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Medicare Billing

Author: Kane Amanda
Description:
Keywords: Medicare, Billing, , , , , online teaching

Content:
Quiz:
1. Which program pays for physician services, outpatient hospital care, and durable medical equipment?
A) Medicare Part A
B) Medicare Part B
C) Medicare Part C
D) Medicare Part D

2. Which program includes managed care and private fee-for-service plans that provide contracted care to Medicare patients?
A) Medicare Part A
B) Medicare Part B
C) Medicare Part C
D) Medicare Part D

3. Which program includes managed care and private fee-for-service plans that provide contracted care to Medicare patients?
A) Medicare Part A
B) Medicare Part B
C) Medicare Part C
D) Medicare Part D

4. Which insurance claim is submitted to receive reimbursement under Medicare Part A?
A) CMS-1500
B) CMS-1500 or UB-04
C) CMS-1500 and UB-04
D) UB-04

5. Which insurance claim is submitted to receive reimbursement under Medicare Part B?
A) CMS-1450
B) CMS-1500
C) UB-92
D) UB-04

6. Which insurance claim is submitted to receive reimbursement under Medicare Part C?
A) CMS-1500
B) CMS-1500 or UB-04
C) UB-92
D) UB-04

7. Medicare beneficiaries can also obtain supplemental insurance to help cover costs not reimbursed by the original Medicare plan. This type of coverage is called __________.
A) Medicaid
B) Medicare PLUS
C) Medigap
D) PACE

8. An initial enrollment period (IEP) that provides an opportunity for the individual to enroll in Medicare Part A and/or Part B is for a period of __________ months.
A) 3
B) 6
C) 7
D) 9

9. Which program helps low-income individuals by requiring states to pay their Medicare Part B premiums?
A) qualified Medicare beneficiary program
B) qualified disabled working individual
C) Programs of All-Inclusive Care for the Elderly
D) specified low-income Medicare beneficiary

10. A Medicare benefit period begins with the first day of hospitalization and ends when the patient has been out of the hospital for __________ consecutive days.
A) 10
B) 30
C) 60
D) 90

11. Which is the term for short-term care provided by another caregiver, so the usual caregiver can rest?
A) home health care
B) hospice care
C) hospital care
D) respite care

12. A Medicare medical necessity denial is a denial of otherwise covered services that were found to be not __________.
A) cost effective and necessary
B) in compliance with critical pathways
C) necessary and frequent
D) reasonable and necessary

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