What do you need to know about Medicare Part A?
Patients who are entitled to received Medicare benefits. The number that will replace social security numbers on Medicare insurance cards. Define a Medicare Part A hospital benefit period. Begins the day a patient enters a hospital and ends when the patient has not been a bed patient in any hospital or nursing facility for 60 consecutive days.
What are the different types of Medicare Advantage plans?
Medicare offers Medicare Advantage plans. Beneficiaries can choose to enroll in one of the following types of plans instead of in the Original Medicare Plan: (1) Medicare coordinated care plans (CCPs); (2) Medicare private fee-for-service plans; and (3) Medical Savings Accounts (MSAs).
Is the consumer enrolled in a Medicare supplement insurance plan?
WRONG - The consumer is enrolled in a Medicare Supplement Insurance Plan. Nice work! You just studied 29 terms! Now up your study game with Learn mode. The consumer states they currently pay a percentage of charges when they receive medical care. This means: WRONG - The consumer is enrolled in a Medicare Supplement Insurance Plan.
Do all patients with a Medicare health insurance card have hospital coverage?
All patients who have a Medicare health insurance card have Part A hospital and Part B medical coverage. False. Prescription drug plans refer to the drugs in their formularies by tier numbers. True. Nonparticipating physicians may decide on a case-by-case basis whether to accept assignment when providing medical services to Medicare patients.
What is Medicare coverage?
Medicare coverage plans offered by private insurance companies to Medicare beneficiaries. A temporary limit on what a Medicare drug plan will cover. A list of covered drugs kept by each Medicare drug plan. A document by Medicare explaining the decision made on a claim for services that were paid.
What is the fee that Medicare decides a medical service is worth?
The fee that Medicare decides a medical service is worth, is referred to as the: c. approved amount. Physicians who are nonparticipating with the Medicare program are only allowed to bill the limiting charge to patient, which is: d. 115% of the Medicare fee schedule allowed amount.
How many times must a Medicare patient be billed for a copayment?
c. NPI. According to regulations, a Medicare patient must be billed for a copayment: c. at least three times before a balance is adjusted off as uncollectible. All patients who have a Medicare health insurance card have Part A hospital and Part B medical coverage.
How long does Medicare Part A last?
It also ends if a patient has been in a nursing facility but has not received skilled nursing care there for 60 consecutive days.
What age do you have to be to get Medicare?
An individual becomes eligible for Medicare Part A and B at age. 65. Supplemental Security Income (SSI) The program of income support for low-income, aged, blind, and disabled persons established by the Social Security Act. Illegal Immigrants. An individual who is not a citizen of the United States.
What is national coverage determination?
National Coverage Determinations are coverage guidelines that are mandated: a. at the federal level. A decision by a Medicare administrative contractor (MAC) whether to cover (pay) a particular medical service on a contractor-wide basis in accordance with whether it is reasonable and necessary is known as a/an: a.