Medicare | Medicaid | Tricare | Workers Comp | TRUE OR FALSE |
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What is annual income.
Medicare Part B premiums are determined by the beneficiary' _______________?
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What is 95 days
To be considered for payment, Medicaid claims must be received within how many days
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October 1st
The TRICARE fiscal year begins on __________
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What is medical expenses and lost wages.
All states provide workers' compensation coverage for:
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FALSE
If the patient's name is misspelled on the Medicare ID card, the correct spelling should be used on the claim form.
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What is Primary care physician's name
Which of the following information is NOT included on a Medicare beneficiary's identification card?
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What is the federal and state government
Medicaid is paid for by:
a. the local government. b. the federal government. c. the state government. d. the federal and state government. |
What is Defense Enrollment Eligibility Reporting System.
To be eligible for TRICARE, all sponsors and family members must be enrolled in DEERS, which stands for:
a. Department Electronic Enrollment Reporting System. b. Department Early Enrollment Reporting System. c. Defense Electronic Eligibility Reporting Sys |
What is the Work Status Report.
The form used to report information about the employee's limitations in performing his or her job duties is the:
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TRUE
Part C is the Medicare option that allows beneficiaries to enroll in their choice of managed care plan, known as a Medicare Advantage plan.
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What is Medicare secondary payer.
When referring to Medicare, MSP refers to:
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What is HMOs and PCCM.
Two managed care models implemented in state Medicaid programs include _________ and __________?
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What is routine physical examinations.
What services are not covered under TRICARE Standard
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What is "with permanent disability"
An employee who is injured on the job, requires treatment, is NOT able to return to work, and is NOT expected to be able to perform his or her regular job in the future is categorized as having an injury:
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TRUE
Medicaid claims that are denied due to incomplete information can be corrected and resubmitted.
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What is low income
Individuals eligible for Medicare may be classified into one or more of the following categories EXCEPT:
a. age 65 or older. b. disabled. c. low income. d. end-stage renal disease (ESRD). |
What is Boy Jane Doe.
When filing a claim for a newborn boy baby whose mother is Jane Doe, the name field of the claim form should state:________________
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What is TRICARE Prime.
The TRICARE health maintenance organization (HMO) plan option is:
a. TRICARE Standard. b. TRICARE Extra. c. TRICARE Prime. d. CHAMPVA. |
Occupational Safety and Health Administration.
OSHA stands for what?
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TRUE
Most Medicaid plans do NOT require beneficiaries to pay a premium.
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What is to each benefit period.
For Medicare Part A, a deductible applies _________
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What is "all of the above"
The goal of Medicaid managed care is:
a. to increase access to care. b. to reduce service fragmentation. c. to reduce costs. d. all of the above. |
What is beneficiary.
An individual who qualifies for TRICARE is known as?
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What is 95 days of the date of service.
Workers' compensation claims must be submitted to the insurance carrier within:
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FALSE
A person eligible for Medicaid in one state is automatically eligible in all other states.
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