« previous next »

Author Question: Under TRICARE Prime, a PCM is a: primary care manager. physician case manager. preventive ... (Read 64 times)

dalyningkenk

  • Hero Member
  • *****
  • Posts: 598
on: Jun 27, 2018
Under TRICARE Prime, a PCM is a:
 
  primary care manager.
 
  physician case manager.
 
  preventive care manager.
 
  physician consulting manager.

Question 2

Under an 80/20 plan, if a participating provider's usual charge is 200 for a procedure and the allowed amount is 150, the provider can collect:
 
  150 from the insurance carrier and 50 from the patient.
 
  120 from the insurance carrier and 30 from the patient.
 
  120 from the insurance carrier and 80 from the patient.
 
  160 from the insurance carrier and 40 from the patient.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


tranoy

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: primary care manager.

Answer to Question 2

Answer: 120 from the insurance carrier and 30 from the patient.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

Injecting an IV push (bolus) medication; B, into a primary infusion line Injecting an IV push (bolus) medication; B, into a primary infusion line
The respiratory system. (a) Sagittal section of the head and neck, revealing the organs of the upper The respiratory system. (a) Sagittal section of the head and neck, revealing the organs of the upper
Examples of Health Care Plans Examples of Health Care Plans
Critical thinking and the process of planning care Critical thinking and the process of planning care
Remote satellite monitoring of gross primary productivity across the United States. The differences Remote satellite monitoring of gross primary productivity across the United States. The differences
Primary growth in a shoot Primary growth in a shoot
Video: Ventilation - phases and driving forces

For a complete list of videos, visit our video library