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75 Cards in this Set
- Front
- Back
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Epidemiology helps the Air Force Medical Service (AFMS) hone in on the needs of our
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Customers
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What function establishes policy for population-based health care activities w/in the Air Force Medical Service and is the spokesperson for medical service population health issues?
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Headquarters, US Air Force Surgeon General (USAF/SG)
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What function develops programs that support implementation of Air Force Medical Service policy for population health?
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US Air Force Medical Support Agency (AFMSA)
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What function serves as the Air Force Medical Service's focal point for population health policy implementation?
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Population Health Support Division (PHSD)
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The function that provides centralized population health program support to medical treatment facility staff, intermediate commands, lead agents, and Air Staff is
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Population Health Support Division (PHSD)
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What organization provides input on policy revision and new policy development that affect population health?
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Air Force major commands
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Medical group commanders ensure
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the organization employs the concepts and principles of population health
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Who directs resources, policies, and infrastructure to support the medical treatment facility Population Health Working Group's recommendations?
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MTF executive committee
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A primary care element is composed of how many primary care managers and their support staffs?
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3-5
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Who determines whether injuries or illnesses in active duty personnel and Air Force civilian employees are related to occupation?
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Individual primary care managers
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Who would be asked to counsel patients on population health, wellness, and preventive medicine topics based on identified health, occupational risks, and the patient's desire to change associated beliefs and behaviors?
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Nursing staff
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Who would assist with a variety of medical procedures within the scope of their training documented in the individual career field education and training plan?
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Medical technicians
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Who would review the medical records BEFORE patient appointments to ensure all required forms are placed in the record for the visit?
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Health services manager
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Who identifies gaps between forecasted needs and facility capability?
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Healthcare integrator
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Who participates in budgeting, scheduling, productivity, strategic planning, and beneficiary satisfaction initiatives for inpatient and outpatient services internal and external to the medical treatment facility?
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Group practice manager
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Who handles the active disease and condition management programs, and is a member of the population health working group?
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Ancillary Services
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What is the appropriate access-to-care standard for urgent care appointments?
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24 hours
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One of the first things you do as part of the appointment booking process is enter your patient's name, verify the sponsor's name, and then select (N)on-enrollee Booking.
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Appointment booking
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The manage access to care tools are available in the Composite Health Care System and are also located on the web at the
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TRICARE Operations Center
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What enables health services managers to easily and quickly create and adjust a schedule to properly reflect a provider's schedule time slots?
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Provider template
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What is composed of timeslots that have been assigned appropriate appointment types, durations, and a maximum number of patients per slot?
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Schedule
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What is a pattern of time slots specific to a provider, but NOT linked to any particular date?
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Template
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What schedule in the Composite Health Care System makes it simple for you to add, delete, cancel, freeze, and release schedule time slots for specific days within ANY provider's schedule?
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Maintain/Cancel
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Which Composite Health Care System option allows you to cancel all or part of an existing schedule at the request of the provider or another agency at the medical treatment facility?
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Cancellation by Facility
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Which Composite Health Care System schedule option does NOT permit you to delete slots with booked appointments?
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Modify/Add/Delete
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What includes all units, organizations, and members of the Air National Guard and the United States Air Force Reserve?
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Air Reserve Component
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For medical care and the parental consent, you must be UNDER what age to be considered a child?
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10
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The favorable dependency determination must specifically state the individual is eligible for medical care and this eligibility determination is made by the
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Military Personnel Flight
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ROUTINE medical care includes many different things, but NOT
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Helicopter ambulance service
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The former Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) option that pays a share of the cost of covered healthcare services you obtain from an authorized, non-network, civilian healthcare provider is
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TRICARE Standard
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Pregnant females discharged under OTHER THAN HONORABLE conditions, who must be authorized by a general court-martial authority to apply to the medical treatment facility commander for obstetrical care, fall w/in what program?
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Secretary of the Air Force Designee
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When a divorced spouse is no longer eligible for medical care, that spouse loses eligibility at
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0001 hours on the day after the divorce becomes final
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Children retain their eligibility UNLESS they marry before the age of
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21
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If a child is enrolled in a full-time course of education in an accredited institution of higher learning, his/her eligibility continues until the age of
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23
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Active duty service members' family members not enrolled in TRICARE Prime belong in priority group
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4
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When applying the GENERAL RULES, what priority group includes special provisions applicable to military members who are NOT on active duty, but are entitled to care in the medical treatment facility?
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1
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The appointment system may be organized as
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Centralized, decentralized, or a combination of both
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Who is responsible for his/her personal master schedule?
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Provider
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Each clinic prepares what type of schedule after every duty day is accounted for by documenting items such as TDYs, meetings, and leave?
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Clinic master
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What 2 things are only as good as the data the report contains?
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Accuracy and effectiveness
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What reports are printed when you access the appropriate option, enter the necessary report, and print parameters?
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On-demand
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For PREVENTIVE HEALTH ASSESSMENT reasons, how often are members' records reviewed to ensure all requirements and recommendations have been addressed?
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Annually
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The function that ensures the preventive individual medical readiness program is evaluated during operational readiness inspections, major command-level staff assistance visits, and health services inspections and Joint Commissions on Accreditation of Healthcare Organizations inspections is
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Major command SG
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Who ensures appropriate prevention education and couseling is completed and documented?
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Primary care element/primary care management teams
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Once completed, what automated application generates reports that inform patients, primary care element, PCE healthcare teams and medical treatment facility administrators of individual beneficiary health risk and help focus appropriate interventions?
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Air Force web-based health risk assessment (HRA)
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Who is REQUIRED to conduct medical record reviews in order to identify significant items of medical history and any information that may be potentially disqualifying for deployment or worldwide duty?
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Primary care element and primary care management teams
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Medical treatment facilities use what two data systems to identify and describe their enrolled population by age, gender, and beneficiary category, and to assess their healthcare needs?
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Dept. of Defense and Air Force Medical Service
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What non-electronic, folder-style form documenting immunizations is used by all active duty, reserve, and National Guard personnel?
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DD Form 2766, Adult Preventive and Chronic Care Flowsheet
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What process for inpatients begins before or on admission and continues after appropriate discharge to include follow-up and evaluation of services provided?
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MTF Discharge and Disposition Planning Process
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What military treatment facility process is a broad spectrum scope and approach to identifying beneficiaries experiencing conditions which may indicate the need for case management services?
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MTF Case Management Process
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At least how often must medical treatment facilities assess centrally and locally produced performance measures for effectiveness and efficiency?
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Quarterly
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What publication does EVERY inpatient records technician use to code diagnoses and procedures annotated on a patient's Air Force Form 560, Authorization and Treatment Statement?
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International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM)
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What system is an arrangement of the elements of a subject into specific groups, according to established criteria?
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Classification
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The International Classification of Diseases, 9th Edition (ICD-9) is divided into what 4 sections?
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Diseases alphabetical index, diseases tabular list, procedures alphabetic index, and procedures tabular list
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What International Classification of Disease, 9th Edition, Clinical Modification (ICD-9-CM) element is displayed in bold-face print and usually identifies general disease conditions?
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Main term
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The tabular list of diseases is broken down into how many main classifications?
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17
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In the diseases tabular list, a part of section 2 provides a supplemental series of codes, which are called
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V-codes
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What code w/in the diseases tabular list us used for more detailed analysis of the condition of the "external" cause of the condition?
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E-codes
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What is located in the diseases tabular list and is included as a reference to provide further information about the patient's circumstances, maintain a tumor registry, and aid in classifying new drugs?
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Appendices
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Operations are named for a person or multiple persons (eponyms), and are listed both as main terms in their appropriate alphabetical sequence and also under the main term,
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Operation
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The procedures tabular list is separated into 3 sections that refer to what systems?
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Anatomic
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One of the 2 major abbreviations w/in the International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM), which acronym is the equivalent of "unspecified"?
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Not otherwise specified (NOS)
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What marks supplementary words, called nonessential modifiers that may be present in the narrative of a disease or procedure w/out affecting the code to which it is assigned?
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Parentheses
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How many specific goals accompanied the implementation and utilization of the ambulatory data module?
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5
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Information received from the ambulatory data module enhances what system by providing more information on patients being treated?
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Third Party Collections
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What is the KEY to ensure personnel who work with the ambulatory data module accurately reflect the work output of the providers assigned to a particular primary care optimization team?
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Training
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What is the biometrics data record for ALL patient ambulatory treatments, including ambulatory procedure visits and partial hospitalizations?
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Standard Ambulatory Data Record (SADR)
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The vital nature of biometrics data is used financially to
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manage TRICARE contract bid price adjustments
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One method commanders use in the formal process of monitoring, measuring, assessing, and improving facility biometrics data quality is the implementation of a
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data quality management program
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The 4 key quality characteristics (KQC) for biometric data include
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timeliness, completeness, accuracy, and comparability
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If the medical treatment facility pays the resource-sharing provider for the service from its Operations and Maintenance accoung, then the ambulatory data module documents the encounter and what determines the workload?
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Medical Expense and Performance Reporting System (MEPRS)
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Under the non-direct health program (Non-DHP) owned and operated facilities, what type of funds can be described as money budgeted for base functions OTHER THAN medical?
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Line
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W/in how many hours of each patient visit should health services managers (HSM) accomplish data entry of superbills into the ambulatory data module?
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72 hours
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Who should you contact for assistance if the medical treatment facility coding auditor does NOT meet the MINIMUM qualifications?
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Major Command
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Certified professional coding auditors report compliance outcome to the medical treatment facility executive committee and Air Force Medical Support Agency (AFMSA)/SGOZ NOT LATER THAN what day of the following month?
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10th
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