« previous next »

Author Question: If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary? TRICARE ... (Read 119 times)

Awilson837

  • Hero Member
  • *****
  • Posts: 509
on: Jun 27, 2018
If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary?
 
  TRICARE is primary.
 
  Medicare is primary.
 
  The patient can select which is primary.
 
  The provider can select which is primary.

Question 2

How is reimbursement calculated for workers' compensation claims?
 
  What will be an ideal response?
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


ririgirl15

  • Sr. Member
  • ****
  • Posts: 385
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: TRICARE is primary.

Answer to Question 2

Answer: When the workers' compensation policy is not a managed care plan, fees for services are based on the Medicare Fee Schedule (MFS); the MFS fee is multiplied by a certain percentage determined by each state to arrive at the billable fee.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

It is important to read food labels and choose foods with low cholesterol and saturated trans fat. You should limit saturated fat to no higher than 6% of daily calories.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Injecting an IV push (bolus) medication; B, into a primary infusion line Injecting an IV push (bolus) medication; B, into a primary infusion line
Primary factors affecting blood pressure Primary factors affecting blood pressure
Regions of the Primary Motor Cortex and Associated Axons of the Corpus Callosum Regions of the Primary Motor Cortex and Associated Axons of the Corpus Callosum
General location of the primary auditory cortex and areas of secondary auditory cortex. Most ... General location of the primary auditory cortex and areas of secondary auditory cortex. Most ...
Private Practice Massage Therapy Business Plan Private Practice Massage Therapy Business Plan
Primary succession Primary succession
Video: DNA Sequences - Dideoxy Sequencing

For a complete list of videos, visit our video library