TRICARE and Workers' Compensation : Lesson 15

TRICARE

This lesson presents information about completing claims for submission to TRICARE payers. They will learn the background of TRICARE and know how it is administered. They will know how to explain TRICARE options, programs, and supplemental plans. Finally, they will learn how to apply TRICARE billing notes to CMS-1500 claims and complete TRICARE claims properly.

Workers' Compensation

This lesson presents information about completing claims for submission to workers’ compensation payers. Students will be able to describe worker’s compensation programs at a federal and state level as well as the requirements for coverage. They must be able to classify workers’ compensation cases, appeals, and adjudication processes. Finally, they must be able to complete the workers’ compensation claims properly, apply workers’ compensation billing notes to CMS-1500 claims, as well as first report of injury claims and progress reports.