Medicare Part A is known as

An organization under contract to the government that processes Medicare claims for payment is known as

The desired growth rate for spending on Medicare Part B physician services that is set each year by Congress is known as

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

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 program of income support for low-income aged, blind, and disabled persons established by Title XVI of the Social Security Act is called

The time period for which payments for Medicare inpatient hospital benefits are available is known as

A percentage limit on fees that nonparticipating physicians may bill Medicare beneficiaries above the fee schedule amount is called

A short-term hospice inpatient stay for a terminally ill patient to give temporary relief to the caregiver is called

A method of payment for Medicare hospital insurance based on DRGs (a fixed dollar amount for a principal diagnosis) is known as

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 document received by the patient explaining the amount charged, Medicare-approved amount, deductible coinsurance, and payment for medical services received is called a/an

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 specially qualified facility that has the staff and equipment to provide skilled medical or nursing care or rehabilitation services is called a

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

Medicare Part B is known as

Medicare Advantage plans fall under

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.

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 _______________.

The Medicare program is administered by the _______________.

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