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Medicare/Medicaid

Medicare/Medicaid/IDEA

QuestionAnswer
At what age does individuals become eligible for Medicare part A 65 years old
Who pays for prescriptions? Medicare part D
Who pays for low income individuals? Medicaid
Who pays for indigent individuals? Medicaid
Who pays for children up to 3 years old? IDEA part C
Who pays for children ages 3-21 years old? IDEA part B
Who pays for a child up to 3 years old and they are experiencing developmental delays or are at risk for having a delay? IDEA part C
What is the billing code for individuals in the hospital? DRG
What is the billing code for individuals in home health? OASIS
What is the billing code for individuals in SNF? MDS or RAI
What is he billing code for individuals in inpatient rehab? DRG
Who pays for home health benefits? Medicare Part A and B
An individual eligible for social security benefits can be eligible for what medicare program? Medicare part A
Who pays for SNF for the first 100 days? Day 1- Day 20 the patient pays a deductible. Day 21- Day 100 the patient pays $128 per day Day 100+ the patient pays fully
In order to receive inpatient rehab how many hours does a patient needs to tolerate to receive services? 3 hours
Who pays for an oxygen tank? Medicare part B
Who pays for a cane? The patient does. Medicare nor Medicaid pays for this.
What part of Medicare is managed care plans apart of? Medicare part C
Created by: ibarton
 

 



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