Information included on a Medicare identification card includes the:
a. name of the beneficiary.
b. Medicare claim number.
c. type of coverage and effective dates.
d. all of the above.

Medicaid is health insurance coverage for:

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.

Workers' compensation fraud can be punishable by:
a. fines.
b. orders for restitution.
c. imprisonment.
d. all of the above.

Individuals with end-stage renal disease (ESRD) are Medicare eligible.

Individuals age 65 and older qualify for Medicare if they have paid FICA taxes for at least how many quarters

Groups included as eligible for Medicaid include:
a. the categorically needy.
b. the medically needy.
c. special groups.
d. all of the above.

TRICARE claims must be submitted no later than _________ from date of service

A health problem that results from exposure to a workplace health hazard such as chemical fumes is a(n) __________

Medical records for workers' compensation cases are to be kept separate from a patient's regular medical records.

Medicare Advantage plans (Part C) offer which of the following benefits?
a. Hospital coverage (Part A)
b. Medical coverage (Part B)
c. Prescription drug coverage
d. All of the above

Which type of nominal cost sharing can states require of most Medicaid beneficiaries?
a. Deductibles
b. Coinsurance
c. Copayments
d. All of the above

When a TRICARE beneficiary needs treatment that is NOT available from a military treatment facility (MTF), the:
a. beneficiary will have to pay for the services.
b. services will not be covered.
c. beneficiary must obtain a nonavailability statement (NAS)

A workers' compensation insurance carrier must pay, reduce, deny, or determine to audit a claim no later than the _____ day after receipt of the claim.

A Work Status Report must be sent in with the insurance claim each time the injured worker is seen by the treating doctor.

When receiving inpatient hospital care, a Medicare Part A beneficiary has a lifetime reserve of ow many days

A physician may bill a Medicaid patient for services if the __________ is signed

The TRICARE plan option that provides benefits using a fee-for-service, cost-sharing structure is:
a. TRICARE Standard.
b. TRICARE Extra.
c. TRICARE Prime.
d. CHAMPVA.

The permanent physical damage to a worker's body from a work-related injury or illness is known as:

In regard to workers' compensation cases, patient health information and claim data are subject to the same confidentiality rules as regular medical records.

The Medicare RBRVS system first implemented in 1992 is the:
a. relative basis for resource-valued services.
b. relative-based resource value scale.
c. resource-based relative value scale.
d. resource-based relative value services.

The organization responsible for determining the type, amount, and scope of services covered by Medicaid is:
a. the Centers for Medicare and Medicaid Services (CMS).
b. the federal government.
c. each state government.
d. contracted insurance carriers.

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

The four types of workers' compensation benefits are:
a. medical, disability, health, and death.
b. medical, income, disability, and death.
c. medical, income, death, and burial.
d. disability, suffering, death, and burial.

The Medicare program is administered by the Centers for Medicare and Medicaid Services (CMS), a division of the United States Department of Health and Human Services.