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Which one of the following choices might she use?Ĭivil penalties, in addition to triple damages, can be imposed on providers whoĬ) are found in violation for Medicare abuse or fraud.Īn elderly Medicare patient has prescription drug coverage but isn't enrolled in Medicare Part D. Under the program, this person is called theĪ Medicare Part A patient was in the hospital for 4 coinsurance days in 2017.How much will the patient have to pay total for those coinsurance days?Ī patient needs assistance for paying for her medications. Which one of the following choices helps the CMS collect Medicare premiums?Īn active duty military member has TRICARE. Which one of the following choices refers to when the federal government reimburses each state for a percentage of its medical service costs?

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Which one of the following choices is mostaccurate?ī) Medicaid verification should be made before treatment. After the treatment, the patient stops by the front desk to verify her Medicaid information. Which one of the following choices was created as an incentive for physicians to participate in a voluntary quality reporting program?Ī 24-year-old female Medicaid patient moved to a new state last week and saw the doctor for a checkup. Which one of the following choices will most likely cover the hearing aid?Ī physician just received information that tells her what payment she will receive for treating a Medicare patient and how much the patient owes. What's the patient's first step?Ī Medicare patient needs a hearing aid. I GOT THIS ONE WRONG! THE ANSWER IS NOT C) CREATING SNF DAY REQUIREMENTS FOR REIMBURSEMENTĪ TRICARE patient needs to be treated at a civilian facility because of the specialized treatment provided there. Which one of the following choices is a responsibility of a MAC? I GOT THIS ONE WRONG! THE ANSWER IS NOT C)MEDIMEDI Which one of the following choices will be billed first? Which one of the following choices is a service that states can choose to offer under Medicaid?Ī patient is covered under MediMedi. What affect does the Affordable Care Act have on Medicaid?Ī) It increases the number of people eligible for Medicaid. To be eligible for TRICARE, families must be enrolled first in

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What is probably the cost to the patient?Ī) provide older people health insurance.Ĭ) enable all people to have insurance coverage.ĭ) allow people with disabilities to have free health care. Which one of the following choices is the DOD medical entitlement program?Ī hospital doesn't have the blood type that it needs for a Medicare patient and has to buy it from a blood bank. I GOT THIS ONE WRONG! THE ANSWER IS NOT A)CMS Which one of the following choices was implemented, in part, to help determine errors by FIs? The doctor has decided to accept the Medicare-allowed charges for the services as payment in full. I GOT THIS ONE WRONG! THE ANSWER IS NOT ) AS THE PRIMARY INSURERĪ physician doesn't participate in Medicare, but recently treated a Medicare patient.

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Which one of the following choices is probably the patient's primary hospital insurance?Ī patient has Medicaid plus another insurance. This patient is working under which Medicaid model?Ī patient over age 65 was admitted to the hospital for a hip fracture and surgery.

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What was the disease or illness code that brought the patient in for treatment?Ī Medicaid patient has a primary care physician whom she must go through if she needs to see a specialist.

Review the completed TRICARE claim form (Figure 14.3) on page 423 of your textbook. I GOT THIS ONE WRONG! THE ANSWER IS NOT C)THE PROVIDER ID NUMBER On the 'Medicaid Resubmission Code' form locator, what should be entered when filing a TRICARE claim? How long will Medicare Part A cover home health care for the patient? What might the patient be surprised to find out?ī) The patient will probably be responsible for the entire bill.Ī patient is in home health care for medically necessary reasons. I GOT THIS ONE WRONG! THE ANSWER IS NOT C)TRICAREĪ TRICARE patient sees a chiropractor on a weekly basis for an injury. Which one of the following choices processes all claims for TFL? Which one of the following choices assigns a person to help coordinate and manage a patient's medical care? Thank you to MelonHeadz Illustrating for their adorable super hero clip art.įeel free to visit my blog to see how I use this in my own classroom.Ashworth college Lesson group 4 / medical billing and coding / medicare / Medicaid /tricare Question Each page contains 10 flashcards for each number 1-10. These flash cards could be used in a small group, math centers, for review, or homework practice. I wanted to create a set of multiplication flash cards that matched my Super Hero Multiplication Boards.