Hm 03 Healthcare Administration Programs

Front 1

DEERS stands for ___.

Back 1

Defense Enrollment Eligibility Reporting System

Front 2

Uniformed Services Identification and Privilege Card application

Back 2

DD 1172

Front 3

If a valid ID card is not provided within ___ days, the patient will be billed as a Civilian Humanitarian Non-indigent IAW ____.

Back 3

30 calendar days
the Resources Management Handbook, NAVMED P-5020

Front 4

the Resources Management Handbook

Back 4

NAVMED P-5020

Front 5

Medical billing may be delayed if the ___ of the medical facility is convinced proof is delayed for reasons beyond the control of the patient or sponsor.

Back 5

commanding officer

Front 6

______ provides guidance as to whom and under what circumstances members can receive medical and dental care at Navy Medical Department facilities.

Back 6

NAVMEDCOMINST 6320.3 series, Medical and Dental Care for Eligible Persons at Navy Medical Department Facilities

Front 7

Medical and Dental Care for Eligible Persons at Navy Medical Department Facilities

Back 7

NAVMEDCOMINST 6320.3 series

Front 8

Both ___ and ___ are used to verify eligibility.

Back 8

DEERS and ID card

Front 9

REASONS FOR INELIGIBILITY: (7)

Front 10

Only ___ can deny requested care during eligibility check.

Back 10

command designated personnel

Front 11

DEERS ELIGIBILITY OVERRIDES 覆写: (9)

Back 11

1. DD 1172: The patient presents an original or copy of the DD 1172 used for DEERS enrollment.
2. All Other Family Members Recently Becoming Eligible for Benefits
3. New Identification Card
4. Ineligible Due to ID Card Expiration
5. Sponsors Entering Active Duty Status for a Period of Greater than 30 Days
6. Newborn -Newborns will not be denied care for a period of 60 days. On the 61st day the newborn will shift to TRICARE STANDARD if not enrolled in Prime.
7. Emergency Care
8. Sponsor’s Duty Station is Outside the 50 United States or has an APO/FPO Address
9. Survivor [Personnel support detachment (PSD)]

Front 12

Newborn -Newborns will not be denied care for a period of ___ days. On the ___ day the newborn will shift to TRICARE STANDARD if not enrolled in Prime.

Back 12

60 days
61st day

Front 13

Foreign Military Personnel. Eligible members may also include: _____ military personnel and their family members; Crew and passengers of visiting military Aircraft, ____ nations that come into port.

Back 13

North Atlantic Treaty Organization (NATO)
Crews of ships of NATO

Front 14

There are several types of dental care including ___.

Back 14

routine, emergency, and elective.

Front 15

Treatment includes all the medical, surgical, and restorative treatments of oral disease, injuries, and deficiencies that come within the field of dentistry.

Back 15

ROUTINE DENTAL CARE

Front 16

Treatment is necessary to relieve pain, control bleeding, and manage acute septic conditions or injuries to the oral-facial structures.

Back 16

EMERGENCY DENTAL CARE

Front 17

Examples of ______ care are malocclusion, orthodontics, replacing amalgam fillings with gold crowns, etc.

Back 17

ELECTIVE DENTAL CARE

Front 18

How many DENTAL CARE Priority Categories?

Back 18

7 categories.

Front 19

Cat. 1A

Back 19

Members of the uniformed services on active duty

Front 20

Cat. 1B

Back 20

Members of a Reserve Component of the Armed Forces and National Guard personnel

Front 21

Cat. 2

Back 21

Family member of active duty members of the uniformed services; family members of persons who died while in such a status

Front 22

Cat. 3

Back 22

Members of the Senior Reserve Officers’ Training Corps

Front 23

Cat. 4

Back 23

Retired members of the uniformed services and their family members (including family members of deceased retired members)

Front 24

Cat. 5

Back 24

Civilian employees of the Federal Government

Front 25

Cat. 6

Back 25

All others

Front 26

QUALITY ASSURANCE PROGRAM

Back 26

BUMEDINST 6010.13

Front 27

Many of the principles, standards, and organizational requirements of The Joint Commission (TJC) have been adopted and are contained in _____.

Back 27

OPNAVINST 6320.7 series, Health Care Quality Insurance Policies for Operating Forces.

Front 28

Health Care Quality Insurance Policies for Operating Forces

Back 28

OPNAVINST 6320.7 series

Front 29

Navy’s Health Care Relations Program

Back 29

BUMEDINST 6300.10 series

Front 30

The ____ is the command’s primary advisor for all alcohol and drug matters.

Back 30

Drug and Alcohol Program Advisor (DAPA)

Front 31

Additional responsibilities of the DAPA are outlined in ____.

Back 31

OPNAVINST 5350.4 series, Drug and Alcohol Abuse Prevention and Control

Front 32

Drug and Alcohol Abuse Prevention and Control

Back 32

OPNAVINST 5350.4 series

Front 33

The policies governing the Physical Readiness program are outlined in ____.

Back 33

OPNAVINST 6110.1 series, Physical Readiness Program.

Front 34

Physical Readiness Program

Back 34

OPNAVINST 6110.1 series

Front 35

_____ laws control the “substitute content.”

Back 35

State laws

Front 36

____ reports are designed to promptly document all circumstances surrounding an event.

Back 36

Quality Care Review (QCR)

Front 37

Guidance concerning the Risk Management Program is found in ____.

Back 37

BUMEDINST 6010.21 series.

Front 38

___ governs the disclosure of documents maintained by government agencies.

Back 38

FOIA

Front 39

Under the ____, a federal statute enacted in 1956 (18 U.S.C. § 1385), it is unlawful for the U.S. military to be used to enforce or assist in the enforcement of federal or state civil laws.

Back 39

Posse Comitatus Act

Front 40

____ of war and other detained personnel are entitled to all necessary care, subject to the availability of care and facilities.

Back 40

Enemy prisoners

Front 41

_____ are authorized emergency care only.

Back 41

Non military prisoners

Front 42

What kind of personnel need to protect to the maximum extent possible?

Back 42

Military Prisoners

Front 43

Military prisoners with punitive discharges that have been executed and require hospitalization beyond expiration of their sentences are (eligible /not eligible) for care.

Back 43

not eligible

Front 44

Management of Alleged or Suspected Sexual Assault and Rape Cases

Back 44

NAVMEDCOMINST 6310.3 series

Front 45

Sexual Assault Victim Intervention (SAVI) Program

Back 45

OPNAVINST 1752.1 series

Front 46

Victim and Witness Program

Back 46

SECNAVINST 5800.11 series

Front 47

___ and ___ provide guidance for the care and support of alleged victims of sexual assault.

Back 47

OPNAVINST 1752.1 series, Sexual Assault Victim Intervention (SAVI) Program, and SECNAVINST 5800.11 series, Victim and Witness Program

Front 48

Which system was implemented to assist in the projection and allocation of cost for healthcare programs? (3-2)
DEERS
DIRS
ALHTA
DENCAS

Back 48

DEERS

Front 49

3-5. How many days after receiving treatment does a patient have to present a valid ID card before being billed as a Civilian Humanitarian Non-indigent?
1. 15
2. 30
3. 45
4. 60

Back 49

2. 30

Front 50

3-8. Which of the following Foreign Military Personnel are not eligible for care at Naval MTF’s?
1. NATO personnel stationed in the
U.S.
2. Crew of visiting aircraft
3. Crew of NATO ships in port
4. Foreign military on vacation in the U.S.

Back 50

4. Foreign military on vacation in the U.S.
This is not eligible.

Front 51

3-25. Which policy was established to provide a balance between the public and the privacy of an individual?
1. Privacy Act of 1974
2. Freedom of Information Act
3. HIPPA Privacy Rule
4. DODINST 6025.18

Back 51

1. Privacy Act of 1974