« previous next »

Author Question: If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary? TRICARE ... (Read 112 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?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

Primary cilium and the Hedgehog pathway Primary cilium and the Hedgehog pathway
Group fitness activities geared toward senior citizens can improve their physical strength and ... Group fitness activities geared toward senior citizens can improve their physical strength and ...
The primary ignition system is used to trigger and therefore create the secondary (high-voltage) ... The primary ignition system is used to trigger and therefore create the secondary (high-voltage) ...
Primary and secondary immune responses Primary and secondary immune responses
Primary Actions of Hormones Primary Actions of Hormones
Cookies activities for senior kindergarten Cookies activities for senior kindergarten
Video: Forming urine ( influencing factors), Forming dilute urine & Forming concentrated urine

For a complete list of videos, visit our video library