Medicare
Medicaid
Worker's Comp
TriCare
Extra
100

T/F - In Medicare Part D, a patient only needs to pay the deductible for their prescriptions

False

100

How often must the medical office assistant confirm a patient's Medicaid eligibility?

at every visit

100

What portion of the bill is the patient responsible for when being treated under workers' compensation?

0% -none -zilch -nada -nothing 
100

Which military-sponsored health insurance program is for veterans who were disabled in the line of duty?

CHAMPVA

100

Which type of coverage supplements Medicare by covering out-of-pocket expenses like deductibles and coinsurance payments?

Medigap

200

If a pt is covered by both Medicare and Medicaid, which policy will be primary?

Medicare

200

In what state can Medicaid be used

The state in which the patient is enrolled only

200

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 

200

Which of the following versions of TRICARE is a HMO

-TRICARE Reserve Select 

-US Family Healthy Plan

-TRICARE Select 

-TRICARE Prime

Prime

200

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

300

Which Medicare Part only covers prescription drugs

Part D

300

Describe a fiscal intermediary.

A company contracted to process Medicaid insurance claims.

300

Who pays the premium for workers' compensation insurance?

Employers

300

T/F - An individual may be eligible for both TRICARE and CHAMPVA

False

300

For who was CHIP originally created to cover 

children

400

Which Medicare Part may be free for eligible patients?

Part A

400

What patients does Medicaid cover?

Indigent, low income, those with fewer resources

400

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 

400

Which of the following versions of TRICARE is a fee-for-service? 

-Select

-Reserve Select 

-Prime

-Young Adult 

Select 

400

A regular referral can take ___________ for approval.

3-10 working days

500

Which Medicare Part offers Medicare coverage through private carrier plans

Part C

500

Who processes Medicaid claims?

Fiscal Intermediaries (FI)

500

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

500

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 

500

What is the goal of managed care insurance?

Reduce medical expenses