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MED112 CODE/BILL
MED112 QUIZ 11-12
| Question | Answer |
|---|---|
| MED112 CH 11-12 QUIZ | |
| Who is responsible for the costs of healthcare services not covered by CHAMPVA? A. The beneficiary B. The provider, as a write-off C. Medicare D. No one, CHAMPVA pays 100% | A. The beneficiary |
| A fee-for-service plan available to people who have verifiable eligibility through DEERS is: A. Medicare B. Medicaid C. TRICARE Select D. TRICARE Prime | C. TRICARE Select |
| All eligible beneficiaries in CHAMPVA possess a CHAMPVA Authorization Card, known as a(n): A. Member Card B. A-Card C. User Card D. C-Card | B. A-Card |
| CHAMPVA For Life benefits to spouses or dependents who are age sixty-five and over. A. True B. False | A. True |
| Name the Department of Defense's health insurance plan for military personnel and their families. A. CHAMPVA B. DEERS C. TRICARE D. CHAMPUS | C. TRICARE |
| What program did TRICARE replace? A. PHS B. DEERS C. CHAMPVA D. CHAMPUS | D. CHAMPUS |
| If a provider chooses not to participate in TRICARE, they may charge no more than ___ percent of the allowable charge. A. 150 B. 115 C. 100 D. 130 | B. 115 |
| Which of the following services is generally not covered under TRICARE Prime? A. Mental health B. Diagnostic testing C. Dental care D. Experimental treatments | D. Experimental treatments |
| Identify the correct order of payment when Medicare and TRICARE For Life coverage exist. A. Medicare pays first, and TRICARE pays the remaining out-of-pocket expenses. B. The order is not important; either TRICARE or Medicare may pay first. C. An individual cannot have Medicare and TRICARE For Life coverage. D. TRICARE pays first, and Medicare pays the remaining out-of-pocket expenses. | A. Medicare pays first, and TRICARE pays the remaining out-of-pocket expenses. |
| The Federal Black Lung Program provides benefits for individuals who work in: A. Atomic weapons facilities B. Coal mines C. Schools D. The maritime field | B. Coal mines |
| What would most states pay when an individual is fatally injured on the job? A. Death benefits to the employee's survivors only B. Funeral expenses and one year of pay C. Death benefits and funeral expenses D. Funeral expenses only | C. Death benefits and funeral expenses |
| Injuries are generally covered under workers' compensation except for? A. If an injury results in personal injury or death B. If an injury arises out of employment during the course of employment C. If an injury was an intentional injury D. If an injury occurs by accident | C. If an injury was an intentional injury |
| Which of the following is an example of an injury that is generally covered? A. An injury resulting from an employee's intoxication by alcohol B. An injury due to heavy lifting C. An injury resulting from an employee's failure to use safety equipment D. An injury that was intentionally self-inflicted | B. An injury due to heavy lifting |
| SSI is a program that helps pay living expenses for people who are blind or have disabilities and low-income older people. A. True B. False | A. True |
| What determination denies liability for an employee's workers' compensation claim? A. Admission of Liability B. Progress Report C. Notice of Contest D. First Report of Injury | C. Notice of Contest |
| What determination indicates that an employer is responsible for an employee's claim under workers' compensation? A. Progress Report B. Notice of Contest C. First Report of Injury D. Admission of Liability | D. Admission of Liability |
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