Examination should include
- identifying healthcare industry standards
- explaining Medicare, Medicaid, TRICARE, commercial payers, and self-pay
- comparing the regulatory requirements for each.
Process/Skill Questions:
- How would a supplemental policy affect primary care insurance?
- Which insurance is primary if the patient has Medicare coverage?
- What is the proper sequence for patients with multiple insurance coverage (e.g., Medicare, Medicaid, Tricare, commercial)?