Chapter 9 Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| When patient is covered by both Medicare and Medicaid, what is it called when Medicare sends bill over to Medicaid after they pay their portion | Crossover claim
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| When would Medicare pay/cover an excluded service | Never
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| What do we have patient sign when we think a procedure might not be covered by Medicare | Advance Beneficiary Notice Form (ABN)
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| What part of Medicare covers prescriptions | Medicare Part D
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| What type of physician agrees to accept assignment and Medicare fee schedule | Participating
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| If a patient also has employee group insurance then Medicare is what insurance | secondary
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| On original Medicare what is the patients responsibility after premium and deductible are paid | twenty percent
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| What is the limiting charge for a NonPar provider | one hundred and fifteen percent
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| What is the name of the insurance that supplements Medicare | Medigap
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| If a patient over sixty-five does not receive social security benefits, what must they do to receive Medicare Part A | Pay a premium
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| If a patient is sixty-five and does receive social security benefits what part of Medicare are they automatically enrolled in and what part are they eligible for | Part A Part B
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| For Medicare what are the companies called that process claims for Part A and for Part B | ficscal intermediaries carriers
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| What is crossover claims | primary insurance pays their portion then sends bill to secondary insurance
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| What does MSN mean | Medicare Summary Notice (sent to patient)
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| Medicare and Medicaid claims are sent by whom when you have both | provider to Medicare and Medicare to Medicaid
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