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MED112 Quiz 2 review
| Question | Answer |
|---|---|
| Medicare part offers prescription drug plan | Part D |
| What do we call the 4 types of insurance plans offered by ACA public health insurance exchange | METALS plans (Gold, Bronze, Silver, Platinum) |
| Which Tricare plan is like and HMO | Tricare Prime |
| What do you check to make sure on a military ID card to make sure it is valid | Expiration date |
| Amount of time that must past before an employee can enroll in a health plan | Waiting period |
| In this program beneficiaries are required to pay part of their monthly expenses | Spend-down program |
| what type of services are performed for a pt with no symptoms or abnormal finding | Screening services |
| What can we use to modify a term in an insurance contract | Add a rider |
| What was created to protect workers on a job | OSHA |
| You must check the patients medicare eligibility when | Before seeing the patient |
| Where is the info about Tricare patient eligibility is stored | DEERS |
| Roster billing is used to file simplified claims for | certain Medicare immunization programs |
| What do you ask the patient to sign if the Medicare PAR physician believes a procedure will not be seen as medically necessary | Advanced beneficiary notice |
| what will most states pay when a worker is fatally injured on a job | Benefits and funeral expenses |
| What do you call the physician first treats injured employees | Physician of record |
| What kind of surgery can be scheduled ahead of time and may not be medically necessary | Elective Surgery |
| Medicare part that covers Hospital stays | Part A |
| What does CHIP stand for | Children's health insurance program |
| What do you call the service member in the family who qualifies for Tricare | Sponsors |
| Person eligible for Medicare in one state, how does it relate to other states | May not be eligible in other states |
| The right to continue health coverage under your employers plan after leaving a job is given by | COBRA |
| What is it called when an employees claim for worker comp claim is denied | Notice of contest |
| what type of code must be include in diagnosis coding has to be used for accidents | External causes |
| How often do open enrollment periods occur | Annually |
| Tricare term for coinsurance | Cross-Sharing |
| Pt with instate renal disease cancer can have Medicare benefits at what age | Any age |
| Type of employees are not cover by worker's compensation insurance | Self-employed, Clergy, Private Contractors |
| What happens to Medi-Medi beneficiary claims is sent to | Medicare then Medicaid |
| NONPAR provider in Tricare can charge no more than | 115% of the allowable charge |
| What kind of assets are not counted when assessing a pt eligibility for Medicaid | House, vehicle, clothing, furniture, Burial plot benefits, Personal effects |
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