Question 1

The organization that enrolls new Medicare beneficiaries into the program is the:

Accepted Answer

A)  Centers for Medicare and Medicaid Services (CMS). 
B)  Department of Health and Human Services (DHHS). 
C)  Internal Revenue Service (IRS). 
D)  Social Security Administration (SS
A) . 
A)  Centers for Medicare and Medicaid Services (CMS). 
B)  Department of Health and Human Services (DHHS). 
C)  Internal Revenue Service (IRS). 
D)  Social Security Administration (SS
A) .

Question 2

The ________ extended Medicare coverage of remote patient monitoring (RPM) services for covered chronic health conditions, and home dialysis services for those with end-stage renal disease.

Accepted Answer

Medicare T

Question 3

For Medicare Part A, a deductible applies:

Accepted Answer

A)  to each benefit period. 
B)  to each household. 
C)  to each hospital admission. 
D)  only if skilled nursing care is provided. 
A)  to each benefit period. 
B)  to each household. 
C)  to each hospital admission. 
D)  only if skilled nursing care is provided.

Question 4

Offering, accepting, or soliciting bribes, rebates, or kickbacks is considered fraud.

Accepted Answer

A) True 
 B)False

Question 5

All Medicare beneficiaries are automatically enrolled in Medicare Part D.

Accepted Answer

A) True 
 B)False

Question 6

All of the following are considered physicians by Medicare EXCEPT a(n):

Accepted Answer

A)  doctor of osteopathy. 
B)  optometrist. 
C)  doctor of dental medicine. 
D)  physical therapist. 
A)  doctor of osteopathy. 
B)  optometrist. 
C)  doctor of dental medicine. 
D)  physical therapist.

Question 7

Physicians who are NOT participating and NOT accepting assignment from Medicare can charge:

Accepted Answer

A)  the usual, customary, and reasonable fee for services. 
B)  no more than 115% of the nonparticipating provider Medicare Fee Schedule (MFS). 
C)  the rate as shown on the nonparticipating provider Medicare Fee Schedule (MFS). 
D)  no more than 110% of the nonparticipating provider Medicare Fee Schedule (MFS). 
A)  the usual, customary, and reasonable fee for services. 
B)  no more than 115% of the nonparticipating provider Medicare Fee Schedule (MFS). 
C)  the rate as shown on the nonparticipating provider Medicare Fee Schedule (MFS). 
D)  no more than 110% of the nonparticipating provider Medicare Fee Schedule (MFS).

Question 8

Match the following

-Notice sent to a provider when a claim is filed that needs additional documentation

Accepted Answer

A)  Medicare Development Letter 
B)  coordination of benefits contractor 
C)  Medicare abuse 
D)  Medicare Part B 
E)  Medicare contractor
F) Medicare secondary payer
G) Advance Beneficiary Notice (ABN)
H) Medigap
I) Medicare Part D
J) Medicare Part A 
A)  Medicare Development Letter 
B)  coordination of benefits contractor 
C)  Medicare abuse 
D)  Medicare Part B 
E)  Medicare contractor
F) Medicare secondary payer
G) Advance Beneficiary Notice (ABN)
H) Medigap
I) Medicare Part D
J) Medicare Part A

Question 9

Match the following

-The portion of Medicare that provides for inpatient hospital coverage

Accepted Answer

A)  Medicare Development Letter 
B)  coordination of benefits contractor 
C)  Medicare abuse 
D)  Medicare Part B 
E)  Medicare contractor
F) Medicare secondary payer
G) Advance Beneficiary Notice (ABN)
H) Medigap
I) Medicare Part D
J) Medicare Part A 
A)  Medicare Development Letter 
B)  coordination of benefits contractor 
C)  Medicare abuse 
D)  Medicare Part B 
E)  Medicare contractor
F) Medicare secondary payer
G) Advance Beneficiary Notice (ABN)
H) Medigap
I) Medicare Part D
J) Medicare Part A

Question 10

A spouse of a deceased, retired, or disabled individual who was or is eligible for Medicare benefits:

Accepted Answer

A)  is not eligible for Medicare coverage. 
B)  is also eligible for Medicare coverage. 
C)  must apply for Medicaid benefits. 
D)  is eligible for Supplemental Security Income benefits. 
A)  is not eligible for Medicare coverage. 
B)  is also eligible for Medicare coverage. 
C)  must apply for Medicaid benefits. 
D)  is eligible for Supplemental Security Income benefits.

Question 11

Part C is the Medicare option that allows beneficiaries to enroll in their choice of managed care plan, known as a Medicare Advantage plan.

Accepted Answer

A) True 
 B)False

Question 12

Medicare Part B covers telemedicine.

Accepted Answer

A) True 
 B)False

Question 13

Briefly describe the four types of Medicare coverage.

Accepted Answer

Medicare Part A covers inpatient service

Question 14

The Medicare document that patients sign to authorize the release of information for claims processing and payment is the ________ Claim Authorization and Information Release form.

Accepted Answer

Lifetime B

Question 15

If a patient is more than 65 years old and is receiving coverage under COBRA, Medicare is the primary payer.

Accepted Answer

A) True 
 B)False

Question 16

Under Medicare Part A, what time limit applies to coverage for home healthcare services?

Accepted Answer

A)  60 days per benefit period 
B)  90 days per benefit period 
C)  120 days per benefit period 
D)  There is no time limit as long as medical necessity has been proven. 
A)  60 days per benefit period 
B)  90 days per benefit period 
C)  120 days per benefit period 
D)  There is no time limit as long as medical necessity has been proven.

Question 17

Medicare Part B insurance helps pay for all of the following services EXCEPT:

Accepted Answer

A)  outpatient hospital services. 
B)  clinical laboratory services. 
C)  routine foot care. 
D)  ambulance transportation. 
A)  outpatient hospital services. 
B)  clinical laboratory services. 
C)  routine foot care. 
D)  ambulance transportation.

Question 18

Match the following

-The portion of Medicare that provides for coverage of medical services

Accepted Answer

A)  Medicare Development Letter 
B)  coordination of benefits contractor 
C)  Medicare abuse 
D)  Medicare Part B 
E)  Medicare contractor
F) Medicare secondary payer
G) Advance Beneficiary Notice (ABN)
H) Medigap
I) Medicare Part D
J) Medicare Part A 
A)  Medicare Development Letter 
B)  coordination of benefits contractor 
C)  Medicare abuse 
D)  Medicare Part B 
E)  Medicare contractor
F) Medicare secondary payer
G) Advance Beneficiary Notice (ABN)
H) Medigap
I) Medicare Part D
J) Medicare Part A

Question 19

Medicare beneficiaries include individuals age 65 and older and low-income individuals.

Accepted Answer

A) True 
 B)False

Question 20

If the patient's name is misspelled on the Medicare ID card, the correct spelling should be used on the claim form.

Accepted Answer

A) True 
 B)False

The organization that enrolls new Medicare beneficiaries into the program is the:

The ________ extended Medicare coverage of remote patient monitoring (RPM) services for covered chronic health conditions, and home dialysis services for those with end-stage renal disease.

For Medicare Part A, a deductible applies:

Offering, accepting, or soliciting bribes, rebates, or kickbacks is considered fraud.

All Medicare beneficiaries are automatically enrolled in Medicare Part D.

All of the following are considered physicians by Medicare EXCEPT a(n):

Physicians who are NOT participating and NOT accepting assignment from Medicare can charge:

Match the following -Notice sent to a provider when a claim is filed that needs additional documentation

Match the following -The portion of Medicare that provides for inpatient hospital coverage

A spouse of a deceased, retired, or disabled individual who was or is eligible for Medicare benefits:

Part C is the Medicare option that allows beneficiaries to enroll in their choice of managed care plan, known as a Medicare Advantage plan.

Medicare Part B covers telemedicine.

Briefly describe the four types of Medicare coverage.

The Medicare document that patients sign to authorize the release of information for claims processing and payment is the ________ Claim Authorization and Information Release form.

If a patient is more than 65 years old and is receiving coverage under COBRA, Medicare is the primary payer.

Under Medicare Part A, what time limit applies to coverage for home healthcare services?

Medicare Part B insurance helps pay for all of the following services EXCEPT:

Match the following -The portion of Medicare that provides for coverage of medical services

Medicare beneficiaries include individuals age 65 and older and low-income individuals.

If the patient's name is misspelled on the Medicare ID card, the correct spelling should be used on the claim form.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters

Exam 12: Medicare Medical Billing

The organization that enrolls new Medicare beneficiaries into the program is the:

The ________ extended Medicare coverage of remote patient monitoring (RPM) services for covered chronic health conditions, and home dialysis services for those with end-stage renal disease.

For Medicare Part A, a deductible applies:

Offering, accepting, or soliciting bribes, rebates, or kickbacks is considered fraud.

All Medicare beneficiaries are automatically enrolled in Medicare Part D.

All of the following are considered physicians by Medicare EXCEPT a(n):

Physicians who are NOT participating and NOT accepting assignment from Medicare can charge:

Match the following -Notice sent to a provider when a claim is filed that needs additional documentation

Match the following -The portion of Medicare that provides for inpatient hospital coverage

A spouse of a deceased, retired, or disabled individual who was or is eligible for Medicare benefits:

Part C is the Medicare option that allows beneficiaries to enroll in their choice of managed care plan, known as a Medicare Advantage plan.

Medicare Part B covers telemedicine.

Briefly describe the four types of Medicare coverage.

The Medicare document that patients sign to authorize the release of information for claims processing and payment is the ________ Claim Authorization and Information Release form.

If a patient is more than 65 years old and is receiving coverage under COBRA, Medicare is the primary payer.

Under Medicare Part A, what time limit applies to coverage for home healthcare services?

Medicare Part B insurance helps pay for all of the following services EXCEPT:

Match the following -The portion of Medicare that provides for coverage of medical services

Medicare beneficiaries include individuals age 65 and older and low-income individuals.

If the patient's name is misspelled on the Medicare ID card, the correct spelling should be used on the claim form.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters