VOL 1 - UNIT 3
When hospitals where first established, who typically worked as nurses in the hospitals?
- ANS-Wives or widows of military personnel
What are the two areas your MTF has addressed to project integrity, confidentiality and
availability of PII and PHI? - ANS-Physical and electronic security
When was the Act that led to CHAMPUS signed into law? - ANS-1 october 1966
What two forms can you use to cover personnel information in printed/paper form? -
ANS-DD form 3227, privacy act cover sheet or DD form 2923, privacy act data cover
sheet
What was TRICARE designed to do? - ANS-Expand acces to care, assure high-quality
care, control healthcare costs, and improve medical readiness
What is the most commonly used method for controlling electronic access? -
ANS-Common Access Card
What did the "TRI" in TRICARE originally refer to? - ANS-The three main benefit plan
options
What year did congress establish the first hospital? - ANS-1776
What are the two distinct types of care? - ANS-Direct care and purchased care
"TRICARE" originally referred to the three main plan options, which were TRICARE
Prime, TRICARE - ANS-Standard, and TRICARE Extra
What is a network provider? - ANS-A provider under contract with TRICARE regional
office to provide care to beneficiaries
The following medical conditions may qualify patients for medicare before 65 years old
EXCEPT; - ANS-blood transfusions before 1995
A provider that accepts TRICARE and agrees to the TRICARE allowable charge for
their service is classified as what type of provider? - ANS-Participating provider
, What should you first consider when helping a patient narrow down the right TRICARE
plan for them? - ANS-location
What is a non-network, non-participating provider? - ANS-One who provides care, but
does not have an agreement with TRICARE and they do not accept the allowable
charge as payment.
What is the official website for TRICARE? - ANS-TRICARE.mil
What providers are prohibited from balance billing? - ANS-Network and participating
providers
What two convenient tools can you find on TRICARE.mil? - ANS-Plan finder and
compare plans
What payments contribute to the catastrophic cap? - ANS-Deductibles, cost-shares,
prescription co-payments and Prime enrollment fees.
Within the MTF, who is the functional champion of TRICARE Online (TOL)? - ANS-TOL
Project Officer
Under what system do TRICARE beneficiaries receive a majority of their care? -
ANS-Direct care system
What is the key to the success of TRICARE? - ANS-Innovative marketing program
Who has the highest priority for MTF care? - ANS-ADSMs and TRICARE
Prime-enrolled active duty family members
Where can you go to get standardized and current marketing materials for TRICARE? -
ANS-TRICARE Online
What is an HMO? - ANS-It's a health plan in which a member pays for medical care,
and it usually includes primary and preventive care.
What is the primary role of the BCAC? - ANS-Serve as a beneficiary advocate and
problem solver
Who makes referrals for tests/specialty care, and monitor adequacy and continuity of
needed care? - ANS-PCM
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