4A071 Cdc- 2009 Unit Review Exercises (1)

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(001) 1. WHAT IS THE APPROPRIATE ACCESS-TO-CARE STANDARD FOR WELLNESS AND HEALTH PROMOTIONS APPOINTMENTS?

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28 DAYS

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(001) 2. WHICH IS NOT A BENEFIT OF USING THE OA (OPEN ACCESS) MODEL FOR BOOKING APPOINTMENTS?

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INCREASED PATIENT NO-SHOW AND CANCELLATION RATES.

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(001) 3. HOW OFTEN IS THE P2R2 ACCESS METRIC UPDATED BY THE MTF POINT OF CONTACT?

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MONTHLY

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(001) 4. WHICHREPORT PROVIDES A PREVIEW OF THE AVAILABILITY OF APPOINTMENTS BY APPOINTMENT TYPE AND BY PROVIDER WITHIN A CLINIC ON A GIVEN DATE AND TIME?

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NEXT AVAILABLE APOINTMENT REPORT

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(001) 5. WHO GENERATES THE CHCS ACCESS TO CARE SUMMARY REPORTS WEEKLY?

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TOC- TRICARE OPERATIONS CENTER

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(001) 6. WHO USES THE TAT (TEMPLATE ANALYSIS TOOL) TO EVALUATE SCHEDULING ADEQUACY AND EFFICIENCY OF MTF's SCHEDULES AND TEMPLATES IN SUPPORT OF TRICARE PRIME ACCESS STANDARDS?

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MTF

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(001) 7. WHAT TOOL WAS DEVELOPED TO EASE THE BURDEN OF ANALYZING DATA FROM THE MANY REPORTS AVAILABLE IN THE CHCS

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AIM- ACCESS IMPROVEMENT MODULE

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(002) 8. WHICH IS NOT A RESPONSIBILITY OF THE TRO (TRICARE REGIONAL OFFICE)?

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ESTABLISH TRICARE PROVIDER NETWORKS

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(003) 9. WHERE DO MCS (MANAGED CARE SUPPORT) CONTRACTORS AND TRO RECEIVE OVERALL GUIDANCE?

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TMA- TRICARE MANAGEMENT ACTIVITY

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(004) 10. WHO IS RESPONSIBLE FOR ENSURING THE MCS CONTRACTOR PERFORMS THE TECHNICAL ASPECTS OF THE CONTRACT?

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COTR- CONTRACTING OFFICER TECHNICAL REPRESENTITIVE

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(004) 11. THE COTR WILL VERIFY CONTRACTOR'S RECORDS REGARDING LICENSURE, CERTIFICATION, ANF EDUCATION REMAIN CURRENT, AND WILL POST ALL CHANGES TO THE:

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COR (CONTRACTING OFFICER'S REPRESENTITIVE)

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(004) 12. WHICH IS NT A PURPOSE OF THE COTR CONTACTS?

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ENSURE ADEQUATE STANDARDS OF CARE

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(005) 13. SUPPLEMENT SERVICES PROVIDED AT MTF ARE AN EXAMPLE OF WHICH TYPE OF RESOUCE SHARING?

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INTERNAL

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(005) 14. WHO PROVIDES THE CONTRACTOR WITH WRITTEN APPROVAL/DISAPPROVAL WITHIN 30 DAYS OF RECEIPT OF A RESOURCE-SHARING AGREEMENT SIGNED BY THE MTF COMMANDER AND THE CONTRACTOR?

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TRO- TRICARE REGIONAL OFFICE

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(006) 15. HOW OFTEN WILL MCS CONTRACTOR SUBMIT A REVISED RESOURCE SHARING PLAN TO THE TRO

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ANNUALLY

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(006) 16. WHAT POLICY STATES THAT THE DOD AND THE VA WILL ENER INTO DIRECT CARE SHARING AGREEMENTS?

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DOD

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(006) 17. WHO WILL IMPLEMENT A FORMAL DOD/VA HEALTH CARE RESOURCE SHARING PROGRAM?

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TMA DIRECTOR- TRICARE MANANGEMENT ACTIVITY DIRECTOR

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(006) 18. IN REGARDS TO INTERNAL RESOURCE SHARING, BEFORE A PROVIDER IS PERMITTED TO PRACTICE IN THE MTF, HE OR SHE MUST BE GRANTED PRIVILEGES BY THE

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MTF/CC

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(006) 19. FOR EXTERNAL RESOURCE SHARING MILITARY HEALTH CARE PERSONNEL, WHO WILL ENSURE THAT THE MILITARY HEALTH CARE PERSONNEL ARE APPROPRIATELY LICENSED AND HAVE ACTIVE CLINICAL PRIVILEGES WITH THE NETWORK FACILITY?

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MTF/CC

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(006) 20. WHO SHALL HAVE AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM PERFORM AUDIT PROCEDURES FOR EACH RESOURCE-SHARING AGREEMENT TO VALIDATE THAT RESOURCE-SHARING ACRIVITY IS CORRECTLY REPORTED UNDER CONTRACT PROVISIONS?

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CONTRACTOR