« previous next »

Author Question: If a beneficiary has both TRICARE Senior Prime/TFL and Medicare, which plan is primary? TRICARE ... (Read 47 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?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

Primary embryonic membrane development Primary embryonic membrane development
Primary steps in fibrinolysis Primary steps in fibrinolysis
Kitagawa Utamaro, Utamaro's Studio, Eshi . . . dosa-hiki (the three primary steps in producing ... Kitagawa Utamaro, Utamaro's Studio, Eshi . . . dosa-hiki (the three primary steps in producing ...
Primary Groups: Families Primary Groups: Families
Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex. Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex.
Primary growth in a shoot Primary growth in a shoot
Video: Plant Defense Mechanisms from Pathogens

For a complete list of videos, visit our video library