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Medcial Billing II

Chap 13-16

QuestionAnswer
CHAMPUS stands for what? Civilian Health And Medical Program for the Uniformed Services.
CHAMPVA stands for what? Civilian Health and Medical Program for the Veterans Affairs.
A physician who is incorporated is considered an employee under worker' compensation laws? True
Disability income policies do not provide medical expense benefits? True
The federal government designs the Medicaid program for each state based on the needs of the state? False
Minors are not covered by workers' compensation? False
Disability income insurance provides benefits for wwork-related disability? False
Medicaid is not so much an insurance program as an assistance program? True
Progree reports ssubsequent to the initial report for workers' compensation patients may be narrative and are not necessarily completed on sspecial forms available in most states? True
The definition of total disability vaaries form policy to policy becasue there is no standard definition? True
Temporary disability exsists when an illness or injury prevents a person form performing one or more functions of his or her regular job? False.
Disabled workers younger than 65 years of age are eligible for SSDI? True
The Medicaid patient may be responsible for a copayment? True
For people trying to qaulify for SSDI or SSI, determination is made by the physician? False
It is possible for a Medicaid patient to be on Medicaid 1 month and off Medicaid the following month? True
A physician may accept or refuse Medicaid patients on the basis of the individual patient and his or her circumstances? False
Non-indusstry disability insurance programs exsist in only five states and Puerto Rico? True
When Medicaid and a third-party payer cover the patient, Medicaid is always the payer of last resort? True
Regarding Medicaid, the "medically needy aged" are? Require help in meeting costs of medical care. Page 470.
The reason for Workers' Compensation laws is ? *ensure a prompt return to wwork of any injured or ill employee.*To provide income to the injured or ill worker.*To encourage maximum employer interest in safety.
Medicaid is administerd by the? Sate government with partial federal funding.
The three choices of health care coverage for families of active duty military personnel, military retirees and their dependents are? Tricare Standard, Tricare Extra and Tricare Prime.
An abnormal condition caused by exposure to environmental factors associated with employment is termed a /an? Occupational illness.
Coverage that provided a specific monthly pr weekly income whn a person is unable to work because of an illness or injury is known as? Disabilty income inssurance.
Medicaid is availble to needy and low-income people such as? The blind, The disabled, The aged (>65).
What is the system called that Tricare claims processors us to verify eligibilty? DEERS
The maximum amount of time for which benefits will be paid in the injured or ill person for a disability is called the? Benefit Period
The Tricare fiscal year extends from? Oct 1 to Sept 30
Workers' Compensation benfits include? *Medical Care*Disability Income*Death benefits
To control escalating health care costs by curbing unnecessary emergency department visits and emphasizing preventive care, Medicaid Reform has involved? Managed Care Organizations or Programs.
OSHA stands for what? Occupational Safey and Health Administration.
What are the two programs that the Sociaaal Security Administration (SSA) maanages thaat apy monthly disability benefits to people younger than 65 who cannot work for at least a year becuase of severe disability? SSDI and SSI
Name the correct proceddure for keeping an industrial patient's fincancial and health records when the same phycian is also seeig the patient as a private patient? Seperate fincncial and health records must be used.
The Supplemental Security Income (SSI) Program under Title XVI of the Social Security Act provides? Disability payments to needy people with limited income and few resources.
W/BMedicaid was legally established by Title (BLANK) of the Social Security Act. XIX
W/BA/An (BLANK) is an unplanned and unexpected happening traceable to a definite time and place, casuing injury (damage or loss) not due to any fault on the part of the injured person> Accident
Dependents of individulass hho have died as a resullt of a service connected injrru qualifies to receive (BLANK) benefits. CHAMPVA
If a workers' occupation takes a person into another state, most compensation laws aare (BLANK) and effective outsidee the state by either specific provisons or court decison. extraterritorial
A feature that provides for twicee the face amount of the policy to be paid if death results from accidental causes is called (BLANK) Double Ideminity
A person who has served in the Armed Forces of the United Statess, espicially in time of waar, who is no longer in the serive and has received an honaorable discharge is called a/an (BLANK) Veteran
Rehabilatation in the form of retraining, education, and job guidancee and placement to assit an injured individual in finding work is called (BLANK) rehabilatation. Vocational
(BLANK), (BLANK) and )BLANK) are the typess of employees that fall under federal workers' compensation statues. Miners, federal employees, maritime workers.
A(BLANK) DDS team composed of a physician/psycholigist and disabiltiy examiner makes the determination regarding disabiliity for the SSDI and SSI programs. Disability detrmination services.
Name the five types of workers' compensation benefits. *Medical Treatment*Temporary Disability*Permanent Disability*Deaath Benefits*Rehabilatation benefits.
What are the two programs that the Sociaaal Security Administration (SSA) maanages thaat apy monthly disability benefits to people younger than 65 who cannot work for at least a year becuase of severe disability? SSDI and SSI
Name the correct procedure for keeping an industrial patient's fincancial and health records when the same phycian is also seeig the patient as a private patient? Seperate fincncial and health records must be used.
The Supplemental Security Income (SSI) Program under Title XVI of the Social Security Act provides? Disability payments to needy people with limited income and few resources.
W/BMedicaid was legally established by Title (BLANK) of the Social Security Act. XIX
W/BA/An (BLANK) is an unplanned and unexpected happening traceable to a definite time and place, casuing injury (damage or loss) not due to any fault on the part of the injured person> Accident
Dependents of individulass hho have died as a resullt of a service connected injrru qualifies to receive (BLANK) benefits. CHAMPVA
If a workers' occupation takes a person into another state, most compensation laws aare (BLANK) and effective outsidee the state by either specific provisons or court decison. extraterritorial
A feature that provides for twicee the face amount of the policy to be paid if death results from accidental causes is called (BLANK) Double Ideminity
A person who has served in the Armed Forces of the United Statess, espicially in time of waar, who is no longer in the serive and has received an honaorable discharge is called a/an (BLANK) Veteran
Rehabilatation in the form of retraining, education, and job guidancee and placement to assit an injured individual in finding work is called (BLANK) rehabilatation. Vocational
(BLANK), (BLANK) and )BLANK) are the typess of employees that fall under federal workers' compensation statues. Miners, federal employees, maritime workers.
A(BLANK) DDS team composed of a physician/psycholigist and disabiltiy examiner makes the determination regarding disabiliity for the SSDI and SSI programs. Disability detrmination services.
Name the five types of workers' compensation benefits. *Medical Treatment*Temporary Disability*Permanent Disability*Deaath Benefits*Rehabilatation benefits.
Created by: douelt
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