Question 1

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

Accepted Answer

A)  within 6 months from the date a service is provided. 
B)  within 1 year from the date a service is provided. 
C)  by the end of the year in which a service is provided. 
D)  by the end of the year following the year in which a service is provided. 
A)  within 6 months from the date a service is provided. 
B)  within 1 year from the date a service is provided. 
C)  by the end of the year in which a service is provided. 
D)  by the end of the year following the year in which a service is provided.

Question 2

The physician who provides medical care at contracted rates to beneficiaries under the TRICARE Extra program is called a/an ____________________ provider.

Accepted Answer

The answer of The physician who provides medical care at...

Question 3

An NAS certification is required for all TRICARE Standard, TRICARE Extra, and CHAMPVA beneficiaries who wish to receive treatment as inpatients at a civilian hospital and who live within a catchment area surrounding a Uniformed Services medical treatment facility.

Accepted Answer

A) True 
 B)False

Question 4

The Veterans Health Care Expansion Act of 1973 authorized the

Accepted Answer

A)  CHAMPUS program. 
B)  CHAMPVA program. 
C)  TRICARE program. 
D)  VA program. 
A)  CHAMPUS program. 
B)  CHAMPVA program. 
C)  TRICARE program. 
D)  VA program.

Question 5

What does the Computer Matching and Privacy Protection Act of 1988 permit the government to do?

Accepted Answer

Verifies information

Question 6

People NOT entitled to benefits under TRICARE are

Accepted Answer

A)  CHAMPVA beneficiaries. 
B)  dependents of active duty personnel. 
C)  dependents of service personnel who died in active duty. 
D)  military retirees. 
A)  CHAMPVA beneficiaries. 
B)  dependents of active duty personnel. 
C)  dependents of service personnel who died in active duty. 
D)  military retirees.

Question 7

TRICARE Prime and TRICARE Extra claims are

Accepted Answer

A)  filed by the beneficiary to a TRICARE subcontractor. 
B)  filed by the provider to a TRICARE subcontractor. 
C)  paid by capitation, so no claim needs to be filed. 
D)  filed the same as for TRICARE Standard and CHAMPVA claims. 
A)  filed by the beneficiary to a TRICARE subcontractor. 
B)  filed by the provider to a TRICARE subcontractor. 
C)  paid by capitation, so no claim needs to be filed. 
D)  filed the same as for TRICARE Standard and CHAMPVA claims.

Question 8

Health care professionals who may treat a TRICARE patient are

Accepted Answer

A)  doctors of medicine. 
B)  doctors of osteopathy. 
C)  psychologists. 
D)  all of the above. 
A)  doctors of medicine. 
B)  doctors of osteopathy. 
C)  psychologists. 
D)  all of the above.

Question 9

Individuals who qualify for TRICARE are known as ____________________.

Accepted Answer

The answer of Individuals who qualify for TRICARE are known...

Question 10

The health maintenance organization provided for dependents of active duty military personnel is called

Accepted Answer

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

Question 11

TRICARE is subject to state regulatory agencies that control insurance policies.

Accepted Answer

A) True 
 B)False

Question 12

A physician who chooses not to participate in TRICARE bills

Accepted Answer

A)  the total amount of the usual charge. 
B)  the total amount of the customary charge. 
C)  no more than 100% of the TRICARE allowable charge. 
D)  no more than 115% of the TRICARE allowable charge. 
A)  the total amount of the usual charge. 
B)  the total amount of the customary charge. 
C)  no more than 100% of the TRICARE allowable charge. 
D)  no more than 115% of the TRICARE allowable charge.

Question 13

A certified nurse midwife is an authorized provider of health care for TRICARE beneficiaries.

Accepted Answer

A) True 
 B)False

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

The physician who provides medical care at contracted rates to beneficiaries under the TRICARE Extra program is called a/an ____________________ provider.

An NAS certification is required for all TRICARE Standard, TRICARE Extra, and CHAMPVA beneficiaries who wish to receive treatment as inpatients at a civilian hospital and who live within a catchment area surrounding a Uniformed Services medical treatment facility.

The Veterans Health Care Expansion Act of 1973 authorized the

What does the Computer Matching and Privacy Protection Act of 1988 permit the government to do?

People NOT entitled to benefits under TRICARE are

TRICARE Prime and TRICARE Extra claims are

Health care professionals who may treat a TRICARE patient are

Individuals who qualify for TRICARE are known as ____________________.

The health maintenance organization provided for dependents of active duty military personnel is called

TRICARE is subject to state regulatory agencies that control insurance policies.

A physician who chooses not to participate in TRICARE bills

A certified nurse midwife is an authorized provider of health care for TRICARE beneficiaries.

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

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

The physician who provides medical care at contracted rates to beneficiaries under the TRICARE Extra program is called a/an ____________________ provider.

An NAS certification is required for all TRICARE Standard, TRICARE Extra, and CHAMPVA beneficiaries who wish to receive treatment as inpatients at a civilian hospital and who live within a catchment area surrounding a Uniformed Services medical treatment facility.

The Veterans Health Care Expansion Act of 1973 authorized the

What does the Computer Matching and Privacy Protection Act of 1988 permit the government to do?

People NOT entitled to benefits under TRICARE are

TRICARE Prime and TRICARE Extra claims are

Health care professionals who may treat a TRICARE patient are

Individuals who qualify for TRICARE are known as ____________________.

The health maintenance organization provided for dependents of active duty military personnel is called

TRICARE is subject to state regulatory agencies that control insurance policies.

A physician who chooses not to participate in TRICARE bills

A certified nurse midwife is an authorized provider of health care for TRICARE beneficiaries.

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