Busy. Please wait.
Log in with Clever

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever

Username is available taken
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.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Didn't know it?
click below
Knew it?
click below
Don't Know
Remaining cards (0)
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


Health Insurance and Claims Chapter 14 & 15

what begins the first day of hospitalization and ends when the Medicare patient has been out of the hospital for 60 consecutive days benefit period
This is also called a managaaed care plan. coordinated care plan
Under Medicare A when all of the inpatient benefits have been exhausted the patient can choose to use all or some of their____________. lifetime reserve days
What is it called when there is a denial of otherwise covered services that were found to be not "reasonable and necessary"? medical necessity denial
This is a combination of two programs and it available to Medicare-eligible persons with incomes below the federal poverty level. Medicare-Medicaid crossover
What are the four dual eligible Medicare beneficiary groups? qualified Medicare beneficiary program (QMBP); qualifying individual (QI-1); qualified disabled working individual (QDW); Specified Low-income Medicare Beneficiary (SLMB)
What process does a Public Health Clinic or other entity use to bill for their mass vaccination program? roster billing process
What is another term that can be used in place of benefit period? spell of illness
What do you call an individual who is entitled to Medicare and eliglible for some type of Medicaid benefit? dual eligibles
Income guidelines established annually by the federal government. federal poverty level (FPL)
Cost-sharing program between the federal and state governments to provide health care services to low-income Americans. Medicaid
What does a provider use to make sure a Medicaid patient has coverage on a specific date of service? recipient eligibility verification system (REVS)
This program makes cash assistance available on a time-limited basis for children deprived of support because of a parent's death, incapacity, absence, or unemployment. Temporary Assistance for Needy Families (TANF)
This was established to provide or expand health insurance coverage to uninsured children. State Children's Health Ins. Program (SCHIP)
Medicare no longer uses the term explanation of Medicare benefits, now they use what? Medicare Summary Notice
If you suspect that Medicare will deny services that you want for your Medicare patient what must you get them to sign? Advance Beneficiary Notice (ABN)
Created by: Kcompleta
Popular Medical sets




Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
restart all cards