QUESTION: 401

This program, formerly called CHAMPUS (Civilian Health and Medical Program- Uniformed Services), is a health care program for active members of the military and other qualified family members.

TRICARE
CHAMPVA
Indian Health Service
workers' compensation

Answer(s): A

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QUESTION: 402

Under Medicare Part B, Medicare participating providers

will be able to collect his or her total charges.
agrees to charge no more than 15% (limiting charge) over the allowed charge from the nonPAR fee schedule.
accepts, as payment in full, the allowed charge from the nonPAR fee schedule.
agrees to charge no more than 10% (limiting charge) over the allowed charge from the nonPAR fee schedule.

Answer(s): C

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QUESTION: 403

If the physician's standard fee for a service is $210.00 and the Medicare PAR fee is $115.00, what is the limiting charge for a nonparticipating (nonPAR) provider?

$241.50
$109.25
$132.25
$125.63

Answer(s): D

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QUESTION: 404

CMS adjusts the Medicare Severity DRGs and the reimbursement rates every

calendar year beginning January 1.
quarter.
month.
fiscal year beginning October 1.

Answer(s): D

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QUESTION: 401

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QUESTION: 404

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