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Test Description: All you wanted to know about Medicare...and more!
Instructions: Answer all questions to get your test result.
1) Medicare Part A is known as
A
hospital insurance.
B
supplementary medical insurance.
C
health insurance.
D
hospice insurance.
2) An organization under contract to the government that processes Medicare claims for payment is known as
A
fiscal carrier.
B
Medicare administrative contractor/fiscal intermediary.
C
Medicare administrative contractor
D
fiscal intermediary.
3) The desired growth rate for spending on Medicare Part B physician services that is set each year by Congress is known as
A
geographic practice cost indices.
B
volume performance standard.
C
indemnity ratio.
D
resource-based relative value scale.
4) The fee that Medicare decides the medical service is worth, which may or may not be the same as the actual amount billed, is known as
A
approved charge.
B
allowed limit.
C
fee-for-service.
D
limited fee.
5) An action to recover a penalty, brought forward by an informer in a situation in which one portion of the recovery goes to the informer and the other portion goes to the state or government, is known as
A
qui tam action.
B
penal action.
C
qui improvide.
D
penal servitude.
6) A program of income support for low-income aged, blind, and disabled persons established by Title XVI of the Social Security Act is called
A
Supplemental Security Income.
B
Social Security Disability Insurance.
C
Medicare Supplemental Insurance.
D
Social Security.
7) The time period for which payments for Medicare inpatient hospital benefits are available is known as
A
time interval.
B
benefit period.
C
benefit time.
D
supplemental benefit period.
8) A percentage limit on fees that nonparticipating physicians may bill Medicare beneficiaries above the fee schedule amount is called
A
approved charge.
B
participating physician fee.
C
assignment.
D
limiting charge.
9) A short-term hospice inpatient stay for a terminally ill patient to give temporary relief to the caregiver is called
A
nursing facility care.
B
hospice care
C
long-term care.
D
respite care.
10) A method of payment for Medicare hospital insurance based on DRGs (a fixed dollar amount for a principal diagnosis) is known as
A
ICD-10-CM.
B
HCPCS.
C
CPT.
D
prospective payment system.
11) Henry Garcia is receiving benefits simultaneously from both Medicare and Medicaid programs. An insurance claim submitted for this type of case is usually referred to as a/an
A
crossover claim.
B
electronic claim.
C
manual claim.
D
supplemental claim.
12) A document received by the patient explaining the amount charged, Medicare-approved amount, deductible coinsurance, and payment for medical services received is called a/an
A
EOB.
B
remittance advice.
C
Medicare Summary Notice.
13) Billing codes developed by the Health Care Financing Administration, which is now known as the Centers for Medicare and Medicaid Services (CMS), are known as
A
HCPCS.
B
ICD-10-CM.
C
national alphanumeric codes.
D
HCPCS/national alphanumeric codes
14) A specially qualified facility that has the staff and equipment to provide skilled medical or nursing care or rehabilitation services is called a
A
hospital facility.
B
hospice facility.
C
long-term care facility.
D
nursing facility.
15) Monetary value assigned to each service based on the amount of physician work, practice expenses, and cost of professional liability insurance is called a/an
A
relative unit.
B
relative value unit.
C
RVS.
D
RBRVS.
16) Medicare Part B is known as
A
medical insurance
B
health insurance.
C
hospital insurance.
D
hospice insurance.
17) Medicare Advantage plans fall under
A
Medicare Part A.
B
Medigap.
C
Medicare Part B.
D
Medicare Part C.
18) Individuals younger than age 65 years who have been entitled to disability benefits under the Social Security Act or the railroad retirement system for at least 24 months are considered _______________ and are entitled to Medicare.
A
Donald Duck
B
deceased
C
disabled
D
Daisy Duck
19) An agreement given to the patient to sign before rendering a service if the participating physician thinks that it may be denied for payment because of medical necessity or limitation of liability by Medicare is called a/an _______________.
A
Advance Beneficiary Notice of Noncoverage (ABN)
B
fees by the health care provider, per the EOB.
C
diagnoses and procedures/services
D
national provider identifiers
20) The Medicare program is administered by the _______________.
A
Centers for Medicare and Medicaid Services (CMS)
B
Medicare Part A
C
Medicare Part D
D
hospital insurance.
*select an answer for all questions
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