Question 1

Medicare Part B covers:

Accepted Answer

A)  annual physical examinations. 
B)  prescription drugs. 
C)  acupuncture. 
D)  custodial care. 
A)  annual physical examinations. 
B)  prescription drugs. 
C)  acupuncture. 
D)  custodial care.

Question 2

A Medicare beneficiary has a lifetime reserve of 90 days of coverage that can be used to cover inpatient hospital services.

Accepted Answer

A) True 
 B)False

Question 3

When referring to Medicare, MSP refers to:

Accepted Answer

A)  Medical specialty providers. 
B)  Medicare supplement plans. 
C)  Medicare secondary payer. 
D)  Medicare services and plans. 
A)  Medical specialty providers. 
B)  Medicare supplement plans. 
C)  Medicare secondary payer. 
D)  Medicare services and plans.

Question 4

A Medicare Remittance Notice informs the provider of:

Accepted Answer

A)  the amount of payment. 
B)  adjustments that were made. 
C)  the amount the patient owes. 
D)  all of the above. 
A)  the amount of payment. 
B)  adjustments that were made. 
C)  the amount the patient owes. 
D)  all of the above.

Question 5

The Physician Value-Based Payment Modifier:

Accepted Answer

A)  adjusts a physician or physician group's Medicare fee schedule payments based on performance. 
B)  must be applied to all physicians and physician groups by 2020. 
C)  gives financial incentives that are based on performance every 5 years. 
D)  is a voluntary system that provides incentives to providers based on performance. 
A)  adjusts a physician or physician group's Medicare fee schedule payments based on performance. 
B)  must be applied to all physicians and physician groups by 2020. 
C)  gives financial incentives that are based on performance every 5 years. 
D)  is a voluntary system that provides incentives to providers based on performance.

Question 6

Private-duty nursing care is:

Accepted Answer

A)  covered by Medicare Part A. 
B)  covered by Medicare Part B. 
C)  covered by Medicare Part C. 
D)  not covered by Medicare. 
A)  covered by Medicare Part A. 
B)  covered by Medicare Part B. 
C)  covered by Medicare Part C. 
D)  not covered by Medicare.

Question 7

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires employers to continue group health insurance coverage after employment ends for a minimum of:

Accepted Answer

A)  6 months. 
B)  12 months. 
C)  18 months. 
D)  24 months. 
A)  6 months. 
B)  12 months. 
C)  18 months. 
D)  24 months.

Question 8

Match the following

-The type of claim submitted to Medicare when Medicare is NOT the primary payer

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

The original Medicare plan is based on which type of payment method?

Accepted Answer

A)  Per diem 
B)  Capitation 
C)  Fee-for-service 
D)  Sliding scale 
A)  Per diem 
B)  Capitation 
C)  Fee-for-service 
D)  Sliding scale

Question 10

Which of the following information is NOT included on a Medicare beneficiary's identification card?

Accepted Answer

A)  Effective date of coverage 
B)  Primary care physician's name 
C)  Claim number 
D)  Type of coverage 
A)  Effective date of coverage 
B)  Primary care physician's name 
C)  Claim number 
D)  Type of coverage

Question 11

For each benefit period, a Medicare Part A beneficiary will receive coverage for how many days of skilled nursing care?

Accepted Answer

A)  30 days 
B)  60 days 
C)  90 days 
D)  100 days 
A)  30 days 
B)  60 days 
C)  90 days 
D)  100 days

Question 12

What role does the Social Security Administration (SSA) play in the Medicare program?

Accepted Answer

The SSA enrolls new Medicare b

Question 13

The form sent to patients by the Medicare contractor (carrier) that itemizes services billed to Medicare, the amount paid, and the amount the beneficiary is responsible for (if any) is a(n) ________ Notice.

Accepted Answer

The answer of The form sent to patients by the...

Question 14

Match the following

-A company hired to process and pay Medicare claims on behalf of the federal government

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 15

What types of services are covered under Medicare Part A?

Accepted Answer

Medicare Part A provides cover

Question 16

A Medicare ________ is sent to a provider when a Medicare claim has been filed but needs additional information or documentation before the claim can be processed and paid.

Accepted Answer

The answer of A Medicare ________ is sent to a...

Question 17

Medicare patients with Part B fee-for-service benefits are responsible for what percentage of the Medicare Fee Schedule (MFS) after the deductible has been met and services are rendered by a provider who accepts assignment?

Accepted Answer

A)  15% 
B)  20% 
C)  25% 
D)  30% 
A)  15% 
B)  20% 
C)  25% 
D)  30%

Question 18

Individuals with ESRD are Medicare eligible.

Accepted Answer

A) True 
 B)False

Question 19

The Medicare coverage that pays for physician services is:

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 20

Individuals eligible for Medicare may be classified into one or more of the following categories EXCEPT:

Accepted Answer

A)  age 65 or older. 
B)  disabled. 
C)  low income. 
D)  end-stage renal disease. 
A)  age 65 or older. 
B)  disabled. 
C)  low income. 
D)  end-stage renal disease.

Medicare Part B covers:

A Medicare beneficiary has a lifetime reserve of 90 days of coverage that can be used to cover inpatient hospital services.

When referring to Medicare, MSP refers to:

A Medicare Remittance Notice informs the provider of:

The Physician Value-Based Payment Modifier:

Private-duty nursing care is:

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires employers to continue group health insurance coverage after employment ends for a minimum of:

Match the following -The type of claim submitted to Medicare when Medicare is NOT the primary payer

The original Medicare plan is based on which type of payment method?

Which of the following information is NOT included on a Medicare beneficiary's identification card?

For each benefit period, a Medicare Part A beneficiary will receive coverage for how many days of skilled nursing care?

What role does the Social Security Administration (SSA) play in the Medicare program?

The form sent to patients by the Medicare contractor (carrier) that itemizes services billed to Medicare, the amount paid, and the amount the beneficiary is responsible for (if any) is a(n) ________ Notice.

Match the following -A company hired to process and pay Medicare claims on behalf of the federal government

What types of services are covered under Medicare Part A?

A Medicare ________ is sent to a provider when a Medicare claim has been filed but needs additional information or documentation before the claim can be processed and paid.

Medicare patients with Part B fee-for-service benefits are responsible for what percentage of the Medicare Fee Schedule (MFS) after the deductible has been met and services are rendered by a provider who accepts assignment?

Individuals with ESRD are Medicare eligible.

The Medicare coverage that pays for physician services is:

Individuals eligible for Medicare may be classified into one or more of the following categories EXCEPT:

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

Medicare Part B covers:

A Medicare beneficiary has a lifetime reserve of 90 days of coverage that can be used to cover inpatient hospital services.

When referring to Medicare, MSP refers to:

A Medicare Remittance Notice informs the provider of:

The Physician Value-Based Payment Modifier:

Private-duty nursing care is:

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires employers to continue group health insurance coverage after employment ends for a minimum of:

Match the following -The type of claim submitted to Medicare when Medicare is NOT the primary payer

The original Medicare plan is based on which type of payment method?

Which of the following information is NOT included on a Medicare beneficiary's identification card?

For each benefit period, a Medicare Part A beneficiary will receive coverage for how many days of skilled nursing care?

What role does the Social Security Administration (SSA) play in the Medicare program?

The form sent to patients by the Medicare contractor (carrier) that itemizes services billed to Medicare, the amount paid, and the amount the beneficiary is responsible for (if any) is a(n) ________ Notice.

Match the following -A company hired to process and pay Medicare claims on behalf of the federal government

What types of services are covered under Medicare Part A?

A Medicare ________ is sent to a provider when a Medicare claim has been filed but needs additional information or documentation before the claim can be processed and paid.

Medicare patients with Part B fee-for-service benefits are responsible for what percentage of the Medicare Fee Schedule (MFS) after the deductible has been met and services are rendered by a provider who accepts assignment?

Individuals with ESRD are Medicare eligible.

The Medicare coverage that pays for physician services is:

Individuals eligible for Medicare may be classified into one or more of the following categories EXCEPT:

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