Insurance and Coding, Government Programs Quiz

What portion of the bill is the patient responsible for when being treated under workers' compensation? 0% 15% 25% 50%

0%

Which of the following definitions best describes a fiscal intermediary? The Medicaid review board of an insurance carrier. The division of an insurance carrier that pays Medicaid claims. A company contracted to process Medicaid insurance claims. The patient's selected accountant who ensures all claims are properly paid.

A company contracted to process Medicaid insurance claims.

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

CHAMPVA

For whom was CHIP originally created to cover? Children Pregnant women Young families Elderly

Children

Who pays the premium for workers' compensation insurance? Employers The Workers' Compensation Board Federal government Employees

Employers

How often must the medical office assistant confirm a patient's Medicaid eligibility? Every year Every visit Every six months Every month

Every visit

An individual may be eligible for both TRICARE and CHAMPVA. True False

False

n Medicare Part D, a patient only needs to pay the deductible for their prescriptions. True False

False

Who processes Medicaid claims? Federal government Fiscal Intermediaries (FI) Each state government Centers for Medicaid Services (CMS)

Fiscal Intermediaries (FI)

Which of the following is true of workers' compensation insurance? It is a legally mandated right. Employers can choose whether to participate. It is only afforded to those in the labor industry. Employees must pay a premium to be covered.

It is a legally mandated right.

Cindy works as a 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 functions while she continues to work. What level of workers' compensation disability is this? Permanent, partial disability Temporary, partial disability Medical treatment only Permanent, total disability

Medical treatment only

If a patient is covered by both Medicare and Medicaid, which policy will be primary? Medicaid Medicare Equal coverage from both

Medicare

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

Medigap

Which Medicare Part may be free for eligible patients? Part A Part B Part C Part D

Part A

Which Medicare Part offers Medicare coverage through private carrier plans? Part A Part B Part C Part D

Part C

Which Medicare Part only covers prescription drugs? Part A Part B Part C Part D

Part D

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 Final report First Report of Injury or Illness Workers' Compensation Claim Form

Progress report

Which of the following versions of TRICARE is a HMO? TRICARE Select US Family Health Plan TRICARE Prime TRICARE Reserve Select

TRICARE Prime

Which of the following versions of TRICARE is for people who are eligible to purchase TRICARE coverage after "regular" coverage ends? TRICARE Young Adult TRICARE Select TRICARE Reserve Select US Family Health Plan

TRICARE Reserve Select

Which of the following versions of TRICARE is a fee-for-service program? TRICARE Prime TRICARE Reserve Select TRICARE Select TRICARE Young Adult

TRICARE Select

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 currently work, he is expected to make a full recovery within 6 to 8 weeks. What level of workers' compensation disability is this? Permanent, total disability Temporary, total disability Permanent, partial disability Temporary, partial disability

Temporary, total disability

In what state can Medicaid be used? Internationally In whatever state the patient is physically in at the time of service Nationwide The state in which the patient is enrolled only

The state in which the patient is enrolled only

How is Medicare funded? By annual payments. By private insurance investors. Through government tax dollars only. Through tax dollars, premiums, deductibles, and coinsurance payments.

Through tax dollars, premiums, deductibles, and coinsurance payments.

Preauthorization is required for dental care under CHAMPVA. True False

True