Question 1

TRICARE, formerly known as CHAMPUS, is funded through

Accepted Answer

A)  the U.S. Congress. 
B)  individual states. 
C)  individual regions. 
D)  military contributions. 
A)  the U.S. Congress. 
B)  individual states. 
C)  individual regions. 
D)  military contributions.

Question 2

A partnership program permits TRICARE-eligible people to receive inpatient treatment from civilian providers of care in a military hospital.

Accepted Answer

A) True 
 B)False

Question 3

CHAMPVA's eligibility requirements refer to children as those who are unmarried and younger than the age of ____________________, regardless of whether dependent or not, or up to the age of ____________________ if enrolled in a course of instruction at an approved educational institution.

Accepted Answer

The answer of CHAMPVA's eligibility requirements refer to children as...

Question 4

The time limit within which a TRICARE inpatient claim must be filed is

Accepted Answer

A)  within 1 year from the date a service is provided. 
B)  by the end of the year in which the service is provided. 
C)  within 1 year from a patient's discharge from an inpatient facility. 
D)  by the end of the year following a patient's discharge from an inpatient facility. 
A)  within 1 year from the date a service is provided. 
B)  by the end of the year in which the service is provided. 
C)  within 1 year from a patient's discharge from an inpatient facility. 
D)  by the end of the year following a patient's discharge from an inpatient facility.

Question 5

Active duty service members are eligible for TRICARE Extra.

Accepted Answer

A) True 
 B)False

Question 6

What payment does a participating provider agree to accept when assignment is accepted in a TRICARE case?

Accepted Answer

The TRICARE-determin

Question 7

The physician who is responsible for coordinating and managing all of the health care for the TRICARE Prime patient is referred to as a/an

Accepted Answer

A)  PCM. 
B)  PCP. 
C)  gatekeeper. 
D)  HCF. 
A)  PCM. 
B)  PCP. 
C)  gatekeeper. 
D)  HCF.

Question 8

CHAMPVA is a/an

Accepted Answer

A)  insurance program. 
B)  service benefit program. 
C)  both a and b. 
D)  neither a nor b. 
A)  insurance program. 
B)  service benefit program. 
C)  both a and b. 
D)  neither a nor b.

Question 9

The NAS catchment area is

Accepted Answer

A)  defined by ZIP codes. 
B)  determined by the availability of hospitals in the area. 
C)  based on an area of about 40 miles in radius surrounding each USMTF. 
D)  both a and c 
A)  defined by ZIP codes. 
B)  determined by the availability of hospitals in the area. 
C)  based on an area of about 40 miles in radius surrounding each USMTF. 
D)  both a and c

Question 10

TRICARE is considered primary to Medicare for people younger than age 65 who have Medicare Part A as a result of a disability and who have enrolled in Medicare Part B.

Accepted Answer

A) True 
 B)False

Question 11

The active duty service member whose family members are covered under TRICARE is called the ____________________.

Accepted Answer

The answer of The active duty service member whose family...

Question 12

A person who has served in the Armed Forces of the United States, especially in a time of war, who is no longer in the service and has received an honorable discharge is called a/an ____________________.

Accepted Answer

The answer of A person who has served in the...

Question 13

Who determines eligibility in the CHAMPVA program?

Accepted Answer

Department

Question 14

An NAS is a

Accepted Answer

A)  certification of the status of a military hospital. 
B)  certification of the status of a civilian hospital. 
C)  certification from a civilian hospital stating specific treatment that was denied. 
D)  certification from a military hospital stating that it cannot provide the necessary care. 
A)  certification of the status of a military hospital. 
B)  certification of the status of a civilian hospital. 
C)  certification from a civilian hospital stating specific treatment that was denied. 
D)  certification from a military hospital stating that it cannot provide the necessary care.

Question 15

Enrollment in TRICARE Prime is voluntary.

Accepted Answer

A) True 
 B)False

Question 16

Where are claims for patients on active duty sent?

Accepted Answer

The specific branch of service

Question 17

The TRICARE fiscal year extends from

Accepted Answer

A)  January 1 to December 31. 
B)  April 1 to March 31. 
C)  July 1 to June 30. 
D)  October 1 to September 30. 
A)  January 1 to December 31. 
B)  April 1 to March 31. 
C)  July 1 to June 30. 
D)  October 1 to September 30.

Question 18

If a TRICARE Extra claim is submitted with several items and several dates of service, the time limit that would apply to the claim for filing would be

Accepted Answer

A)  the last date of service listed on the claim. 
B)  the date on which the claim was signed. 
C)  individual time limits for each item on the claim. 
D)  the date of the first item listed on the claim. 
A)  the last date of service listed on the claim. 
B)  the date on which the claim was signed. 
C)  individual time limits for each item on the claim. 
D)  the date of the first item listed on the claim.

Question 19

An organization under contract to the government that handles insurance claims for care received under the TRICARE program is known as a/an ____________________.

Accepted Answer

The answer of An organization under contract to the government...

Question 20

The three choices of health care coverage for families of active duty military personnel, military retirees, and their dependents are

Accepted Answer

A)  CHAMPUS, CHAMPVA, and TRICARE. 
B)  military coverage, CHAMPUS, and CHAMPVA. 
C)  TRICARE Standard, TRICARE Prime, and TRICARE Extra. 
D)  TRICARE, TRICARE Plus, and TRICARE Premium. 
A)  CHAMPUS, CHAMPVA, and TRICARE. 
B)  military coverage, CHAMPUS, and CHAMPVA. 
C)  TRICARE Standard, TRICARE Prime, and TRICARE Extra. 
D)  TRICARE, TRICARE Plus, and TRICARE Premium.

TRICARE, formerly known as CHAMPUS, is funded through

A partnership program permits TRICARE-eligible people to receive inpatient treatment from civilian providers of care in a military hospital.

CHAMPVA's eligibility requirements refer to children as those who are unmarried and younger than the age of , regardless of whether dependent or not, or up to the age of if enrolled in a course of instruction at an approved educational institution.

The time limit within which a TRICARE inpatient claim must be filed is

Active duty service members are eligible for TRICARE Extra.

What payment does a participating provider agree to accept when assignment is accepted in a TRICARE case?

The physician who is responsible for coordinating and managing all of the health care for the TRICARE Prime patient is referred to as a/an

CHAMPVA is a/an

The NAS catchment area is

TRICARE is considered primary to Medicare for people younger than age 65 who have Medicare Part A as a result of a disability and who have enrolled in Medicare Part B.

The active duty service member whose family members are covered under TRICARE is called the ____________________.

A person who has served in the Armed Forces of the United States, especially in a time of war, who is no longer in the service and has received an honorable discharge is called a/an ____________________.

Who determines eligibility in the CHAMPVA program?

An NAS is a

Enrollment in TRICARE Prime is voluntary.

Where are claims for patients on active duty sent?

The TRICARE fiscal year extends from

If a TRICARE Extra claim is submitted with several items and several dates of service, the time limit that would apply to the claim for filing would be

An organization under contract to the government that handles insurance claims for care received under the TRICARE program is known as a/an ____________________.

The three choices of health care coverage for families of active duty military personnel, military retirees, and their dependents are

Role of an Insurance Billing Specialist

Compliance, Privacy, Fraud, and Abuse in Insurance Billing

Basics of Health Insurance

Medical Documentation and the Electronic Health Record

Diagnostic Coding

Procedural Coding

The Paper Claim: Cms-1500 02-12

The Electronic Claim

Receiving Payments and Insurance Problem Solving

Office and Insurance Collection Strategies

The Blue Plans, Private Insurance, and Managed Care Plans

Medicare

Medicaid and Other State Programs

Workers Compensation

Disability Income Insurance and Disability Benefit Programs

Hospital Billing

Seeking a Job and Attaining Professional Advancement

Filters

Exam 14: Tricare and Veterans Health Care

TRICARE, formerly known as CHAMPUS, is funded through

A partnership program permits TRICARE-eligible people to receive inpatient treatment from civilian providers of care in a military hospital.

CHAMPVA's eligibility requirements refer to children as those who are unmarried and younger than the age of ____________________, regardless of whether dependent or not, or up to the age of ____________________ if enrolled in a course of instruction at an approved educational institution.

The time limit within which a TRICARE inpatient claim must be filed is

Active duty service members are eligible for TRICARE Extra.

What payment does a participating provider agree to accept when assignment is accepted in a TRICARE case?

The physician who is responsible for coordinating and managing all of the health care for the TRICARE Prime patient is referred to as a/an

CHAMPVA is a/an

The NAS catchment area is

TRICARE is considered primary to Medicare for people younger than age 65 who have Medicare Part A as a result of a disability and who have enrolled in Medicare Part B.

The active duty service member whose family members are covered under TRICARE is called the ____________________.

A person who has served in the Armed Forces of the United States, especially in a time of war, who is no longer in the service and has received an honorable discharge is called a/an ____________________.

Who determines eligibility in the CHAMPVA program?

An NAS is a

Enrollment in TRICARE Prime is voluntary.

Where are claims for patients on active duty sent?

The TRICARE fiscal year extends from

If a TRICARE Extra claim is submitted with several items and several dates of service, the time limit that would apply to the claim for filing would be

An organization under contract to the government that handles insurance claims for care received under the TRICARE program is known as a/an ____________________.

The three choices of health care coverage for families of active duty military personnel, military retirees, and their dependents are

Role of an Insurance Billing Specialist

Compliance, Privacy, Fraud, and Abuse in Insurance Billing

Basics of Health Insurance

Medical Documentation and the Electronic Health Record

Diagnostic Coding

Procedural Coding

The Paper Claim: Cms-1500 02-12

The Electronic Claim

Receiving Payments and Insurance Problem Solving

Office and Insurance Collection Strategies

The Blue Plans, Private Insurance, and Managed Care Plans

Medicare

Medicaid and Other State Programs

Workers Compensation

Disability Income Insurance and Disability Benefit Programs

Hospital Billing

Seeking a Job and Attaining Professional Advancement

Filters

CHAMPVA's eligibility requirements refer to children as those who are unmarried and younger than the age of , regardless of whether dependent or not, or up to the age of if enrolled in a course of instruction at an approved educational institution.