Tricare Medical Billing

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Across
  1. 3. TRICARE uses the term "cost share" instead of ___________. Answer: Coinsurance
  2. 6. Beneficiaries are required to pay an annual ___________ cap within one fiscal year. Answer: Catastrophic
  3. 7. Beneficiaries with Medicare Part A must also have ___________ for TRICARE eligibility. Answer: Medicare Part B
  4. 10. TRICARE Standard allows beneficiaries to choose a provider outside of the TRICARE ___________. Answer: Network
  5. 12. TRICARE Prime Remote specially-care referrals may be required for a "fitness for ___________" determination. Answer: Duty
  6. 13. Active duty members and their families do not pay enrollment fees for TRICARE ___________. Answer: Prime
  7. 14. TRICARE Prime is a ___________ option. Answer: HMO
  8. 15. TRICARE Reserve Select is a premium-based healthcare ___________. Answer: Plan
  9. 16. TRICARE beneficiaries must be enrolled in ___________ for eligibility. Answer: DEERS
  10. 17. A congressionally funded comprehensive health benefits program for military families in 1966. Answer: CHAMPUS
  11. 19. TRICARE becomes the ___________ policy when an individual turns 65. Answer: secondary
  12. 20. TRICARE is not available for ________ beneficiaries who have 100% service-related disabilities. Answer: CHAMPVA
  13. 22. An authorized provider must meet TRICARE's ___________ and credentialing process. Answer: Licensing
Down
  1. 1. TRICARE Standard beneficiaries are responsible for paying an annual ___________. Answer: Deductible
  2. 2. TRICARE Prime Remote (TPR) is for active duty members stationed 50 miles or more from a ___________. Answer: Military treatment facility
  3. 4. Specialty care for TPR active duty family members is coordinated through the ___________. Answer: Healthcare Finder
  4. 5. TRICARE Standard is a ___________ option with cost-sharing. Answer: Feeforservice
  5. 8. In January 1994, CHAMPUS was renamed ___________. Answer: TRICARE
  6. 9. The benefits under TRICARE Prime Remote are the same as TRICARE Prime, with no ___________ costs. Answer: Out-of-pocket
  7. 11. TRICARE Global Remote Overseas falls under TRICARE Prime for ___________. Answer: Overseas
  8. 13. TRICARE Prime requires ___________ to coordinate and manage medical care. Answer: Primary Care Manager
  9. 15. Penalties and interest charges cannot be billed to beneficiaries due to TRICARE's ___________. Answer: Payment delay
  10. 18. Claims for TRICARE must be submitted within 30 days or within 1 yearfrom the date of ________. Answer: service
  11. 21. TRICARE Standard beneficiaries pay 15% in-network and 20% out-of-network for outpatient ___________. Answer: Visits