Exam 15: Tricare Medical Billing

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Under TRICARE Standard, if care is available from a military treatment facility (MTF) but the patient prefers to receive similar care at a civilian facility, he or she can do so after obtaining a nonavailability statement (NAS).

(True/False)
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What is CHAMPVA?

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Active-duty service members are NOT eligible to enroll in: A)TRICARE Standard. B)TRICARE Extra. C)TRICARE Prime. D)CHAMPVA.

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The CHAMPVA program is administered by the: A)Centers for Medicare and Medicaid Services (CMS). B)Department of Defense (DoD). C)Veteran's Administration (VA) Health Administration Center. D)Veteran's Administration (VA) hospital network.

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Under TRICARE Prime, visits to civilian network providers require a copayment dependent on the military rank of the sponsor.

(True/False)
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Prescription drug benefits are included in TRICARE Senior Prime/TRICARE for Life.

(True/False)
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The TRICARE fiscal year ends on: A)January 31. B)June 30. C)September 30. D)December 31.

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What is the role of a healthcare finder (HCF)?

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The TRICARE program covers active-duty service members, retirees, family members, and survivors of eligible armed services members.

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Priority access to military treatment facilities (MTFs) is given to TRICARE Standard and TRICARE Extra beneficiaries.

(True/False)
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