Author Question: Under TRICARE Prime, a PCM is a: primary care manager. physician case manager. preventive ... (Read 72 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?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

The first oral chemotherapy drug for colon cancer was approved by FDA in 2001.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

On average, someone in the United States has a stroke about every 40 seconds. This is about 795,000 people per year.

For a complete list of videos, visit our video library