Tricare Medical Billing (Part Two)

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Across
  1. 5. The primary care manager may be a single military or civilian provider or a group of ________. Answer: Providers
  2. 6. TRICARE acts as a second payer to ________ for benefits payable by both Medicare and TRICARE. Answer: Medicare
  3. 10. TRICARE Prime results in fewer ________ costs than any other TRICARE option. Answer: Out-of-pocket
  4. 12. The key difference between TRICARE Standard and TRICARE Extra is the choice of ________. Answer: Providers
  5. 14. An electronic document stating that the required service is not available at the nearby MTF. Answer: NAS
  6. 15. TRICARE Senior Prime is also known as TRICARE for ________. Answer: Life
  7. 16. Services that are not covered under TRICARE Standard. Answer: Chiropractic
  8. 18. TRICARE Standard and TRICARE Extra are ________ programs. Answer: Fee-for-service
  9. 19. The annual ________ cap limits the total medical expenses beneficiaries are required to pay within one fiscal year. Answer: Catastrophic
  10. 20. Claims for CHAMPVA patients are sent electronically through ________. Answer: Change Healthcare
  11. 21. Claims for TRICARE are managed in ________ separate regions. Answer: Four
  12. 22. The primary care manager (PCM) coordinates medical care in TRICARE ________. Answer: Prime
Down
  1. 1. The maximum amount that beneficiaries are required to pay within one fiscal year. Answer: Catastrophic cap
  2. 2. The department that submitted a TRICARE reform packet in 2016. Answer: Department of Defense (DoD)
  3. 3. The agency that administers CHAMPVA. Answer: VA (Veterans Affairs)
  4. 4. A TRICARE program for active duty members stationed far from MTFs. Answer: TRICARE Prime Remote
  5. 7. Active duty members do not pay enrollment fees, deductibles, or copayments within the TRICARE ________. Answer: Network
  6. 8. TRICARE requires preauthorization for certain ________. Answer: Procedures
  7. 9. TRICARE Prime enrollees receive the majority of their healthcare services from ________. Answer: MTFs
  8. 11. The type of care that is not covered under TRICARE Standard. Answer: Cosmetic surgery
  9. 13. Veterans with 100% service-related disabilities and their families are eligible for ________. Answer: CHAMPVA
  10. 16. The program that shares the cost of covered healthcare services with veterans with 100% service-related disabilities. Answer: CHAMPVA
  11. 17. A managed care plan similar to an HMO. Answer: TRICARE Prime