| A | B |
|---|
| BSR | employed at a TRICARE service center |
| catastrophic cap benefit | protects TRICARE beneficiaries from devastating financial loss |
| catchment area | 40-mile radius of a MTF |
| CRI | resulted in a new health program called TRICARE |
| clinical trial | research study |
| critical pathway | sequence of activities that can normally be expected to result in the most cost-effective clinical course of treatment |
| DEERS | computer system that contains up-to-date Defense Department Workforce personnel information |
| demonstration project | tests and establishes the feasibility of implementing a new program during a trial period |
| DSM | classified mental health disorders and is based on ICD |
| emergency care | care for a condition that would result in a threat to life or limb |
| fiscal year | October 1 thru September 30 |
| Health Affairs | responsible for both military readiness and peacetime health care |
| health care finder | RN or PA who assists PCP's with preauthorizations and referrals |
| LA | a federal healthcare team that supports the mission of the MHSS |
| MHSS | entire health care system of the U.S. uniformed services |
| NAS | certificate issued by a MTF that cannot provide needed care to TRICARE Standard beneficiaries |
| nurse advisor | available 24/7 for advise and assistance |
| OHI | insurance policy considered primary to TRICARE |
| practice guidelines | decision making tools used by providers to determine appropriate health care |
| PCM | provider who is assigned to a sponsor and part of the TRICARE provider network |
| PI Office | responsible for world-wide surveillance of fraud and abuse activities involving the MHSS |
| TRICARE | health care program for active duty members of the military |
| TRICARE beneficiary | includes sponsors and dependents of sponsors |
| TRICARE Extra | allows TRICARE Standard users to save 5% of the cost-shares by using health care providers in the TRICARE network |
| TMA | formerly OCHAMPUS |
| TRICARE Prime | managed care option similar to a civilian HMO |
