Question 1

In general,after the annual deductible is met,CHAMPVA covers _____ % of most healthcare services and supplies that are medically and/or psychologically necessary.

Accepted Answer

The answer of In general,after the annual deductible is met,CHAMPVA...

Question 2

TRICARE's allowable charge is also known as CHAMPUS Maximum Allowable Charge.

Accepted Answer

A) True 
 B)False

Question 3

TRICARE is organized into ____ geographic regions in the United States and overseas.

Accepted Answer

A)  3 
B)  4 
C)  5 
D)  6 
A)  3 
B)  4 
C)  5 
D)  6

Question 4

In the CHAMPVA program,no prior approval is necessary for referrals to specialists or for diagnostic tests as long as they are considered ________________.

Accepted Answer

The answer of In the CHAMPVA program,no prior approval is...

Question 5

The three basic plan options included in the TRICARE program are TRICARE __________,TRICARE __________,and TRICARE __________.

Accepted Answer

Standard,Extra,Prime (in any o

Question 6

TRICARE's 11 United States' regions have merged to form just three,which are the _________ region,the _________ region,and the _________.

Accepted Answer

West,North,South (in any order

Question 7

Many veterans with service-connected conditions can qualify for cost-free healthcare services if they meet the conditions of a:

Accepted Answer

A)  means test. 
B)  physical disability analysis. 
C)  financial assessment. 
D)  both a and c 
A)  means test. 
B)  physical disability analysis. 
C)  financial assessment. 
D)  both a and c

Question 8

Identify the benefit program designed for spouses or dependents of veterans who are 65 or older.

Accepted Answer

A)  Medicare United 
B)  TRICARE for Life 
C)  CHAMPVA for Life 
D)  TRICARE-CHAMPVA Connect 
A)  Medicare United 
B)  TRICARE for Life 
C)  CHAMPVA for Life 
D)  TRICARE-CHAMPVA Connect

Question 9

What is a nonavailability statement (NAS)?

Accepted Answer

A nonavailability statement is

Question 10

The responsibilities of a TRICARE regional contractor include all of the following,except:

Accepted Answer

A)  establishing provider networks. 
B)  operating TRICARE service centers. 
C)  overseeing conduct on military bases. 
D)  providing healthcare services and support. 
A)  establishing provider networks. 
B)  operating TRICARE service centers. 
C)  overseeing conduct on military bases. 
D)  providing healthcare services and support.

Question 11

What is the Military Health System's mission?

Accepted Answer

"To enhance the Department of Defense (D

Question 12

In the event a provider or beneficiary disagrees with the manner in which a CHAMPVA claim was processed,a/an _____________ may be filed.

Accepted Answer

The answer of In the event a provider or beneficiary...

Question 13

If the needed treatment is not available at an MTF,TRICARE eligibles must always obtain a nonavailability statement (NAS).

Accepted Answer

A) True 
 B)False

Question 14

Congress authorized the creation of the Emergency Maternal and Infant Care program (EMIC)during:

Accepted Answer

A)  the Civil War. 
B)  World War I. 
C)  World War II. 
D)  the Korean War. 
A)  the Civil War. 
B)  World War I. 
C)  World War II. 
D)  the Korean War.

Question 15

Which of the following is not an authorized method for submitting claims to TRICARE electronically?

Accepted Answer

A)  EFT 
B)  eZ TRICARE 
C)  EDI gateway 
D)  Claims clearinghouse 
A)  EFT 
B)  eZ TRICARE 
C)  EDI gateway 
D)  Claims clearinghouse

Question 16

All CHAMPVA claims are sent to one place-the VA Administration in Washington,D.C.

Accepted Answer

A) True 
 B)False

Question 17

CHAMPVA is administered by __________________________.

Accepted Answer

The Depart

Question 18

All CHAMPVA claims,whether electronic or paper,should be sent to the VA Health Administration Center in:

Accepted Answer

A)  Washington, D.C. 
B)  Sacramento, Calif.. 
C)  Denver, Colo.. 
D)  Philadelphia, Pa. 
A)  Washington, D.C. 
B)  Sacramento, Calif.. 
C)  Denver, Colo.. 
D)  Philadelphia, Pa.

Question 19

If treatment is unavailable at an MTF and it becomes necessary for the individual to seek treatment in a civilian hospital,he or she sometimes must obtain a:

Accepted Answer

A)  letter of intent. 
B)  certificate of credible coverage. 
C)  release of information. 
D)  nonavailability statement. 
A)  letter of intent. 
B)  certificate of credible coverage. 
C)  release of information. 
D)  nonavailability statement.

Question 20

Explain the Exceptional Family Member Program (EFMP)and define an "exceptional family member."

Accepted Answer

EFMP is a mandatory enrollment program t

In general,after the annual deductible is met,CHAMPVA covers _____ % of most healthcare services and supplies that are medically and/or psychologically necessary.

TRICARE's allowable charge is also known as CHAMPUS Maximum Allowable Charge.

TRICARE is organized into ____ geographic regions in the United States and overseas.

In the CHAMPVA program,no prior approval is necessary for referrals to specialists or for diagnostic tests as long as they are considered ________________.

The three basic plan options included in the TRICARE program are TRICARE ,TRICARE ,and TRICARE __.

TRICARE's 11 United States' regions have merged to form just three,which are the _____ region,the _ region,and the _____.

Many veterans with service-connected conditions can qualify for cost-free healthcare services if they meet the conditions of a:

Identify the benefit program designed for spouses or dependents of veterans who are 65 or older.

What is a nonavailability statement (NAS)?

The responsibilities of a TRICARE regional contractor include all of the following,except:

What is the Military Health System's mission?

In the event a provider or beneficiary disagrees with the manner in which a CHAMPVA claim was processed,a/an _____________ may be filed.

If the needed treatment is not available at an MTF,TRICARE eligibles must always obtain a nonavailability statement (NAS).

Congress authorized the creation of the Emergency Maternal and Infant Care program (EMIC)during:

Which of the following is not an authorized method for submitting claims to TRICARE electronically?

All CHAMPVA claims are sent to one place-the VA Administration in Washington,D.C.

CHAMPVA is administered by __________________________.

All CHAMPVA claims,whether electronic or paper,should be sent to the VA Health Administration Center in:

If treatment is unavailable at an MTF and it becomes necessary for the individual to seek treatment in a civilian hospital,he or she sometimes must obtain a:

Explain the Exceptional Family Member Program (EFMP)and define an "exceptional family member."

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

Exam 10: Military Carriers

In general,after the annual deductible is met,CHAMPVA covers _____ % of most healthcare services and supplies that are medically and/or psychologically necessary.

TRICARE's allowable charge is also known as CHAMPUS Maximum Allowable Charge.

TRICARE is organized into ____ geographic regions in the United States and overseas.

In the CHAMPVA program,no prior approval is necessary for referrals to specialists or for diagnostic tests as long as they are considered ________________.

The three basic plan options included in the TRICARE program are TRICARE __________,TRICARE __________,and TRICARE __________.

TRICARE's 11 United States' regions have merged to form just three,which are the _________ region,the _________ region,and the _________.

Many veterans with service-connected conditions can qualify for cost-free healthcare services if they meet the conditions of a:

Identify the benefit program designed for spouses or dependents of veterans who are 65 or older.

What is a nonavailability statement (NAS)?

The responsibilities of a TRICARE regional contractor include all of the following,except:

What is the Military Health System's mission?

In the event a provider or beneficiary disagrees with the manner in which a CHAMPVA claim was processed,a/an _____________ may be filed.

If the needed treatment is not available at an MTF,TRICARE eligibles must always obtain a nonavailability statement (NAS).

Congress authorized the creation of the Emergency Maternal and Infant Care program (EMIC)during:

Which of the following is not an authorized method for submitting claims to TRICARE electronically?

All CHAMPVA claims are sent to one place-the VA Administration in Washington,D.C.

CHAMPVA is administered by __________________________.

All CHAMPVA claims,whether electronic or paper,should be sent to the VA Health Administration Center in:

If treatment is unavailable at an MTF and it becomes necessary for the individual to seek treatment in a civilian hospital,he or she sometimes must obtain a:

Explain the Exceptional Family Member Program (EFMP)and define an "exceptional family member."

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

The three basic plan options included in the TRICARE program are TRICARE ,TRICARE ,and TRICARE __.

TRICARE's 11 United States' regions have merged to form just three,which are the _____ region,the _ region,and the _____.