FREE AND STUDY GAMES ABOUT TRICARE-REM EXAM

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FREE AND STUDY GAMES ABOUT TRICARE-REM EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -33 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: TRICARE Extra

Answer:

allows TRICARE Standard users to save 5 percent of their TRICARE Standard cost-shares by using healthcae providers in the TRICARE network.

Question 2: common access card (CAC)

Answer:

identification card issued by the Department of Defense (DoD), which TRICARE enrollees show to receive healthcare services.

Question 3: TRICARE Management Activity (TMA)

Answer:

formerly OCHAMPUS; the office that coordinatets and administers the TRICARE program and is accountable for quality health care provided to members of the uniformed services and their families.

Question 4: TRICARE Service Center (TSC)

Answer:

business offices staffed by one or more beneficiary services representatives and healthcare finders who assist TRICARE sponsors with healthcare needs and answer questions about the program.

Question 5: lead agent (LA)

Answer:

servers as a federal healthcare team created to work with regional military treatment facility commanders, uniformed service headquarters' staffs, and Health Affairs(HA) to support the mission of the Military Health Servics System (MHSS).

Question 6: demonstration project

Answer:

testa and establishes the feasibility of implementing a new porgram during a trial period, after which the program is evaluated, modified, and/or abandoned.

Question 7: TRICARE beneficiary

Answer:

includes sponsors and dependents of sponsors.

Question 8: Program Integrity (PI) Office

Answer:

responsible for the worldwide surveillance of fraud and abuse activities involving purcheased care for beneficiaries in the Military Health Services System.

Question 9: nonavailability statement (NAS)

Answer:

certificate issue dby a military treatment facility that cannot provide needed care to TRICARE Standard beneficiaries.

Question 10: Health Affairs (HA)

Answer:

refers to the Office of the Assistant Secretary of Defense for Health Affairs, which is responsible for both military readinaess and peacetime health caer.

Question 11: nurse advisor

Answer:

available 24/7 fpr advoce amd assistance with treatment alternatives abdto discuss whether a TRICARE sponsor should see a provider based on a discussion of symptoms.

Question 12: debt colection assistance officer (DCAO)

Answer:

indiviudals located at military treatment facilities to assist beneficiaries in resolvng healthcare collectoin-related issues.

Question 13: primary care manager (PCM)

Answer:

provider (e.g., physician) who is assigned to a sponsor andpartof the TRICARE provider network.

Question 14: DSM (Diagnostic and Statistical Manual)

Answer:

calssifies health disorders and isbased on ICD; published and is based on ICD; published by the American Psychiatric Association.

Question 15: Military Health Services System (MHSS)

Answer:

entire health-care system of the U.S. uniformed servicesand includes military treatment facilities (MTFs) as well as various programs in teh civilian healthcae market, such as TRICARE.

Question 16: beneficiary counseling and assistance coordinator (BCAC)

Answer:

individual availaable at a military treatment facility (MTF) to answer questions, help sove healthcare-related problems, and assist beneficiaries in obtaining medical care through TRICAE, was previously called health benefits advisor (HBA).

Question 17: fiscal year

Answer:

for the federal government, October 1 of one year to September 30 of the next.

Question 18: emergency care

Answer:

care for the sudden and unexpected onset of a medical or mental health condition that is threatening to life, limbl, or sight.

Question 19: TRICARE Program Management Organization

Answer:

manages TRICARE programs and demonstration projects.

Question 20: CHAMPUS Reform Initiative (CRI)

Answer:

conducted in 1986; resulted in a new health program called TRIARE, which includes three option: TRICARE Prime, TRICARE Extra, MAC for reimbursement.

Question 21: Defense Enrollment Eligibility Reporting System (DEERS)

Answer:

computer sywstem taht contains up-to-date Degense Department Workforce personnel information.

Question 22: TRICARE sponsor

Answer:

uniformed service personnel who are either active duty, retired, or deceased.

Question 23: uniformed services

Answer:

U.S. military branches that include the Army, Navy, Air Force, Marines, Coast Guard, Public Health Service, and the North Atlantic Treaty Organization (NATO).

Question 24: TRICARE

Answer:

healthcare program for active duty memebers of the military and tehir qualified family memebers, CHAMPUS-eligible retirees and their qualified family members, and eligiblesujrvivors of members of the uniformed services.

Question 25: catchment area

Answer:

the region defined by code boundaries within a 40-mile radius of a military treatment facility.

Question 26: practice guidelines

Answer:

decision-making tools used by providers to determine appropriate health care for specific clincial circumstances.