Unit 2: Government Programs

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

0%

Which of the following definitions best describes a fiscal intermediary?

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?

CHAMPVA

For whom was CHIP originally created to cover?

Children

Who pays the premium for workers' compensation insurance?

Employers

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

Every visit

An individual may be eligible for both TRICARE and CHAMPVA.

False

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

False

Who processes Medicaid claims?

Fiscal Intermediaries (FI)

Which of the following is true of workers' compensation insurance?

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?

Medical treatment only

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

Medicare

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

Medigap

Which Medicare Part may be free for eligible patients?

Part A

Which Medicare Part offers Medicare coverage through private carrier plans?

Part C

Which Medicare Part only covers prescription drugs?

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

Which of the following versions of TRICARE is a HMO?

TRICARE Prime

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

TRICARE Select

Which of the following versions of TRICARE is for people who are eligible to purchase TRICARE coverage after "regular" coverage ends?

TRICARE Young Adult

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?

Temporary, total disability

In what state can Medicaid be used?

The state in which the patient is enrolled only

How is Medicare funded?

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

Preauthorization is required for dental care under CHAMPVA.

True