Medical coding I lesson 7 exam H07v
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Ashworth College *
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H07V
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Health Science
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Dec 6, 2023
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docx
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Medical coding I lesson 7 exam H07v n 1
5 / 5 points
The deadline for submitting TRICARE claims is within _______ of services rendered, after which no payment is made.
Question options:
a) 18 months
b) one year
c) six months
d) two years
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To review this content, see Chapter 12 of your textbook.
n 2
5 / 5 points
The national website that provides workers' compensation news and information for employees, employers, insurers, and medical providers is
Question options:
a) Centers for Medicare and Medicaid Services.
b) the Online Workers' Comp Service Center.
c) Disability and Health Team.
d) Americans with Disabilities.
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To review this content, see Chapter 13 of your textbook.
n 3
5 / 5 points
If a TRICARE-eligible beneficiary has other healthcare coverage, such as employer group or private insurance, TRICARE considers this
Question options:
a) unlawful.
b) dual eligibility.
c) other health insurance (OHI).
d) coordination of benefits.
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n 4
5 / 5 points
The designated contractor who processes TRICARE medical claims for care received within a particular state or region is called a
Question options:
a) fiscal intermediary.
b) claims processor.
c) TRICARE carrier.
d) coordinating contractor.
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n 5
5 / 5 points
Companies pay premiums for workers' compensation insurance; in return, their employees agree to
Question options:
a) give up the right to sue employers for on-the-job injuries.
b) split the cost of medical bills for on-the-job injuries.
c) pay employers back for their insurance.
d) not file claims for on-the-job injuries.
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n 6
5 / 5 points
Which act provides workers' compensation to employees of private maritime employers?
Question options:
a) Longshore and Harbor Workers' Compensation Act
b) Black Lung Benefits Act
c) Federal Employment Liability Act
d) Merchant Marine Act (Jones Act)
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n 7
5 / 5 points
Workers' compensation insurance is considered to be "no-fault insurance," which means
Question options:
a) benefits aren't paid because it's considered nobody's fault.
b) if it's unclear whose fault the injury is, workers' compensation doesn't have to pay.
c) the employee and employer share medical expenses.
d) benefits are paid regardless of who is to blame for the injury.
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n 8
5 / 5 points
TRICARE's Medicare-wraparound coverage available to all Medicare-eligible TRICARE beneficiaries is called TRICARE
Question options:
a) Comp.
b) Gap.
c) for Life.
d) Extra.
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n 9
5 / 5 points
A detailed and comprehensive questionnaire that establishes monetary need is a/an
Question options:
a) patient/provider interview.
b) financial means test.
c) SSDI funding form.
d) evaluation questionnaire.
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n 10
5 / 5 points
Categories of eligibility under TRICARE's plans include all of the following, except
Question options:
a) parents and parents-in-law of ADSMs or uniformed services retirees.
b) active duty service members (ADSMs).
c) spouses and unmarried dependents of ADSMs.
d) medal of honor recipients.
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n 11
5 / 5 points
By law, CHAMPVA is always a secondary payer, except for CHAMPVA supplemental policies and
Question options:
a) Medicaid.
b) Medicare.
c) TRICARE for Life.
d) TRICARE.
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n 12
5 / 5 points
The time limit for filing a workers' compensation claim is established by
Question options:
a) individual state statutes.
b) the insurance company that issues the policy.
c) the employer.
d) the federal government.
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n 13
5 / 5 points
If treatment is unavailable at an MTF, and it becomes necessary for the individual to seek treatment in a civilian hospital, they sometimes must obtain a
Question options:
a) certificate of credible coverage.
b) nonavailability statement.
c) letter of intent.
d) release of information.
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n 14
5 / 5 points
The condition in which the employee has reached a state of maximal medical improvement is called
Question options:
a) temporary.
b) permanent and stationary.
c) partial and rehabilitating.
d) chronic.
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n 15
5 / 5 points
When did workers' compensation get its start?
Question options:
a) 2000s
b) 1900s
c) 1700s
d) 1800s
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n 16
5 / 5 points
Any physical or mental impairments resulting from a work-related incident are normally determined based on
Question options:
a) the workers' compensation insurer's opinion.
b) employee's complaints.
c) attending physician statement.
d) employer's report.
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n 17
5 / 5 points
CHAMPVA eligibility can be lost in all of the following situations except when a
Question options:
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a) spouse divorces their sponsor.
b) widow younger than age 55 remarries.
c) sponsor or family member becomes eligible for Medicare.
d) dependent child enrolled in college full-time becomes 18.
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n 18
5 / 5 points
Adult children of military members and retirees younger than 26, unmarried, and not eligible for employer-sponsored healthcare may become eligible for the _______ as long as their sponsor is still eligible for TRICARE.
Question options:
a) TRICARE Young Adult Program
b) CHAMPVA for Life Program
c) TRICARE Civilian Plan
d) TRICARE for Life Program
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n 19
5 / 5 points
Which program was created to help individuals who receive SSDI or SSI benefits find and keep employment by offering them more options for services and support?
Question options:
a) PACE
b) Ticket to Work
c) Workers' Compensation
d) FECA
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n 20
5 / 5 points
Workers' compensation covers all of the following benefits except
Question options:
a) death benefits if the employee dies.
b) medical treatment for the injury.
c) 100 percent of the salary during the time the patient is injured.
d) vocational rehabilitation and training.