Question 1

An active-duty service member whose family is covered by a TRICARE plan is known as a(n):
A)member.
B)beneficiary.
C)sponsor.
D)enrollee.

Accepted Answer

The answer of An active-duty service member whose family is...

Question 2

If treatment is NOT available at a military treatment facility (MTF), a TRICARE beneficiary must obtain a(n) __________ statement before receiving services from a civilian provider.

Accepted Answer

The answer of If treatment is NOT available at a...

Question 3

The TRICARE preferred provider organization (PPO) plan option is:
A)TRICARE Standard.
B)TRICARE Extra.
C)TRICARE Prime.
D)CHAMPVA.

Accepted Answer

The answer of The TRICARE preferred provider organization (PPO) plan...

Question 4

Under TRICARE Standard, most enrollees pay an annual deductible but no cost share for outpatient charges.

Accepted Answer

A) True 
 B)False

Question 5

The TRICARE regional healthcare finder (HCF) provides preventive services and care for routine illnesses or injuries.

Accepted Answer

A) True 
 B)False

Question 6

The TRICARE plan with the lowest out-of-pocket costs is:
A)TRICARE Standard.
B)TRICARE Extra.
C)TRICARE Prime.
D)CHAMPVA.

Accepted Answer

The answer of The TRICARE plan with the lowest out-of-pocket...

Question 7

The TRICARE health maintenance organization (HMO) plan option is:
A)TRICARE Standard.
B)TRICARE Extra.
C)TRICARE Prime.
D)CHAMPVA.

Accepted Answer

The answer of The TRICARE health maintenance organization (HMO) plan...

Question 8

Active-duty service members who are assigned to permanent duty in a location that is at a distance from sources of military healthcare can obtain services through __________ .

Accepted Answer

TRICARE Pr

Question 9

Nonavailability statements are valid for 12 months after they are issued.

Accepted Answer

A) True 
 B)False

Question 10

What groups of people are eligible for TRICARE coverage?

Accepted Answer

The categories of eligibility

Question 11

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

Accepted Answer

provider t

Question 12

Under TRICARE Prime Remote, referrals to specialists are coordinated by the primary care manager (PCM) and the regional:
A)health care finder (HCF).
B)Department of Veterans Affairs (DVA).
C)military treatment facility (MTF).
D)primary care case manager (PCCM).

Accepted Answer

health car

Question 13

In 1994, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) program name was changed to:
A)the Defense Enrollment Eligibility Reporting System (DEERS).
B)the Veteran's Administration (VA) Health Administration Center.
C)TRICARE.
D)CHAMPVA.

Accepted Answer

The answer of In 1994, the Civilian Health and Medical...

Question 14

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 15

If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary?
A)TRICARE is primary.
B)Medicare is primary.
C)The patient can select which is primary.
D)The provider can select which is primary.

Accepted Answer

The answer of If a beneficiary has both TRICARE Senior...

Question 16

The TRICARE Standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) for active-duty families is:
A)$1,000 per beneficiary.
B)$1,000 per family.
C)$7,500 per beneficiary.
D)$7,500 per family.

Accepted Answer

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

Question 17

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 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

The plan that provides benefits for veterans with 100% service-related disabilities and their families is:
A)TRICARE Standard.
B)TRICARE Extra.
C)TRICARE Prime.
D)CHAMPVA.

Accepted Answer

The answer of The plan that provides benefits for veterans...

Question 20

If a TRICARE Standard beneficiary receives care from a provider who does NOT accept assignment, he or she is responsible for the provider's additional charges up to 115% of the allowable charge.

Accepted Answer

A) True 
 B)False

An active-duty service member whose family is covered by a TRICARE plan is known as a(n): A)member. B)beneficiary. C)sponsor. D)enrollee.

If treatment is NOT available at a military treatment facility (MTF), a TRICARE beneficiary must obtain a(n) __________ statement before receiving services from a civilian provider.

The TRICARE preferred provider organization (PPO) plan option is: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

Under TRICARE Standard, most enrollees pay an annual deductible but no cost share for outpatient charges.

The TRICARE regional healthcare finder (HCF) provides preventive services and care for routine illnesses or injuries.

The TRICARE plan with the lowest out-of-pocket costs is: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

The TRICARE health maintenance organization (HMO) plan option is: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

Active-duty service members who are assigned to permanent duty in a location that is at a distance from sources of military healthcare can obtain services through __________ .

Nonavailability statements are valid for 12 months after they are issued.

What groups of people are eligible for TRICARE coverage?

Under TRICARE Prime Remote, referrals to specialists are coordinated by the primary care manager (PCM) and the regional: A)health care finder (HCF). B)Department of Veterans Affairs (DVA). C)military treatment facility (MTF). D)primary care case manager (PCCM).

In 1994, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) program name was changed to: A)the Defense Enrollment Eligibility Reporting System (DEERS). B)the Veteran's Administration (VA) Health Administration Center. C)TRICARE. D)CHAMPVA.

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

If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary? A)TRICARE is primary. B)Medicare is primary. C)The patient can select which is primary. D)The provider can select which is primary.

The TRICARE Standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) for active-duty families is: A)$1,000 per beneficiary. B)$1,000 per family. C)$7,500 per beneficiary. D)$7,500 per family.

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

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

The plan that provides benefits for veterans with 100% service-related disabilities and their families is: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

If a TRICARE Standard beneficiary receives care from a provider who does NOT accept assignment, he or she is responsible for the provider's additional charges up to 115% of the allowable charge.

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

An active-duty service member whose family is covered by a TRICARE plan is known as a(n): A)member. B)beneficiary. C)sponsor. D)enrollee.

If treatment is NOT available at a military treatment facility (MTF), a TRICARE beneficiary must obtain a(n) __________ statement before receiving services from a civilian provider.

The TRICARE preferred provider organization (PPO) plan option is: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

Under TRICARE Standard, most enrollees pay an annual deductible but no cost share for outpatient charges.

The TRICARE regional healthcare finder (HCF) provides preventive services and care for routine illnesses or injuries.

The TRICARE plan with the lowest out-of-pocket costs is: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

The TRICARE health maintenance organization (HMO) plan option is: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

Active-duty service members who are assigned to permanent duty in a location that is at a distance from sources of military healthcare can obtain services through __________ .

Nonavailability statements are valid for 12 months after they are issued.

What groups of people are eligible for TRICARE coverage?

Under TRICARE Prime Remote, referrals to specialists are coordinated by the primary care manager (PCM) and the regional: A)health care finder (HCF). B)Department of Veterans Affairs (DVA). C)military treatment facility (MTF). D)primary care case manager (PCCM).

In 1994, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) program name was changed to: A)the Defense Enrollment Eligibility Reporting System (DEERS). B)the Veteran's Administration (VA) Health Administration Center. C)TRICARE. D)CHAMPVA.

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

If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary? A)TRICARE is primary. B)Medicare is primary. C)The patient can select which is primary. D)The provider can select which is primary.

The TRICARE Standard annual catastrophic cap (maximum amount beneficiaries are required to pay within 1 year) for active-duty families is: A)$1,000 per beneficiary. B)$1,000 per family. C)$7,500 per beneficiary. D)$7,500 per family.

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

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

The plan that provides benefits for veterans with 100% service-related disabilities and their families is: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

If a TRICARE Standard beneficiary receives care from a provider who does NOT accept assignment, he or she is responsible for the provider's additional charges up to 115% of the allowable charge.

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