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.
The posey bed care model
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