Medicare
T/F - In Medicare Part D, a patient only needs to pay the deductible for their prescriptions
False
How often must the medical office assistant confirm a patient's Medicaid eligibility?
at every visit
What portion of the bill is the patient responsible for when being treated under workers' compensation?
Which military-sponsored health insurance program is for veterans who were disabled in the line of duty?
CHAMPVA
Which type of coverage supplements Medicare by covering out-of-pocket expenses like deductibles and coinsurance payments?
Medigap
If a pt is covered by both Medicare and Medicaid, which policy will be primary?
Medicare
In what state can Medicaid be used
The state in which the patient is enrolled only
While treatment in a workers' compensation case is ongoing, what kind of forms will the physician have to periodically fill out and submit?
Progress Report
Which of the following versions of TRICARE is a HMO
-TRICARE Reserve Select
-US Family Healthy Plan
-TRICARE Select
-TRICARE Prime
Prime
Cindy works as secretary for a hospital administrator. At work one morning she dropped a heavy box on her foot and broke it. She will still be able to perform all her regular job junctions while she continues to work. What level of workers' compensation disability is this?
-Medical Treatment Only,
-Permanent, total disability,
-Permanent, partial disability
-Temporary, partial disability
Medical Treatment Only
Which Medicare Part only covers prescription drugs
Part D
Describe a fiscal intermediary.
A company contracted to process Medicaid insurance claims.
Who pays the premium for workers' compensation insurance?
Employers
T/F - An individual may be eligible for both TRICARE and CHAMPVA
False
For who was CHIP originally created to cover
children
Which Medicare Part may be free for eligible patients?
Part A
What patients does Medicaid cover?
Indigent, low income, those with fewer resources
Terry is a data entry specialist and works typing data into a computer. Last week, he tripped on the stairs inside his office and broke his right arm AND his left wrist. While he cannot work right now, he is expected to make a full recovery within 6-8 weeks. What level of workers' compensation disability is this?
Temporary, total disability
Which of the following versions of TRICARE is a fee-for-service?
-Select
-Reserve Select
-Prime
-Young Adult
Select
A regular referral can take ___________ for approval.
3-10 working days
Which Medicare Part offers Medicare coverage through private carrier plans
Part C
Who processes Medicaid claims?
Fiscal Intermediaries (FI)
Which of the following is true of workers' compensation insurance?
-employers can choose whether to participate
-it is only afforded to those in the labor industry
-it is a legally mandated right
employees must pay a premium to be covered
it is a legally mandated right
Which of the following versions of TriCare is for people who are eligible to purchase TRICARE coverage after "regular" coverage ends?
-Reserve Select
-Select
-Young Adult
US Family Health Plan
Young Adult
What is the goal of managed care insurance?
Reduce medical expenses