HIS CHAPTER 8 EXERCISES

Published April 2, 2014 | By Simplistic Solutions

True/False

1. Medicare Part A pays institutional providers for inpatient hospital and nursing facility services

2. The benefit period for Part A beings the first day of hospitalization and ends when the patient has been out of the hospital 30 days later

3. Medicare Part B is for health care providers, such as physician services

4. The Medicare method of payment is based on RBRVS

5. There is no deductible on Part B

6. Medicare pays 70% of its listed fee schedule amount

7. Medicare enrollees pay not less than 20% of allowed fees (after deductible) for hospital outpatient services

8. Medicare pays for 3 pints of blood, then 20% of allowed fees after that when more blood is required

9. A person needs to work at least 8 years to be eligible for Medicare

10. A person under age 65 cannot qualify for Medicare coverage

11. There is no cost to the enrollee for Medicare Part A

12. For Medicare Part B, a monthly premium is charged

13. There are state programs available under to pay Medicare premiums based on income or poverty levels

14. NonPARS are paid by Medicare at the same rate as PARS

15. PARs do not have to accept assignment on some claim items

16. Providers cannot drop out of Medicare and enter into other agreements with patients

17. No notice of items or services that may not be covered by Medicare is required

18. Medicare is always the primary payer

19. The MSN is an explanation of benefits

20. Medicare does not allow for plans other than its basic coverage

21. Supplemental plans are commonly used to pay the deductible and coinsurance amounts left after Medicare payments

22. Under Medicare-Medicaid crossover programs, Medicare is billed first

23. Medicare CMA-1500 requirements are identical to private payers

Posted in HIS