4A051 Vol. 3

1. If a patient has routine medical needs, who would be the patient's principal provider?

Health Benefits Advisor.

Primary Care Manager.

Health Care Finder.

Lead agent.

2. When creating a personal master schedule, the appointment personnel must coordinate with the

Nurse.

Provider.

Medical technician.

Health Services manager.

3. Pregnant females discharged under other than honorable conditions who must be authorized by a general court-martial authority to apply to the medical group commander for obstetrical care, fall within what program?

Secretary of the Air Force Maternity.

Secretary of the Air Force Designee.

Department of Defense Designee.

Air Force Maternity Discharge.

4. Currently TRICARE Standard pays what percentage of the approved or allowable cost for outpatient care, for active duty families, after the annual deductible is paid?

25.

65.

80.

100.

5. TRICARE Standard has

The use of primary care managers.

The broadest choice of providers.

No deductible or co-payment.

No balance billing.

6. How many regions are there within TRICARE?

2.

3.

5.

7.

7. If a healthcare system is responsible for both the financing and delivery of a broad range of comprehensive health services to a voluntarily enrolled population, what plan would apply?

HMO.

EPO.

PPO.

IPA.

8. What should be the first priority in developing marketing material for a region?

Public service advertising.

Quarterly newsletters.

Enrollment packages.

Newspaper articles.

9. The federal government's healthcare financing for the elderly is called

Welfare.

Medicare.

Medicaid.

Government aid.

10. Active duty personnel who have family members may or may not elect to enroll their family in

TRICARE Extra.

TRICARE Prime.

TRICARE for Life.

TRICARE Standard.

11. What is composed of timeslots that have been assigned appropriate appointment types, durations, and a maximum number of patients per slot?

Profile.

Schedule.

Template.

Appointment.

12. For at least how many months is the enrollment period for TRICARE Prime?

36.

24.

18.

12.

13. What is a pattern of time slots specific to a provider, but not linked to any particular date?

Profile.

Schedule.

Template.

Appointment.

14. Children retain their eligibility unless they marry before the age of

16.

18.

21.

23.

15. What schedule in the Composite Health Care System (CHCS) makes it simple for you to add, delete, cancel, freeze, and release schedule time slots for specific days within any provider's schedule?

Interactive.

Automatic List.

Freeze/Release.

Maintain/Cancel.

16. The benefits of TRICARE cannot be fully realized without timely information regarding access, utilization and

Costs.

Enrollment.

Provider availability.

Population health statistics.

17. When legislation was passed enabling managed care plans to increase in numbers and expand enrollments through healthcare programs financed by grants, contracts and loans, which of the following was the name?

Managed Care Act of 1980.

Medicare/Medicaid Act of 1965.

Health and Wellness Act of 1983.

Health Maintenance Organization Act of 1973.

18. Medical treatment facilities (MTF) use what two data systems to identify and describe their enrolled population by age, gender, and beneficiary category, and to assess their healthcare needs?

Department of Defense (DOD) and Air Force Medical Service (AFMS).

DOD and Air Force Medical Support Agency.

Major command (MAJCOM) and AFMS.

MTF and AFMS.

19. TRICARE presentations are most effective when done jointly by a knowledgeable uniformed representative and a

MCSC marketing representative office.

TRICARE support office NCOIC.

TRICARE marketing NCO.

MDG/CC.

20. If an individual is enrolled in a healthcare plan, who is responsible for reimbursing covered individuals for the cost of their healthcare?

Managed care organizations.

Health care insurance companies.

Health maintenance organizations.

TRICARE Extra Supplemental health insurance.

21. The Customer Satisfaction Survey primarily attempts to collect information regarding

A specific appointment.

The leadership of the MTF.

Ancillary service at the MTF.

The overall perception of the MTF.

22. The manage acess to care (ATC) tools are available in the Composite Health Care System (CHCS) and are also located on the web at the

TRICARE Access Center.

Managed Care Tools Center.

Managed Care Access Center.

TRICARE Operations Center.

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

TROs.

MTF commander.

NCOIC, TRICARE.

Health benefits advisor.

24. Which Composite Health Care System (CHCS) option allows you to cancel all or part of an existing schedule at the request of the provider or another agency at the medical treatment facility?

Closed Appointments.

Cancelled by Provider.

Cancellation by Facility.

Maintain/Cancel Appointments.

25. Who, along with the TRICARE Regional Offices (TRO), are responsible for conducting provider training on TRICARE and managed care in accordance with contract provisions?

MCS contractors.

MTF commanders.

HCF.

Health benefits advisors.

26. When you print reports by using the appropriate option, and enter the necessary report, and print parameters what will happen next?

Batch reports will print.

Count reports will print.

Summary reports will print.

On-demand reports will print.

27. 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?

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

Medical group (MDG) commander.

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

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

28. Active duty service members' family members not enrolled in TRICARE Prime belong in priority group

One.

Two.

Three.

Four.

29. One of the most important functions of the managed care support (MCS) contractor is the development of civilian provider networks in support of TRICARE

Extra and Standard benefits.

Prime and Extra benefits.

Standard benefits.

Extra benefits.