Exam 10 and 11
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30 terms
Terms | Definitions |
|---|---|
 Accessibility and Affordability | TRICARE's two main objectives are: |
| 3 | TRICARE is administered regionally, serving ______ separate regions. |
| Regional director | Each region is headed by an individual who is responsible for oversight of all healthcare delivery activities whithin his or her region and is called a: |
| Military Health System | The name of the total healthcare system of the U.S. uniformed services is: |
| The department of Defense | TRICARE is administered by: |
| Enhance the performance of TRICARE wouldwide | The main purpose of the TRICARE Management Activity (TMA) is to: |
| DEERS | The computerized data bank that lists all active and retired military service memebers is called: |
| Beneficiaries | Similar to Medicaid and Medicare, TRICARE-eligible individuals are referred to as: |
| TRICARE Standard | The fee for-service option offer by TRICARE, which has basically the same benefits as the original CHAMPUS program, is: |
| TRICARE Extra | The TRICARE option similar to preferred provider organization-type managed care is: |
| The VA's HAC | CHAMPVA is managed by: |
| A widow remarrying, Divorcing the sponsor, Becoming eligible for Medicare | CHAMPVA eligibility ccan be lost if certain demographic changes occur, such as: |
| Medicaid and CHAMPVA supplemental insurance | CHAMPVA is the last payer after alll other third-party payers have met their obligations except for: |
| 1 Year | The deadline for filing military claims is: |
| $3000 | The annual catastrophic (cat) cap for CHAMPVA is: |
| Germany | Workers' compensation got its start in the 1800s in: |
| The employer | In workers' compensation insurance, the premiums are paid by: |
| FECA | The federal program that establishes workers' compensation for nonmilitary federal government employees is known by the acronym: |
| FELA | The federal program that establishes workers' compensation for railroad workers engaged in interstate commerce is known by the acronym: |
| Ombudsman | An individual responsible for investigating and resolving workers' complaints against the employer or insurance company that is denying the benefits is called a(n): |
| Individual state statutes | The time limit for filing a workers' compensation claim is established by: |
| Time limits vary from state to state | An injury or illness that is job related typically must be reported to the employer: |
| Job Deconditioning | A patient's inability to perform normal job duties at the previous level of expertise as a result of being absent from work is called: |
| Progress reports and Supplemental reports | After the initial attending physican report has been filed, periodic updates must be provided to the employer/insurer, called: |
| Disability insurance | The type of insurance that replaces a portiion of earned income when an individual is unable to perform the requirements of his or her job because of non-job-related injury or illness is called: |
| A benefit cap | The maximum amount of benefits that can be recieved in a specific time period is called: |
| Americans with Disabilites Act (ADA) | The federal act established in 1990 that protects the civil right of individuals with disabilities is called the: |
| State Disability Determination unit | The examining body that determines if an applicant qualitfies for SSDI is the: |
| Financial means test | The method of determining wheather or not and individual is eligible for SSI benefits is through a(n): |
| Ticket to Work | The program greater choice in slelecting the providers and rehabilitation services disabled individuals need to help them keep working or return to work is called: |
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