Author Question: Under TRICARE Prime, a PCM is a: primary care manager. physician case manager. preventive ... (Read 18 times)

dalyningkenk

  • Hero Member
  • *****
  • Posts: 598
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.


tranoy

  • Sr. Member
  • ****
  • Posts: 344
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
 

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

The U.S. Preventive Services Task Force recommends that all women age 65 years of age or older should be screened with bone densitometry.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

For a complete list of videos, visit our video library