Question 1

What is the role of a primary care manager (PCM) under TRICARE Prime?

Accepted Answer

The PCM is a provider who coordinates an

Question 2

Authorized TRICARE providers include all of the following EXCEPT:
A)chiropractors.
B)doctors of dental medicine.
C)doctors of optometry.
D)psychologists.

Accepted Answer

The answer of Authorized TRICARE providers include all of the...

Question 3

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

Accepted Answer

Defense En

Question 4

The copay for visits to civilian providers under TRICARE Prime is based on the:
A)type of service required.
B)type of physician providing services.
C)military rank of the sponsor.
D)number of dependent family members.

Accepted Answer

military r

Question 5

TRICARE Standard __________

Accepted Answer

is the fee-for-servi

Question 6

TRICARE beneficiaries older than age 65 are eligible for TRICARE for Life if they have:
A)Medicare Part A coverage.
B)Medicare Part B coverage.
C)Medicare Parts A and B coverage.
D)no Medicare coverage.

Accepted Answer

Medicare P

Question 7

Services covered under TRICARE Standard include all of the following EXCEPT:
A)podiatry services.
B)durable medical equipment (DME).
C)mental health care.
D)routine physical examinations.

Accepted Answer

routine ph

Question 8

All active-duty uniformed services members are required to enroll in one of the TRICARE Prime plan options.

Accepted Answer

A) True 
 B)False

Question 9

Once a TRICARE Standard member has reached an annual catastrophic cap, the beneficiary pays 100% of additional charges for that year.

Accepted Answer

A) True 
 B)False

Question 10

The TRICARE plan that is similar to an HMO and requires care to be coordinated by a primary care manager (PCM) is __________ .

Accepted Answer

The answer of The TRICARE plan that is similar to...

Question 11

Under the access standards for TRICARE Prime enrollees, appointment wait time for routine care should NOT exceed:
A)24 hours.
B)3 days.
C)7 days.
D)2 weeks.

Accepted Answer

The answer of Under the access standards for TRICARE Prime...

Question 12

Due to confidentiality regulations, TRICARE claims examiners do NOT provide information to parents or guardians of minors in regard to healthcare services that are related to:
A)abortion.
B)alcoholism or drug abuse.
C)sexually transmitted disease.
D)all of the above.

Accepted Answer

The answer of Due to confidentiality regulations, TRICARE claims examiners...

Question 13

Under TRICARE, what does NAS stand for?
A)Nonavailability statement
B)Nonactive status
C)Nonauthorized service
D)No available surgeons

Accepted Answer

Nonavailab

Question 14

Authorized nonphysician TRICARE providers include all of the following EXCEPT:
A)acupuncturists.
B)audiologists.
C)clinical social workers.
D)speech therapists.

Accepted Answer

The answer of Authorized nonphysician TRICARE providers include all of...

Question 15

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

Accepted Answer

A) True 
 B)False

Question 16

Under the access standards for TRICARE Prime enrollees, appointment wait time for urgent care should NOT exceed:
A)24 hours.
B)48 hours.
C)72 hours.
D)7 days.

Accepted Answer

The answer of Under the access standards for TRICARE Prime...

Question 17

The TRICARE Standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) for retirees is:
A)$1,000.
B)$2,500.
C)$5,000.
D)$7,500.

Accepted Answer

The answer of The TRICARE Standard annual catastrophic cap (maximum...

Question 18

What is TRICARE Senior Prime/TRICARE for Life?

Accepted Answer

TRICARE Senior Prime/TRICARE f

Question 19

The cost share for TRICARE Extra enrollees includes a:
A)$0 deductible.
B)$150 deductible for an individual or $300 for a family.
C)$0 deductible and 20% of outpatient charges.
D)$250 deductible for an individual or $500 for a family.

Accepted Answer

$150 deductible for

Question 20

What is TRICARE Prime Remote (TPR)?

Accepted Answer

TPR is healthcare coverage for active-du

What is the role of a primary care manager (PCM) under TRICARE Prime?

Authorized TRICARE providers include all of the following EXCEPT: A)chiropractors. B)doctors of dental medicine. C)doctors of optometry. D)psychologists.

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

The copay for visits to civilian providers under TRICARE Prime is based on the: A)type of service required. B)type of physician providing services. C)military rank of the sponsor. D)number of dependent family members.

TRICARE Standard __________

TRICARE beneficiaries older than age 65 are eligible for TRICARE for Life if they have: A)Medicare Part A coverage. B)Medicare Part B coverage. C)Medicare Parts A and B coverage. D)no Medicare coverage.

Services covered under TRICARE Standard include all of the following EXCEPT: A)podiatry services. B)durable medical equipment (DME). C)mental health care. D)routine physical examinations.

All active-duty uniformed services members are required to enroll in one of the TRICARE Prime plan options.

Once a TRICARE Standard member has reached an annual catastrophic cap, the beneficiary pays 100% of additional charges for that year.

The TRICARE plan that is similar to an HMO and requires care to be coordinated by a primary care manager (PCM) is __________ .

Under the access standards for TRICARE Prime enrollees, appointment wait time for routine care should NOT exceed: A)24 hours. B)3 days. C)7 days. D)2 weeks.

Due to confidentiality regulations, TRICARE claims examiners do NOT provide information to parents or guardians of minors in regard to healthcare services that are related to: A)abortion. B)alcoholism or drug abuse. C)sexually transmitted disease. D)all of the above.

Under TRICARE, what does NAS stand for? A)Nonavailability statement B)Nonactive status C)Nonauthorized service D)No available surgeons

Authorized nonphysician TRICARE providers include all of the following EXCEPT: A)acupuncturists. B)audiologists. C)clinical social workers. D)speech therapists.

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

Under the access standards for TRICARE Prime enrollees, appointment wait time for urgent care should NOT exceed: A)24 hours. B)48 hours. C)72 hours. D)7 days.

The TRICARE Standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) for retirees is: A)$1,000. B)$2,500. C)$5,000. D)$7,500.

What is TRICARE Senior Prime/TRICARE for Life?

The cost share for TRICARE Extra enrollees includes a: A)$0 deductible. B)$150 deductible for an individual or $300 for a family. C)$0 deductible and 20% of outpatient charges. D)$250 deductible for an individual or $500 for a family.

What is TRICARE Prime Remote (TPR)?

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding 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

Electronic Medical Claims Processing

Filters

Exam 15: Tricare Medical Billing

What is the role of a primary care manager (PCM) under TRICARE Prime?

Authorized TRICARE providers include all of the following EXCEPT: A)chiropractors. B)doctors of dental medicine. C)doctors of optometry. D)psychologists.

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

The copay for visits to civilian providers under TRICARE Prime is based on the: A)type of service required. B)type of physician providing services. C)military rank of the sponsor. D)number of dependent family members.

TRICARE Standard __________

TRICARE beneficiaries older than age 65 are eligible for TRICARE for Life if they have: A)Medicare Part A coverage. B)Medicare Part B coverage. C)Medicare Parts A and B coverage. D)no Medicare coverage.

Services covered under TRICARE Standard include all of the following EXCEPT: A)podiatry services. B)durable medical equipment (DME). C)mental health care. D)routine physical examinations.

All active-duty uniformed services members are required to enroll in one of the TRICARE Prime plan options.

Once a TRICARE Standard member has reached an annual catastrophic cap, the beneficiary pays 100% of additional charges for that year.

The TRICARE plan that is similar to an HMO and requires care to be coordinated by a primary care manager (PCM) is __________ .

Under the access standards for TRICARE Prime enrollees, appointment wait time for routine care should NOT exceed: A)24 hours. B)3 days. C)7 days. D)2 weeks.

Due to confidentiality regulations, TRICARE claims examiners do NOT provide information to parents or guardians of minors in regard to healthcare services that are related to: A)abortion. B)alcoholism or drug abuse. C)sexually transmitted disease. D)all of the above.

Under TRICARE, what does NAS stand for? A)Nonavailability statement B)Nonactive status C)Nonauthorized service D)No available surgeons

Authorized nonphysician TRICARE providers include all of the following EXCEPT: A)acupuncturists. B)audiologists. C)clinical social workers. D)speech therapists.

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

Under the access standards for TRICARE Prime enrollees, appointment wait time for urgent care should NOT exceed: A)24 hours. B)48 hours. C)72 hours. D)7 days.

The TRICARE Standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) for retirees is: A)$1,000. B)$2,500. C)$5,000. D)$7,500.

What is TRICARE Senior Prime/TRICARE for Life?

The cost share for TRICARE Extra enrollees includes a: A)$0 deductible. B)$150 deductible for an individual or $300 for a family. C)$0 deductible and 20% of outpatient charges. D)$250 deductible for an individual or $500 for a family.

What is TRICARE Prime Remote (TPR)?

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding 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

Electronic Medical Claims Processing

Filters