« previous next »

Author Question: If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary? TRICARE ... (Read 109 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?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

Primary cilium and the Hedgehog pathway Primary cilium and the Hedgehog pathway
Primary Motor Cortex and Seizures Primary Motor Cortex and Seizures
Select of Primary and Secondary Procedures Select of Primary and Secondary Procedures
Primary Recovery of Oil Primary Recovery of Oil
Roundworm Body Plan Roundworm Body Plan
Insect Body Plan: Grasshopper Insect Body Plan: Grasshopper
Video: Effect of blood chemistry - stimuli, hyperventilation response and hypoventilation response

For a complete list of videos, visit our video library