When referring to Diagnosis Related Groups (DRGs), the abbreviation CC is used to indicate:
chief complaint.
closed case.
chronic condition.
complications or comorbidities.
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Q. 2) Which of the following services is covered under TRICARE Standard?
chiropractic care.
cosmetic surgery.
mental health care.
custodial care.
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Q. 3) List at least three reasons for contacting an insurance carrier to follow up on a claim.
What will be an ideal response?
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Q. 4) Medicaid patients enrolled in managed care plans must select a primary care provider.
Indicate whether this statement is true or false.
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Q. 5) List the roles of individual states in developing their state Medicaid program.
What will be an ideal response?
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Q. 6) When using a FOUR-digit Medicare type of bill code in form locator 4, the type of facility is represented by the:
first digit.
second digit.
third digit.
fourth digit.
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Q. 7) The plan that provides benefits for veterans with 100 service-related disabilities and their families is:
TRICARE Standard.
TRICARE Extra.
TRICARE Prime.
CHAMPVA.
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Q. 8) Medical necessity reduction by an insurance carrier is also known as __________ .
Fill in the blank with correct word.
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Q. 9) In regard to the RBRVS system, the risk of harm posed to the patient by a particular service or procedure is considered to be part of the:
provider's effort and stress level.
practice expense.
cost of liability insurance.
risk factor for a given specialty.
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Q. 10) Which of the following services is covered by Medicare Part A or Part B?
Acupuncture
Dental care
Routine eye care
Physical therapy
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