Coding Exam Chapter 9-11 Review (2025
updated) questions and correct answers
TRICARE follows the _____________ annual coding and reimbursement updates for claims
processing. - correct answer ✔✔Centers for Medicare and Medicaid Services (CMS)
Many veterans with service-connected conditions can qualify for cost-free healthcare services if
they meet the conditions of a - correct answer ✔✔Both A and C.
Medicare Part A helps pay for all of the following, except - correct answer ✔✔office visits
TRICARE's Medicare-wraparound coverage available to all Medicare-eligible TRICARE
beneficiaries is called TRICARE - correct answer ✔✔For Life
The national website that provides workers compensation news and information for employees,
employers, insurers, and medical providers is - correct answer ✔✔the Online Workers' Comp
Service Center
CHAMPVA eligibility can be lost in all of the following situations except when a - correct answer
✔✔dependent child enrolled in college full time becomes 18
In which era did workers' compensation get its start? - correct answer ✔✔1800s
As an alternative to traditional workers' compensation coverage, some employers choose a/an
__________________ to provide medical care to injured employees. - correct answer
✔✔managed care system
, Fees that Medicare permits for a particular procedure, service, or supply are called - correct
answer ✔✔allowable charges
Insurance coverage that is typically primary to Medicare includes all of the following, except -
correct answer ✔✔Medicaid
The job of a ______________________ is to detect and correct past improper payments so that
CMS and MACs can implement actions that will prevent future improper payments. - correct
answer ✔✔Recovery Audit Contractor (RAC)
What is the first step an employee should take for a first report of a nonemergency on-the-job
injury? - correct answer ✔✔The employee should notify a supervisor of the accident.
Which act provides workers' compensation to employees of private maritime employers? -
correct answer ✔✔Longshore and Harbor Workers' Compensation Act
Companies pay premiums for workers' compensation insurance; in return, their employees
agree to - correct answer ✔✔give up the right to sue employers for on-the-job injuries.
Part _____ of Medicare helps pay for physician and outpatient charges. - correct answer ✔✔B
CHAMPVA allows professional charges to be submitted on paper using the ____________ claim
form and following TRICARE/CHAMPVA guidelines. - correct answer ✔✔CMS-1500
There are _____ levels to the Medicare appeals process. - correct answer ✔✔five
Medicare claims may be electronically submitted from a provider's office to a - correct answer
✔✔All of the above
updated) questions and correct answers
TRICARE follows the _____________ annual coding and reimbursement updates for claims
processing. - correct answer ✔✔Centers for Medicare and Medicaid Services (CMS)
Many veterans with service-connected conditions can qualify for cost-free healthcare services if
they meet the conditions of a - correct answer ✔✔Both A and C.
Medicare Part A helps pay for all of the following, except - correct answer ✔✔office visits
TRICARE's Medicare-wraparound coverage available to all Medicare-eligible TRICARE
beneficiaries is called TRICARE - correct answer ✔✔For Life
The national website that provides workers compensation news and information for employees,
employers, insurers, and medical providers is - correct answer ✔✔the Online Workers' Comp
Service Center
CHAMPVA eligibility can be lost in all of the following situations except when a - correct answer
✔✔dependent child enrolled in college full time becomes 18
In which era did workers' compensation get its start? - correct answer ✔✔1800s
As an alternative to traditional workers' compensation coverage, some employers choose a/an
__________________ to provide medical care to injured employees. - correct answer
✔✔managed care system
, Fees that Medicare permits for a particular procedure, service, or supply are called - correct
answer ✔✔allowable charges
Insurance coverage that is typically primary to Medicare includes all of the following, except -
correct answer ✔✔Medicaid
The job of a ______________________ is to detect and correct past improper payments so that
CMS and MACs can implement actions that will prevent future improper payments. - correct
answer ✔✔Recovery Audit Contractor (RAC)
What is the first step an employee should take for a first report of a nonemergency on-the-job
injury? - correct answer ✔✔The employee should notify a supervisor of the accident.
Which act provides workers' compensation to employees of private maritime employers? -
correct answer ✔✔Longshore and Harbor Workers' Compensation Act
Companies pay premiums for workers' compensation insurance; in return, their employees
agree to - correct answer ✔✔give up the right to sue employers for on-the-job injuries.
Part _____ of Medicare helps pay for physician and outpatient charges. - correct answer ✔✔B
CHAMPVA allows professional charges to be submitted on paper using the ____________ claim
form and following TRICARE/CHAMPVA guidelines. - correct answer ✔✔CMS-1500
There are _____ levels to the Medicare appeals process. - correct answer ✔✔five
Medicare claims may be electronically submitted from a provider's office to a - correct answer
✔✔All of the above
