Busy. Please wait.

Forgot Password?

Don't have an account?  Sign up 

show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.

By signing up, I agree to StudyStack's Terms of Service and Privacy Policy.

Already a StudyStack user? Log In

Reset Password
Enter the email address associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know (0)
Know (0)
remaining cards (0)
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

AR Chapter 12


physician services medicare part B
medicare administered by the CMS and is a federally funded program
medicare started to provide coverage for the aged, retired, disabled individuals, and people with chronic kidney disease
medicaid may pay for (when a patient has medicare and medicaid) the deductible, premium, and coinsurance
ID card contains wage earners SSN, followed by an alpha letter, along with the effective dates
medicare part C medicare's HMO plan, patient does not need part A or part B if they have this
medigap insurance are regulated by the federal government and include basic benefits
medicare secondary payer (MSP) bill medicare secondary
stark I & II regulations prohibit physician who has a financial relationship with a designated health service from referring patients to the facility (finanal interest)
federal false claims act federal law to prevent overuse of services and to spot medicare fraud
modifier used when a waiver of liability is signed -GA
medicare coding claims HCPCS level I, II, & III
limiting charge percentage limit that a nonpar physician may bill medicare over the allowed amount
T/F - letters that precedes the insurance claim number on the ID card indicate a disabled person F (answer railroad retiree)
T/F - medicare non benifits include routine physical exams, foot care, eye or hearing exams, and cosmetic surgery T
respite care inpatient stay provided for terminally ill to give temporary relief to the patients caregiver
fiscal intermediary organization under contract with government that handles claims under medicare part A & B
benefit period (hospitalization)when patient enters hospital and is discharged and not readmitted for 60 days
medicare part A hospital coverage
correct coding initiative (CCI) implemented by CMS to eliminate unbundling
medicare part B supplementary medical insurance (physician services)
HMO risk plan medicare restricted beneficiaries that receive services from contracted providers and facilities
medicare part C receives fixed amount of money from Medicare to spend on their member (HMO)
HMO cost plan medicare beneficaries receive services from sources outside the HMO network
medicare managed care senior HMO
Created by: maxphia32