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Health Insurance
Medicare
| Question | Answer |
|---|---|
| When a patient has retiree group health plan coverage, Medicare pays | first |
| What is the name of the statement that Medicare patients receive every three months? | Medicare summary notice |
| Which is a characteristic of Medicare enrollment? | Eligible individuals are automatically enrolled, or they apply for coverage. |
| Which processes Original Medicare claims? | Medicare administrative contractor |
| A skilled nursing facility (SNF) patient is admitted, having met medical necessity requirements after a three-day-minimum acute hospital stay. Which criterion applies to the current SNF admission | The Medicare beneficiary pays nothing for the first 20 days of each benefit period, a coinsurance per day for days 21–100 of each benefit period, and all costs for each day after day 100 in a benefit period. |
| Which is the total number of Medicare lifetime reserve days (defined as the number of days that can be used just once during a patient's lifetime)? | 60 |
| The Original Medicare plan includes Medicare | Part A and Part B. |
| Medigap coverage is offered to Medicare beneficiaries by | commercial payers. |
| A Medicare nonparticipating provider is not allowed to | implement balance billing. |
| Which is provided to a Medicare beneficiary by a physician before providing a service that is unlikely to be reimbursed by Medicare? | . Advance beneficiary notice of noncoverage |
Created by:
tbharris
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