Medicare and Medicaid, Definitions, Acceptance of Assignment
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Medicare Definition | Is a Federally Funded Insurance Program.
🗑
|
||||
| Medicare Eligibility Requirements(5) | 1Age 65 and is on SS 2Age 65 who have retired on railroad /civil service. 3An Individual that is disables. 4A person who has ESRD. 5A Kidney Donor
🗑
|
||||
| Medicare Enrollment Period | A 3 month period before and after your DOB or the next January till March of the following year.
🗑
|
||||
| Medicare Benefit Period | Begins the day a patient enters a hospital and ends when the patient has not been in a bed for 60 consecutive days (Hospital or Nursing Home Bed)
🗑
|
||||
| How many Parts are there in Medicare | there are 4 (A,B,C,&D)
🗑
|
||||
| Medicare Part A | This comes with Medicare. It is for Impatient Services for Hospice & Respite
🗑
|
||||
| Medicare Part B | This comes with Medicare. It is for Outpatient Services-Claims for Physician Activities
🗑
|
||||
| Medicare Part C | This is Managed Care Option. (This is optional)
🗑
|
||||
| Medicare Part D | This is for the Prescription Drug Plan (This is optional)
🗑
|
||||
| Formulary Definition | A list of Drugs that a health plan will cover
🗑
|
||||
| Hospice Care Definition | An organization for the Terminally Ill for usually 6 months.
🗑
|
||||
| Respite Care Definition | A short term stay for temporary releif to the person who is regularly assist with the home care.
🗑
|
||||
| Medicare/Medicaid | An Old age survivor disability Ins Benefits-65 ans older, severity disables, and Blind
🗑
|
||||
| Medigap/Medifill | Supplemental Insurance that one pays for in a fee-for-service plan-Helps cover the deductable, copays, and prescriptions.
🗑
|
||||
| Local Coverage Determination: | A tool used in helping claim proccessing
🗑
|
||||
| A Medicare Card is generated | on a yearly basis
🗑
|
||||
| What does the Letter at the end of the claim number on the Medicare Card mean? | The Patient Status
🗑
|
||||
| Acceptance of Assignment | Is where the physician agrees to ACCEPT payment from Medicare 80%, plus payment from the PATIENT, 20%, after the 155.00 annual deductable has been met.
🗑
|
||||
| Medicaid Eligibility (4) | 1Based on income and Medically Needy 2Welfare recipients, poor children younger than 5 yrs of age. 3Low income Pregnant woman. 4Medically Indigent-Medical expenses that are high puts them below poverty line.
🗑
|
||||
| Medicaid Definition | Jointly administered by the Federal Government and each State
🗑
|
||||
| Medicaid identification care is issues | On a Monthly Basis
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Normal Size Small Size show me how
Created by:
lorireid1980
Popular Medical sets