NCCT INTERACTIVE REVIEW MEDICAL INSURANCE EXAM
QUESTIONS AND ANSWERS
Which are located at military treatment facilities and are available to answer
questions, help solve health care-related problems, and assist beneficiaries in
obtaining medical care through TRICARE?
beneficiary counseling and assistance coordinators
Who is required to personally sign the original and all photocopies of reports
submitted to the workers' compensation board?
physician or other health care provider
The U.S. Labor Department's Mine Safety and Health Administration (MSHA)
helps reduce deaths, injuries, and illnesses in U.S. mines through a variety of
activities and programs. Which is an example of such an activity or program?
Develops and enforces safety and health rules that apply to all U.S. mines
Which was created in 1946 to hear appeals for determinations and awards under
the Federal Employees' Compensation Act (FECA) with respect to claims of
federal employees injured in the course of their employment?
ECAB
Temporary disability claims cover health care treatment for illness and injuries as
well as payment for __________.
lost wages
Which is a type of HMO that works in much the same way and has some of the
same rules as a Medicare Advantage Plan, except that the individual receives
health care from a non-network provider, and the original Medicare plan covers
the services? The individual pays Medicare Part A and Part B coinsurance and
deductibles.
Medicare Cost Plan
A Medicare-Medicaid (Medi-Medi) crossover plan provides both Medicare and
Medicaid coverage to _____ beneficiaries with low incomes.
Medicare
Which describes annual income guidelines established by the federal
government?
, federal poverty level
Which consists of routine pediatric checkups provided to all children enrolled in
Medicaid, including dental, hearing, vision, and other screening services to detect
potential problems?
early and periodic screening, diagnostic, and treatment
Which tests and establishes the feasibility of implementing a new program during
a trial period, after which the program is evaluated, modified, and/or abandoned?
protocol plan
When a patient seeks health care under the TRICARE program, sponsor
information is verified in the _________ computer system, which contains up-to-
date workforce personnel information.
DEERS
Which is an example of workers' compensation fraud?
employee who provides a false statement about an on-the-job injury
Which program pays for physician services, outpatient hospital care, and durable
medical equipment?
Medicare Part B
Which is the special group that requires states to pay Medicare Part B premiums
for individuals with incomes between 100 and 120 percent of the federal poverty
level?
specified low-income Medicare beneficiaries
TRICARE __________ are uniformed service personnel who are either active duty,
retired, or deceased.
sponsors
The TRICARE benefit that protects beneficiaries from devastating financial loss
due to serious illness or long-term treatment by establishing limits over which
payment is not required is called the __________ cap benefit
catastrophic
Internal grievance and dispute resolution procedures involve the care and
treatment provided by the workers' compensation program, along with an
__________ process to the state workers' compensation agency.
QUESTIONS AND ANSWERS
Which are located at military treatment facilities and are available to answer
questions, help solve health care-related problems, and assist beneficiaries in
obtaining medical care through TRICARE?
beneficiary counseling and assistance coordinators
Who is required to personally sign the original and all photocopies of reports
submitted to the workers' compensation board?
physician or other health care provider
The U.S. Labor Department's Mine Safety and Health Administration (MSHA)
helps reduce deaths, injuries, and illnesses in U.S. mines through a variety of
activities and programs. Which is an example of such an activity or program?
Develops and enforces safety and health rules that apply to all U.S. mines
Which was created in 1946 to hear appeals for determinations and awards under
the Federal Employees' Compensation Act (FECA) with respect to claims of
federal employees injured in the course of their employment?
ECAB
Temporary disability claims cover health care treatment for illness and injuries as
well as payment for __________.
lost wages
Which is a type of HMO that works in much the same way and has some of the
same rules as a Medicare Advantage Plan, except that the individual receives
health care from a non-network provider, and the original Medicare plan covers
the services? The individual pays Medicare Part A and Part B coinsurance and
deductibles.
Medicare Cost Plan
A Medicare-Medicaid (Medi-Medi) crossover plan provides both Medicare and
Medicaid coverage to _____ beneficiaries with low incomes.
Medicare
Which describes annual income guidelines established by the federal
government?
, federal poverty level
Which consists of routine pediatric checkups provided to all children enrolled in
Medicaid, including dental, hearing, vision, and other screening services to detect
potential problems?
early and periodic screening, diagnostic, and treatment
Which tests and establishes the feasibility of implementing a new program during
a trial period, after which the program is evaluated, modified, and/or abandoned?
protocol plan
When a patient seeks health care under the TRICARE program, sponsor
information is verified in the _________ computer system, which contains up-to-
date workforce personnel information.
DEERS
Which is an example of workers' compensation fraud?
employee who provides a false statement about an on-the-job injury
Which program pays for physician services, outpatient hospital care, and durable
medical equipment?
Medicare Part B
Which is the special group that requires states to pay Medicare Part B premiums
for individuals with incomes between 100 and 120 percent of the federal poverty
level?
specified low-income Medicare beneficiaries
TRICARE __________ are uniformed service personnel who are either active duty,
retired, or deceased.
sponsors
The TRICARE benefit that protects beneficiaries from devastating financial loss
due to serious illness or long-term treatment by establishing limits over which
payment is not required is called the __________ cap benefit
catastrophic
Internal grievance and dispute resolution procedures involve the care and
treatment provided by the workers' compensation program, along with an
__________ process to the state workers' compensation agency.
