Question 1

As of 2016, the standard Medicare Part B premium is:

Accepted Answer

A)  $92.34. 
B)  $121.80. 
C)  $156.90. 
D)  $178.13. 
A)  $92.34. 
B)  $121.80. 
C)  $156.90. 
D)  $178.13.

Question 2

The ________ notice is a notification to a Medicare patient that the services to be provided may NOT be covered by Medicare because they are NOT medically necessary, and the patient is responsible for the charges.

Accepted Answer

The answer of The ________ notice is a notification to...

Question 3

The Program of All-Inclusive Care for the Elderly (PACE) is a program for low-income elderly individuals that is:

Accepted Answer

A)  a Medicaid program. 
B)  a joint Medicare-Medicaid program. 
C)  a program funded by private insurers. 
D)  a state-run program. 
A)  a Medicaid program. 
B)  a joint Medicare-Medicaid program. 
C)  a program funded by private insurers. 
D)  a state-run program.

Question 4

For each benefit period, a Medicare Part A beneficiary will receive coverage for:

Accepted Answer

A)  30 days of hospital care. 
B)  60 days of hospital care. 
C)  90 days of hospital care. 
D)  unlimited days of hospital care if medically necessary. 
A)  30 days of hospital care. 
B)  60 days of hospital care. 
C)  90 days of hospital care. 
D)  unlimited days of hospital care if medically necessary.

Question 5

Medicare prescription drug coverage is offered through:

Accepted Answer

A)  Medicare Part A. 
B)  Medicare Part B. 
C)  Medicare Part D. 
D)  Medicare Advantage (M
A) . 
A)  Medicare Part A. 
B)  Medicare Part B. 
C)  Medicare Part D. 
D)  Medicare Advantage (M
A) .

Question 6

Which of the following is true of nonparticipating providers who accept assignment?

Accepted Answer

A)  They receive 10% lower fees for services than participating providers. 
B)  They have access to beneficiary eligibility information. 
C)  They are required to file Medicare claims on behalf of Medicare patients. 
D)  They receive 15% lower fees for services than participating providers. 
A)  They receive 10% lower fees for services than participating providers. 
B)  They have access to beneficiary eligibility information. 
C)  They are required to file Medicare claims on behalf of Medicare patients. 
D)  They receive 15% lower fees for services than participating providers.

Question 7

Part A provider certification is obtained through formal inspections by state agencies.

Accepted Answer

A) True 
 B)False

Question 8

Once a Medicare patient has been hospitalized for 60 consecutive days in a benefit period, they must pay ________ if they remain in the hospital.

Accepted Answer

The answer of Once a Medicare patient has been hospitalized...

Question 9

The types of Medicare Advantage plans include HMOs.

Accepted Answer

A) True 
 B)False

Question 10

Telemedicine, also called ________, has become an option for urban areas with populations up to 100,000 with limited access to healthcare providers.

Accepted Answer

The answer of Telemedicine, also called ________, has become an...

Question 11

List two practices that are common types of Medicare abuse.

Accepted Answer

Billing for services in excess

Question 12

Match the following

-Supplementary health insurance policy that covers portions of the costs NOT paid for by Medicare

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 13

Types of Medicare Part C plans include:

Accepted Answer

A)  health maintenance organization (HMO) plans. 
B)  preferred provider organization (PPO) plans. 
C)  fee-for-service plans. 
D)  all of the above. 
A)  health maintenance organization (HMO) plans. 
B)  preferred provider organization (PPO) plans. 
C)  fee-for-service plans. 
D)  all of the above.

Question 14

To obtain Medicare Part B coverage, individuals must qualify by meeting eligibility requirements for Part A or:

Accepted Answer

A)  qualifying as a disabled individual. 
B)  purchasing Part D coverage. 
C)  purchasing Part A coverage. 
D)  qualifying based on income status. 
A)  qualifying as a disabled individual. 
B)  purchasing Part D coverage. 
C)  purchasing Part A coverage. 
D)  qualifying based on income status.

Question 15

When receiving inpatient hospital care, a Medicare Part A beneficiary has a lifetime reserve of:

Accepted Answer

A)  30 days. 
B)  60 days. 
C)  90 days. 
D)  unlimited days if medically necessary. 
A)  30 days. 
B)  60 days. 
C)  90 days. 
D)  unlimited days if medically necessary.

Question 16

What additional services are covered by some Medicare Advantage plans?

Accepted Answer

Additional services that may b

Question 17

Name the four major tasks for a medical office specialist who receives initial patient information.

Accepted Answer

Copying the Medicare card, copying the d

Question 18

The abbreviation ESRD stands for:

Accepted Answer

A)  ending symptoms of renal disease. 
B)  early status of respiratory distress. 
C)  end-stage respiratory distress. 
D)  end-stage renal disease. 
A)  ending symptoms of renal disease. 
B)  early status of respiratory distress. 
C)  end-stage respiratory distress. 
D)  end-stage renal disease.

Question 19

Match the following

-A notice provided to inform beneficiaries that services may NOT be covered by Medicare due to lack of medical necessity

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 20

Explain the functions of claim-scrubbing software.

Accepted Answer

Claim scrubbers review patient demograph

As of 2016, the standard Medicare Part B premium is:

The ________ notice is a notification to a Medicare patient that the services to be provided may NOT be covered by Medicare because they are NOT medically necessary, and the patient is responsible for the charges.

The Program of All-Inclusive Care for the Elderly (PACE) is a program for low-income elderly individuals that is:

For each benefit period, a Medicare Part A beneficiary will receive coverage for:

Medicare prescription drug coverage is offered through:

Which of the following is true of nonparticipating providers who accept assignment?

Part A provider certification is obtained through formal inspections by state agencies.

Once a Medicare patient has been hospitalized for 60 consecutive days in a benefit period, they must pay ________ if they remain in the hospital.

The types of Medicare Advantage plans include HMOs.

Telemedicine, also called ________, has become an option for urban areas with populations up to 100,000 with limited access to healthcare providers.

List two practices that are common types of Medicare abuse.

Match the following -Supplementary health insurance policy that covers portions of the costs NOT paid for by Medicare

Types of Medicare Part C plans include:

To obtain Medicare Part B coverage, individuals must qualify by meeting eligibility requirements for Part A or:

When receiving inpatient hospital care, a Medicare Part A beneficiary has a lifetime reserve of:

What additional services are covered by some Medicare Advantage plans?

Name the four major tasks for a medical office specialist who receives initial patient information.

The abbreviation ESRD stands for:

Match the following -A notice provided to inform beneficiaries that services may NOT be covered by Medicare due to lack of medical necessity

Explain the functions of claim-scrubbing software.

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

As of 2016, the standard Medicare Part B premium is:

The ________ notice is a notification to a Medicare patient that the services to be provided may NOT be covered by Medicare because they are NOT medically necessary, and the patient is responsible for the charges.

The Program of All-Inclusive Care for the Elderly (PACE) is a program for low-income elderly individuals that is:

For each benefit period, a Medicare Part A beneficiary will receive coverage for:

Medicare prescription drug coverage is offered through:

Which of the following is true of nonparticipating providers who accept assignment?

Part A provider certification is obtained through formal inspections by state agencies.

Once a Medicare patient has been hospitalized for 60 consecutive days in a benefit period, they must pay ________ if they remain in the hospital.

The types of Medicare Advantage plans include HMOs.

Telemedicine, also called ________, has become an option for urban areas with populations up to 100,000 with limited access to healthcare providers.

List two practices that are common types of Medicare abuse.

Match the following -Supplementary health insurance policy that covers portions of the costs NOT paid for by Medicare

Types of Medicare Part C plans include:

To obtain Medicare Part B coverage, individuals must qualify by meeting eligibility requirements for Part A or:

When receiving inpatient hospital care, a Medicare Part A beneficiary has a lifetime reserve of:

What additional services are covered by some Medicare Advantage plans?

Name the four major tasks for a medical office specialist who receives initial patient information.

The abbreviation ESRD stands for:

Match the following -A notice provided to inform beneficiaries that services may NOT be covered by Medicare due to lack of medical necessity

Explain the functions of claim-scrubbing software.

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