4a051 Missing Volume 3

31 Questions

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4a051 Quizzes & Trivia

Questions and Answers
  • 1. 
    What includes all units, organizations, and members of the Air National Guard (ANG) and the Air Force Reserve (AFR)?
    • A. 

      Air and Guard Total Force Component.

    • B. 

      Air National Reserve Component.

    • C. 

      Air Force Alternative Component.

    • D. 

      Air Reserve Component.

  • 2. 
    The favorable dependency determination must specifically state the individual is eligible for medical care and this eligibility determination is made by the
    • A. 

      Healthcare integrator.

    • B. 

      Military personnel flight (MPF).

    • C. 

      Health services manager (HSM).

    • D. 

      Military treatment facility (MTF).

  • 3. 
    The former Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) option that pays a share of the cost of covered healthcare services you obtain from an authorized, non-network, civilian healthcare provider is
    • A. 

      TRICARE Exclusive.

    • B. 

      TRICARE Standard.

    • C. 

      TRICARE Prime.

    • D. 

      TRICARE Extra.

  • 4. 
    When applying the general rules, what priority group includes special provisions applicable to military members who are not on active duty, but are entitled to care in the medical treatment facility?
    • A. 

      One.

    • B. 

      Two.

    • C. 

      Three.

    • D. 

      Four.

  • 5. 
    To be cognizant of the information you are inputting into the system, you must remember what?
    • A. 

      Accuracy and effectiveness ensure the report is good.

    • B. 

      Quality and effectiveness ensure the report is good.

    • C. 

      Timeliness and accuracy make the report better.

    • D. 

      Completion and quality make the report better.

  • 6. 
    For preventive health assessment (PHA) reasons, how often are members’ records reviewed to ensure all requirements and recommendations have been addressed?
    • A. 

      Monthly.

    • B. 

      Quarterly.

    • C. 

      Semi-Annually.

    • D. 

      Annually.

  • 7. 
    The function that ensures the preventive individual medical readiness program is evaluated during operational readiness inspections (ORI), major command (MAJCOM)-level staff assistance visits, and health services inspections (HIS) and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) inspections is
    • A. 

      Headquarters US Air Force surgeon general (SG).

    • B. 

      HQ USAF/preventive health assessment (PHA) monitor.

    • C. 

      MAJCOM SG.

    • D. 

      MAJCOM preventive individual medical readiness (PIMR) program manager.

  • 8. 
    Who is required to conduct medical record reviews in order to identify significant items of medical history and any information that may be potentially disqualifying for deployment or worldwide duty?
    • A. 

      Major command (MAJCOM) preventive individual medical readiness (PIMR) program manager.

    • B. 

      Medical group (MDG) commander.

    • C. 

      Medical treatment facility (MTF) preventive individual medical readiness (PIMR) coordinator.

    • D. 

      Primary care element (PCE) and primary care management (PCM) teams.

  • 9. 
    What non-electronic, folder-style form documenting immunizations is used by all active duty, reserve, and Air National Guard (ANG) personnel?
    • A. 

      DD Form 2766, Adult Preventive and Chronic Care Flowsheet.

    • B. 

      Standard Form 600, Medical Record – Report of Medical History.

    • C. 

      Air Force Form 3922, Adult Preventive Care – Flow Sheet.

    • D. 

      AF Form 560, Authorization and Treatment Statement.

  • 10. 
    What process for inpatients begins before or on admission and continues after appropriate discharge to include follow-up and evaluation of services provided?
    • A. 

      Military Personnel Flight (MPF) Discharge and Planning Process.

    • B. 

      Air Force Medical Service (AFMS) Discharge Planning Process.

    • C. 

      Military Treatment Facility (MTF) Case Management Process.

    • D. 

      MTF Discharge and Disposition Planning Process (DCP).

  • 11. 
    What military treatment facility (MTF) process is a broad-spectrum scope and approach to identifying beneficiaries experiencing conditions which may indicate the need for case management services?
    • A. 

      Military Personnel Flight Discharge and Planning Process.

    • B. 

      Air Force Medical Service Discharge Planning Process.

    • C. 

      MTF Discharge and Disposition Planning Process.

    • D. 

      MTF Case Management Process.

  • 12. 
    At least how often must medical treatment facilities (MTF) assess centrally and locally produced performance measures for effectiveness and efficiency?
    • A. 

      Weekly.

    • B. 

      Quarterly.

    • C. 

      Monthly.

    • D. 

      Annually.

  • 13. 
    What was formerly known as the Public Health Services Hospitals, and now operates much like TRICARE Prime?
    • A. 

      Uniformed Services Family Health Plan.

    • B. 

      TRICARE Public Health Program.

    • C. 

      TRICARE Management Activity.

    • D. 

      Uniform Schools of Health Care.

  • 14. 
    What is the main challenge for most eligible beneficiaries?
    • A. 

      Deciding what TRICARE option is best for their particular situation.

    • B. 

      Determining what each of the TRICARE options offers.

    • C. 

      Determining where the closest MTF is located.

    • D. 

      Deciding who to choose as their PCM.

  • 15. 
    The TRICARE program is geographically structured by
    • A. 

      Regions.

    • B. 

      Branch of service.

    • C. 

      MTF catchment areas.

    • D. 

      State in CONUS and by country overseas.

  • 16. 
    Within each local delivery area, how is TRICARE health care managed?
    • A. 

      Locally.

    • B. 

      Nationally.

    • C. 

      Regionally.

    • D. 

      Case-by-case basis.

  • 17. 
    TRICARE Plus enrollment is noted on beneficiary records in
    • A. 

      MEPRS.

    • B. 

      DEERS.

    • C. 

      PARS.

    • D. 

      CHCHS.

  • 18. 
    What document reflects a reasoned and balanced approach to managing the military health benefit with military medical readiness as a first priority?
    • A. 

      Integrated health plan.

    • B. 

      TRICARE governance plan.

    • C. 

      Managed care support contract.

    • D. 

      Memorandum of understanding.

  • 19. 
    The TRICARE Regional Office (TRO) operates under the authority, direction, and control of the
    • A. 

      MTF commander.

    • B. 

      Regional director.

    • C. 

      TMA deputy director.

    • D. 

      AF surgeon general.

  • 20. 
    What does the TRICARE Regional Office (TRO) use as the baseline to build additional network needs, develop referral policy and measure access standards?
    • A. 

      Inpatient medical capability.

    • B. 

      Catchment demographics.

    • C. 

      Civilian capabilities.

    • D. 

      Primary care system.

  • 21. 
    Which duty is performed by the administrative contracting officer (ACO)?
    • A. 

      Patient routing and referrals for delivery of care.

    • B. 

      Assists with resolving contractual issues.

    • C. 

      Claims processing and data collection.

    • D. 

      Utilization and quality management.

  • 22. 
    Who is each TRICARE Regional Office (TRO) and medical treatment facility (MTF) required to have available to assist beneficiaries in determining the validity of collection agent claims received for debts incurred as a result of medical/dental care under the TRICARE Program?
    • A. 

      HBA.

    • B. 

      DCAO.

    • C. 

      MCSC.

    • D. 

      BCAC.

  • 23. 
    Nonavailability statements (NAS) are processed through the
    • A. 

      Composite Health Care System (CHCS).

    • B. 

      Defense Eligibility Enrollment Reporting System (DEERS).

    • C. 

      Medical Expense Performance Reporting System (MERPS).

    • D. 

      TRANSCOM Regulating and Command & Control Evaluation System.

  • 24. 
    There is no copayment or deductible for beneficiaries referred for civilian medical care
    • A. 

      When care is authorized by the HCF.

    • B. 

      When referred by the PCM.

    • C. 

      While in an outpatient status in the MTF.

    • D. 

      While in an inpatient status in the MTF.

  • 25. 
    The TRICARE Management Activity (TMA) is a field activity of the
    • A. 

      Undersecretary Department of Defense.

    • B. 

      Surgeons General of all branches of services.

    • C. 

      ASD-HA.

    • D. 

      Undersecretary of Defense for Personnel and Readiness.

  • 26. 
    When utilizing resource support, who may request a task order for personnel equipment, equipment maintenance, and supplies?
    • A. 

      TROs.

    • B. 

      MTF commander.

    • C. 

      NCOIC, TRICARE.

    • D. 

      Health benefits advisor.

  • 27. 
    Whose policy requires you to consider resource sharing agreements are in the best interest of the government and are in support of the regional healthcare plan?
    • A. 

      TRICARE.

    • B. 

      Governmental.

    • C. 

      MDG/CC.

    • D. 

      MCS contractor.

  • 28. 
    Who determines whether or not resource sharing agreements are in the best interest of the government and are in support of the regional health care plan?
    • A. 

      TROs.

    • B. 

      Surgeon General.

    • C. 

      MDG/CC.

    • D. 

      MCS contractor.

  • 29. 
    Who performs periodic reviews of the medical treatment facility/Veteran’s Administration (MTF/VA) facility resource sharing agreements to ensure compatibility with agreements including VA facilities as network providers?
    • A. 

      TRO.

    • B. 

      Surgeon General.

    • C. 

      MTF commander.

    • D. 

      MCS contractor.

  • 30. 
    As a minimum, the medical portion of in-and-out-processing should include information on how access health care at the medical treatment facility (MTF) and in the community, and how to
    • A. 

      Contact the TRICARE contractor.

    • B. 

      Resolve issues with the contractor.

    • C. 

      Resolve problems accessing health care.

    • D. 

      Contact DEERS personnel concerning health care.

  • 31. 
    Which office conducts the required medical out-processing briefing?
    • A. 

      TRICARE office.

    • B. 

      TRO office.

    • C. 

      HA office.

    • D. 

      MCS contractor’s office.