Exam 12: Medicare

The time limit for submitting a Medicare claim is

The Medicare Part A benefit period ends when a patient

Medicare covers some services by chiropractors.

All persons age 65 who meet eligibility requirements for Medicare receive Medicare Part B (outpatient coverage).

On what basis are HMO enrollees classified into DCGs?

A participating physician with the Medicare plan agrees to accept

Medicare provides insurance for disabled individuals if they have received Social Security disability benefits for 24 months.

An NPI number issued to a provider by CMS is the acronym for _________________________.

A Medicare patient with an HMO does not need a supplemental insurance policy.

When a CMS-1500 claim form is automatically transferred by Medicare to a Medigap carrier, there is no need to obtain a separate signature authorization for the Medigap carrier.

Medicare outpatient coverage is referred to as Part ____________________.

Under the prospective payment system (PPS), hospitals treating Medicare patients are reimbursed according to

For all elective surgeries for which the actual charge will be ____________________ or more, a Medicare nonparticipating physician who does not accept assignment must provide the beneficiary in writing with the estimated fee for any elective surgery, the estimated Medicare-approved allowance for the surgery, and the cost difference between the approved allowance and the Medicare limiting charge.

Medicare Part A is administered by

Organizations handling claims from physicians and other suppliers of services covered under Medicare Part B are called fiscal intermediaries or ____________________.