Question 1

TRICARE Prime is a managed care plan that differs from TRICARE Standard in that:

Accepted Answer

A)  beneficiaries are assigned a primary care manager (PCM). 
B)  more preventive services are covered. 
C)  fewer out-of-pocket costs must be paid by beneficiaries. 
D)  All of the above 
A)  beneficiaries are assigned a primary care manager (PCM). 
B)  more preventive services are covered. 
C)  fewer out-of-pocket costs must be paid by beneficiaries. 
D)  All of the above

Question 2

Under the TRICARE Prime plan, the provider who coordinates and manages a patient's medical care is referred to as the ________ manager.

Accepted Answer

The answer of Under the TRICARE Prime plan, the provider...

Question 3

The program that provides medical care for veterans with 100% service-related disabilities is ________.

Accepted Answer

The answer of The program that provides medical care for...

Question 4

Match the following
-The program that provides healthcare coverage to veterans with 100% service-related disabilities

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 5

Under TRICARE Prime, visits to civilian network providers require a copayment dependent on the military rank of the sponsor.

Accepted Answer

A) True 
 B)False

Question 6

Authorized TRICARE providers include all of the following EXCEPT:

Accepted Answer

A)  chiropractors. 
B)  doctors of dental medicine. 
C)  doctors of optometry. 
D)  psychologists. 
A)  chiropractors. 
B)  doctors of dental medicine. 
C)  doctors of optometry. 
D)  psychologists.

Question 7

What is TRICARE Senior Prime/TRICARE for Life?

Accepted Answer

TRICARE Senior Prime/TRICARE f

Question 8

To be eligible for TRICARE, all sponsors and family members must be enrolled in DEERS, which stands for:

Accepted Answer

A)  Department Electronic Enrollment Reporting System. 
B)  Department Early Enrollment Reporting System. 
C)  Defense Electronic Eligibility Reporting System. 
D)  Defense Enrollment Eligibility Reporting System. 
A)  Department Electronic Enrollment Reporting System. 
B)  Department Early Enrollment Reporting System. 
C)  Defense Electronic Eligibility Reporting System. 
D)  Defense Enrollment Eligibility Reporting System.

Question 9

The claims processor for all TRICARE Senior Prime/TRICARE for Life claims is:

Accepted Answer

A)  Blue Cross/Blue Shield. 
B)  the Veterans Administration (V
A)  Health Administration Center. 
C)  the Wisconsin Physicians Service (WPS). 
D)  dependent on the location of the provider. 
A)  Blue Cross/Blue Shield. 
B)  the Veterans Administration (V
A)  Health Administration Center. 
C)  the Wisconsin Physicians Service (WPS). 
D)  dependent on the location of the provider.

Question 10

Authorized nonphysician TRICARE providers include all of the following EXCEPT:

Accepted Answer

A)  acupuncturists. 
B)  audiologists. 
C)  clinical social workers. 
D)  speech therapists. 
A)  acupuncturists. 
B)  audiologists. 
C)  clinical social workers. 
D)  speech therapists.

Question 11

As of October 1, 2016, the TRICARE Prime annual enrollment fee for retired service members is:

Accepted Answer

A)  $0. 
B)  $282 for an individual or $565 for a family. 
C)  $300 for an individual or $600 for a family. 
D)  $520 for an individual or $1,040 for a family. 
A)  $0. 
B)  $282 for an individual or $565 for a family. 
C)  $300 for an individual or $600 for a family. 
D)  $520 for an individual or $1,040 for a family.

Question 12

Penalties or interest charges can be billed to a beneficiary by a physician due to TRICARE's failure to make payment on a timely basis.

Accepted Answer

A) True 
 B)False

Question 13

Under TRICARE Standard, the group of beneficiaries that pays 20% cost share for non-network outpatient services includes:

Accepted Answer

A)  former spouses of active-duty service members. 
B)  families of active-duty service members. 
C)  families of deceased personnel. 
D)  retirees from the military. 
A)  former spouses of active-duty service members. 
B)  families of active-duty service members. 
C)  families of deceased personnel. 
D)  retirees from the military.

Question 14

TRICARE claims are managed in how many separate regions:

Accepted Answer

A)  one. 
B)  two. 
C)  thee. 
D)  four. 
A)  one. 
B)  two. 
C)  thee. 
D)  four.

Question 15

If a Veterans Administration (VA) facility cannot provide necessary medical care for a veteran, an authorization for services will specify all of the following EXCEPT the:

Accepted Answer

A)  provider the patient must see. 
B)  medical services that the VA approves. 
C)  length of period of treatment. 
D)  amount the VA will pay. 
A)  provider the patient must see. 
B)  medical services that the VA approves. 
C)  length of period of treatment. 
D)  amount the VA will pay.

Question 16

The CHAMPVA program is administered by the:

Accepted Answer

A)  Centers for Medicare and Medicaid Services (CMS). 
B)  Department of Defense (Do
D) . 
C)  Veterans Administration (V
A)  Health Administration Center. 
D)  Veterans Administration (V
A)  hospital network. 
A)  Centers for Medicare and Medicaid Services (CMS). 
B)  Department of Defense (Do
D) . 
C)  Veterans Administration (V
A)  Health Administration Center. 
D)  Veterans Administration (V
A)  hospital network.

Question 17

Contractors who process TRICARE claims do NOT provide information to parents of minors when the healthcare services provided are related to drug abuse.

Accepted Answer

A) True 
 B)False

Question 18

When the covered beneficiary is responsible for a portion of the total healthcare costs, this is known as cost ________.

Accepted Answer

The answer of When the covered beneficiary is responsible for...

Question 19

Prescription drug benefits are included in TRICARE Senior Prime/TRICARE for Life.

Accepted Answer

A) True 
 B)False

Question 20

Priority access to military treatment facilities (MTFs) is given to TRICARE Standard and TRICARE Extra beneficiaries.

Accepted Answer

A) True 
 B)False

TRICARE Prime is a managed care plan that differs from TRICARE Standard in that:

Under the TRICARE Prime plan, the provider who coordinates and manages a patient's medical care is referred to as the ________ manager.

The program that provides medical care for veterans with 100% service-related disabilities is ________.

Match the following -The program that provides healthcare coverage to veterans with 100% service-related disabilities

Under TRICARE Prime, visits to civilian network providers require a copayment dependent on the military rank of the sponsor.

Authorized TRICARE providers include all of the following EXCEPT:

What is TRICARE Senior Prime/TRICARE for Life?

To be eligible for TRICARE, all sponsors and family members must be enrolled in DEERS, which stands for:

The claims processor for all TRICARE Senior Prime/TRICARE for Life claims is:

Authorized nonphysician TRICARE providers include all of the following EXCEPT:

As of October 1, 2016, the TRICARE Prime annual enrollment fee for retired service members is:

Penalties or interest charges can be billed to a beneficiary by a physician due to TRICARE's failure to make payment on a timely basis.

Under TRICARE Standard, the group of beneficiaries that pays 20% cost share for non-network outpatient services includes:

TRICARE claims are managed in how many separate regions:

If a Veterans Administration (VA) facility cannot provide necessary medical care for a veteran, an authorization for services will specify all of the following EXCEPT the:

The CHAMPVA program is administered by the:

Contractors who process TRICARE claims do NOT provide information to parents of minors when the healthcare services provided are related to drug abuse.

When the covered beneficiary is responsible for a portion of the total healthcare costs, this is known as cost ________.

Prescription drug benefits are included in TRICARE Senior Prime/TRICARE for Life.

Priority access to military treatment facilities (MTFs) is given to TRICARE Standard and TRICARE Extra beneficiaries.

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 Prime is a managed care plan that differs from TRICARE Standard in that:

Under the TRICARE Prime plan, the provider who coordinates and manages a patient's medical care is referred to as the ________ manager.

The program that provides medical care for veterans with 100% service-related disabilities is ________.

Match the following -The program that provides healthcare coverage to veterans with 100% service-related disabilities

Under TRICARE Prime, visits to civilian network providers require a copayment dependent on the military rank of the sponsor.

Authorized TRICARE providers include all of the following EXCEPT:

What is TRICARE Senior Prime/TRICARE for Life?

To be eligible for TRICARE, all sponsors and family members must be enrolled in DEERS, which stands for:

The claims processor for all TRICARE Senior Prime/TRICARE for Life claims is:

Authorized nonphysician TRICARE providers include all of the following EXCEPT:

As of October 1, 2016, the TRICARE Prime annual enrollment fee for retired service members is:

Penalties or interest charges can be billed to a beneficiary by a physician due to TRICARE's failure to make payment on a timely basis.

Under TRICARE Standard, the group of beneficiaries that pays 20% cost share for non-network outpatient services includes:

TRICARE claims are managed in how many separate regions:

If a Veterans Administration (VA) facility cannot provide necessary medical care for a veteran, an authorization for services will specify all of the following EXCEPT the:

The CHAMPVA program is administered by the:

Contractors who process TRICARE claims do NOT provide information to parents of minors when the healthcare services provided are related to drug abuse.

When the covered beneficiary is responsible for a portion of the total healthcare costs, this is known as cost ________.

Prescription drug benefits are included in TRICARE Senior Prime/TRICARE for Life.

Priority access to military treatment facilities (MTFs) is given to TRICARE Standard and TRICARE Extra beneficiaries.

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