 
C)  care for routine illnesses. 
D)  referral to specialists.

Question 9

All the following information must appear on the submitted TRICARE claim form EXCEPT:

Accepted Answer

A)  beneficiary's signature. 
B)  referring physician's name. 
C)  provider's date of birth. 
D)  sponsor's social security number. 
A)  beneficiary's signature. 
B)  referring physician's name. 
C)  provider's date of birth. 
D)  sponsor's social security number.

Question 10

What is TRICARE Prime Remote (TPR)?

Accepted Answer

TPR is healthcare coverage for active-du

Question 11

The TRICARE preferred provider organization (PPO) plan option is:

Accepted Answer

A)  TRICARE Standard. 
B)  TRICARE Extra. 
C)  TRICARE Prime. 
D)  CHAMPVA. 
A)  TRICARE Standard. 
B)  TRICARE Extra. 
C)  TRICARE Prime. 
D)  CHAMPVA.

Question 12

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

Accepted Answer

A)  24 hours. 
B)  3 days. 
C)  7 days. 
D)  2 weeks. 
A)  24 hours. 
B)  3 days. 
C)  7 days. 
D)  2 weeks.

Question 13

All armed services sponsors and family members must be enrolled in the ________ Reporting System to be eligible for TRICARE.

Accepted Answer

Defense En

Question 14

No further family benefits are provided in the event that an active duty military person served from 4 to 6 years and then chose to leave the armed services, thereby giving up a military career.

Accepted Answer

A) True 
 B)False

Question 15

Match the following
-The term used by TRICARE to describe the active-duty service member whose status qualifies family members for coverage

Accepted Answer

A)  TRICARE Prime Remote 
B)  TRICARE Senior Prime/TRICARE for Life 
C)  beneficiary 
D)  nonavailability statement (NAS) 
E)  CHAMPVA
F) TRICARE Prime
G) TRICARE Standard
H) sponsor
I) TRICARE Extra
J) primary care manager (PCM) 
A)  TRICARE Prime Remote 
B)  TRICARE Senior Prime/TRICARE for Life 
C)  beneficiary 
D)  nonavailability statement (NAS) 
E)  CHAMPVA
F) TRICARE Prime
G) TRICARE Standard
H) sponsor
I) TRICARE Extra
J) primary care manager (PCM)

Question 16

Under TRICARE Prime Remote, referrals to specialists are coordinated by the primary care manager (PCM) and the regional:

Accepted Answer

A)  healthcare finder (HCF). 
B)  Department of Veterans Affairs (DV
A) . 
C)  military treatment facility (MTF). 
D)  primary care case manager (PCCM). 
A)  healthcare finder (HCF). 
B)  Department of Veterans Affairs (DV
A) . 
C)  military treatment facility (MTF). 
D)  primary care case manager (PCCM).

Question 17

What is the role of a healthcare finder (HCF)?

Accepted Answer

The regional HCF ass

Question 18

Under TRICARE Standard, if care is available from a military treatment facility (MTF) but the patient prefers to receive similar care at a civilian facility, he or she can do so after obtaining a nonavailability statement (NAS).

Accepted Answer

A) True 
 B)False

Question 19

In 2018, TRICARE Senior Prime/TFL beneficiaries will begin paying an annual enrollment fee:

Accepted Answer

A)  set at 5% of gross retired pay. 
B)  not to exceed $200. 
C)  set at 1% of gross retired pay. 
D)  not to exceed $600. 
A)  set at 5% of gross retired pay. 
B)  not to exceed $200. 
C)  set at 1% of gross retired pay. 
D)  not to exceed $600.

Question 20

Under TRICARE, what does MTF stand for?

Accepted Answer

A)  Medical treatment for forces 
B)  Military treatment facility 
C)  Military training families 
D)  Medical training facility 
A)  Medical treatment for forces 
B)  Military treatment facility 
C)  Military training families 
D)  Medical training facility

TRICARE Standard and TRICARE Extra are available to beneficiaries throughout the United States and overseas.

Which of the following services is covered under TRICARE Standard?

Match the following -The TRICARE plan that provides benefits to active-duty service members assigned to permanent duty in a location that is at a distance from sources of military healthcare

Paper claims for CHAMPVA may be submitted to:

Match the following -The TRICARE plan that is a health maintenance organization (HMO) option

The TRICARE plan option that provides benefits using a fee-for-service, cost-sharing structure is:

If a TRICARE beneficiary receives services from a nonauthorized provider, the physician can bill:

Under TRICARE Prime, the primary care manager provides all of the following services EXCEPT:

All the following information must appear on the submitted TRICARE claim form EXCEPT:

What is TRICARE Prime Remote (TPR)?

The TRICARE preferred provider organization (PPO) plan option is:

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

All armed services sponsors and family members must be enrolled in the ________ Reporting System to be eligible for TRICARE.

No further family benefits are provided in the event that an active duty military person served from 4 to 6 years and then chose to leave the armed services, thereby giving up a military career.

Match the following -The term used by TRICARE to describe the active-duty service member whose status qualifies family members for coverage

Under TRICARE Prime Remote, referrals to specialists are coordinated by the primary care manager (PCM) and the regional:

What is the role of a healthcare finder (HCF)?

Under TRICARE Standard, if care is available from a military treatment facility (MTF) but the patient prefers to receive similar care at a civilian facility, he or she can do so after obtaining a nonavailability statement (NAS).

In 2018, TRICARE Senior Prime/TFL beneficiaries will begin paying an annual enrollment fee:

Under TRICARE, what does MTF stand for?

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

Filters

Exam 14: Tricare Medical Billing

TRICARE Standard and TRICARE Extra are available to beneficiaries throughout the United States and overseas.

Which of the following services is covered under TRICARE Standard?

Match the following -The TRICARE plan that provides benefits to active-duty service members assigned to permanent duty in a location that is at a distance from sources of military healthcare

Paper claims for CHAMPVA may be submitted to:

Match the following -The TRICARE plan that is a health maintenance organization (HMO) option

The TRICARE plan option that provides benefits using a fee-for-service, cost-sharing structure is:

If a TRICARE beneficiary receives services from a nonauthorized provider, the physician can bill:

Under TRICARE Prime, the primary care manager provides all of the following services EXCEPT:

All the following information must appear on the submitted TRICARE claim form EXCEPT:

What is TRICARE Prime Remote (TPR)?

The TRICARE preferred provider organization (PPO) plan option is:

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

All armed services sponsors and family members must be enrolled in the ________ Reporting System to be eligible for TRICARE.

No further family benefits are provided in the event that an active duty military person served from 4 to 6 years and then chose to leave the armed services, thereby giving up a military career.

Match the following -The term used by TRICARE to describe the active-duty service member whose status qualifies family members for coverage

Under TRICARE Prime Remote, referrals to specialists are coordinated by the primary care manager (PCM) and the regional:

What is the role of a healthcare finder (HCF)?

Under TRICARE Standard, if care is available from a military treatment facility (MTF) but the patient prefers to receive similar care at a civilian facility, he or she can do so after obtaining a nonavailability statement (NAS).

In 2018, TRICARE Senior Prime/TFL beneficiaries will begin paying an annual enrollment fee:

Under TRICARE, what does MTF stand for?

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

Filters