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Darkflower73 Darkflower73
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Posts: 669
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6 years ago
Which is the name of the entire health care system of the U.S. uniformed services and includes military treatment facilities as well as various programs in the civilian health care market, such as TRICARE?
 a. Defense Enrollment Eligibility Reporting System
  b. Military Health Services System
  c. TRICARE Program Management Organization
  d. TRICARE Service Center



(Q. 2) Commanders of selected military treatment facilities are called __________ for TRICARE regions.
 a. beneficiary services representatives
  b. health care finders
  c. lead agents
  d. primary care managers



(Q. 3) The CHAMPUS Reform Initiative (CRI) demonstration project offered military families a choice of how their health care benefits could be used. The DoD noted its successful operation and high levels of patient satisfaction, and determined that its concepts should be expanded to a __________ program.
 a. locally operated
  b. nationwide uniform
  c. regional health care
  d. state-by-state



(Q. 4) Which term is used to describe the Army, Navy, Air Force, Marines, and Coast Guard, Public Health Service Commissioned Corps, and the National Oceanic and Atmospheric Administration (NOAA) Commissioned Corps?
 a. executive branches
  b. government agencies
  c. law enforcement
  d. uniformed services



(Q. 5) Which is the former name for TRICARE Standard?
 a. CHAMPUS
  b. CHAMPVA
  c. DOD-MTF
  d. TRIWEST



(Q. 6) Which is a health care program for (1) active duty members of the military and their qualified family members, (2) CHAMPUS-eligible retirees and their qualified family members, and (3) eligible survivors of members of the uniformed services?
 a. CHAMPUS
  b. CHAMPVA
  c. MEDICARE
  d. TRICARE



(Q. 7) A mother/baby claim is submitted for services provided to a baby under the __________ Medicaid identification number.
 a. baby's
  b. father's
  c. mother's
  d. to-be-assigned



(Q. 8) Federal regulations require Medicaid to establish and maintain a(n) __________ program, which safeguards against unnecessary or inappropriate use of Medicaid services or excess payments and assesses the quality of those services.
 a. early and periodic screening, diagnostic, and treatment
  b. eligibility verification
  c. recipient eligibility verification
  d. surveillance and utilization review



(Q. 9) A(n) __________ claim is one that Medicaid should not have originally paid, and results in a deduction from the lump-sum payment made to the provider.
 a. adjusted
  b. appealed
  c. filed
  d. voided



(Q. 10) A(n) __________ claim has a payment correction, resulting in additional payment(s) to the provider.
 a. adjusted
  b. appealed
  c. filed
  d. voided
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jjjooossshhhjjjooossshhh
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6 years ago
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