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25 Cards in this Set
- Front
- Back
The three choices of health care coveraGE FOR FAMILIES OF Active duty military personnel, military retirees, and their dependents are:
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TRICARE standard, Tricare prime and tricare extra
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What is the system called that Tricare claims processors use to verify beneficiary eligibility?
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DEERS
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The physician who is responsible for coordinating and managing all of the health care for TRICARE PRIME PATIENT IS REFERRED to as a /an
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PCM
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What is aa NAS statement used for?
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Certification from a military hospital stating the it cannot provide the necessary care
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What is the NAS catchment area
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based on an area of about 40 miles in radius surrounding each USMTF
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The time limit in which a TRICARE outpatient claim must be filled is
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By the end of the fiscal year in which a service is provided
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a physician who choose not to participaTE IN tricare BILLS WHICH OF THE FOLLOWING
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THE TOTAL AMOUNT OF THE USUAL CHARGE, AND CAN BILL THE PATIENT FOR THE DIFFERENCE
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ENROLLMENT FOR TRICARE PRIME IS
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FOR ONE MONTH AT A TIME
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THIS TRICARE PLAN IS SIMILAR TO AN HMO, IN WHICH A PCM IS SELECTED AND THE PATIENT MUST PAY CO-PAYMENTS AND AN ANNUAL FEE?
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TRICARE PRIME
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THIS PLAN IS INTENDED FOR DEPENDENTS OF VETERANS WITH TOTAL, PERMANENT, SERVICE-RELATED DISABILITIES
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CHAMPV A
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WHICH OF THE FOLLOWING TYPE OF LEADERS IS INNOVATIVE AND ABLE TO BRING ABOUT CHANGE WHILE BUILDING RELATIONSHIPS?
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TRANSFORMATIONAL
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WHICH OF THE FOLLOWING WOULD BE TRUE OF STAFF MEETINGS?
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ONE PERSON SHOULD TAKE CONTROL; AND MANAGE
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TRICARE BENEFITS ARE DIFFERENT THAN THOSE ISSUED FOR CHAMPVE BENEFICIARIES
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FALSE
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TRICARE IS CONSIDERED SECONDARY TO MEDICARE
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TRUE
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POWER IS DEFINED AS THE ABILITY TO INFLUENCE EMPLOYEES SO THAT THEY CARRY OUT THEIR DIRECTIVE
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TRUE
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INTRINSIC MOTIVATION IS MATERIAL IN NATURE, AND IS SHORTER LIVED AND LESS SATISFYING
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FALSE
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A LACK OF BUSINESS AND TERMINATION OF RECENT EMPLOYEES CAN PRODUCE LOW MORALE WITHIN AN OFFICE
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TRUE
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WHEN SELECTING THE RIGHT STAFF MEMBERS, YOU MUST HAVE AN UNDERSTANDING OF THE QUALITIES DESIRED AND THE JOB RESPONSIBILITIES
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TRUE
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IT IS KNOWN THAT IF A MEDICAL PRACTICE COMPLIES A PATIENT'S INFORMATION FOLDER, IT CAN REDUCE THE NUMBER OF PHONE CALLS AN AVERAGE OF 50%
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FAlSE
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A POLICY MANUAL EXPLAINS WHAT SHOULD BE FAMILIAR WITH THEIR JOB DESCRIPTIONS AND THE DUTIES THAT THEY ARE REQUIRED TO PERFORM.
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TRUE
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ALL STAFF MEMBERS SHOULD BE FAMILIAR WITH THEIR JOB DESCRIPTIONS AND THE DUTIES THAT THEY ARE REQUIRED TO PERFORM
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TRUE
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A CHAIN OF COMMAND IS NECESSARY OR EFFECTIVE PROBLEM SOLVING AND SHOULD ALWAYS BE FOLLOWED WHEN CONCERNS RELATED TO EMPLOYMENT ARISE
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TRUE
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LIST 4 TYPES OF PATIENT INFORMATION SHEETS THAT YOU NEED TO CREATE FOR YOUR MEDICAL FACILITY.
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DIAGNOSTIC TESTING PREPARATION, DIET SHEETS, WOUND CARE, TAKING MEDICATION .
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LIST 4 THINGS THAT NEED TO BE ADDRESSED IN FINANCIAL POLICY FOLDER.
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BILLING PROCEDURES, COLLECTION PROCEDURES, PATIENT RESPONSIBILITIES, INSURANCE REQUIREMENTS
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LIST 4 THING THAT NEW EMPLOYEES SHOULD BECOME ACQUAINTED WITH IN THE OFFICE.
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STAFF MEMBERS, LAYOUT OF THE OFFICE, NATURE OF PRACTICE, OFFICE POLICIES..
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