100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
CPB PRACTICE EXAM/45 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES. WHAT IS A MEDIGAP POLICY? A) A POLICY THAT COVERS HEALTHCARE SERVICES THAT MEDICARE DOES NOT COVER. B) A POLICY THAT WILL NOT REIMBURSE FOR OUT-OF-POCKET COSTS NOT COVERED BY MEDICARE $9.69
Add to cart
CPB PRACTICE EXAM/45 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES. WHAT IS A MEDIGAP POLICY? A) A POLICY THAT COVERS HEALTHCARE SERVICES THAT MEDICARE DOES NOT COVER. B) A POLICY THAT WILL NOT REIMBURSE FOR OUT-OF-POCKET COSTS NOT COVERED BY MEDICARE
5 views 0 purchase
Course
CPB
Institution
CPB
CPB PRACTICE EXAM/45 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES. TERMS LIKE:
WHAT IS A MEDIGAP POLICY?
A) A POLICY THAT COVERS HEALTHCARE SERVICES THAT MEDICARE DOES NOT COVER.
B) A POLICY THAT WILL NOT REIMBURSE FOR OUT-OF-POCKET COSTS NOT COVERED BY MEDICARE
C) A SUPPLEMENTAL INSURANC...
CPB PRACTICE EXAM/45 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES.
WHAT IS A MEDIGAP POLICY?
A) A POLICY THAT COVERS HEALTHCARE SERVICES THAT MEDICARE DOES NOT COVER.
B) A POLICY THAT WILL NOT REIMBURSE FOR OUT-OF-POCKET COSTS NOT COVERED BY
MEDICARE
C) A SUPPLEMENTAL INSURANCE OFFERED BY CMS.
D) A POLICY REQUIRED BY MEDICARE. - Answer: A) A POLICY THAT COVERS HEALTHCARE
SERVICES THAT MEDICARE DOES NOT COVER.
MEDICARE PART A IS AVAILABLE TO INDIVIDUALS UNDER THE AGE OF 65 WHO HAVE:
A) DIABETES MELLITUS TYPE I OR II
B) CKD (CHRONIC KIDNEY DISEASE)
C) ESRD AND MEET CERTAIN REQUIREMENTS
D) ANY CHRONIC HEALTH CONDITION - Answer: C) ESRD AND MEET CERTAIN REQUIREMENTS.
Page 1 of 22
,RATIONALE: MEDICARE PART A COVERAGE IS AVAILABLE TO INDIVIDUALS BELOW THE AGE OF
65 WHO HAVE; 1) RECEIVED SOCIAL SECURITY OR RRB DISABILITY BENEFITS FOR 24 MONTHS, 2)
END-STAGE RENAL DISEASE AND MEET CERTAIN REQUIREMENTS
WHICH OF THE FOLLOWING STATEMENTS IS TRUE REGARDING MEDICAID?
A) MEDICAID ELIGIBILITY POLICIES ARE THE SAME FOR STATES OF SIMILAR SIZE AND
GEOGRAPHIC REGION.
B) MEDICAID ELIGIBILITY IS CLEAR AND CONSISTENT FROM STATE TO STATE
C) MEDICAID PROGRAMS RECEIVE MATCHING FFEDERAL FUNDING ONLY IF CERTAIN
HEALTHCARE SERVICES ARE PROVIDED TO ELIGIBLE INDIVIDUALS.
D) MEDICAID PROGRAMS MUST PROVIDE MEDICAL ASSISTANCE FOR ALL POOR PERSONS. -
Answer: C) MEDICAID PROGRAMS RECEIVE MATCHING FEDERAL FUNDING ONLY IF CERTAIN
HEALTHCARE SERVICES ARE PROVIDED TO ELIGBLE INDIVIDUALS.
MEDICAID PROGRAMS MUST PROVIDE CERTAIN HEALTHCARE SERVICES TO ELIGIBLE
INDIVIDUALS IN ORDER TO RECEIVE MATCHING FEDERAL FUNDS KNOWN AS FEDERAL MEDICAL
ASSISTANCE PERCENTAGE (FMAP). THE PERCENTAGE IS DETERMINED ON A YEAR TO YEAR BASIS
USING A FORMULA THAT COMPARES THE STATE'S PER CAPITA AVERAGE INCOME WITH THE
NATIONAL AVERAGE. STATES WITH LOWER AVERAGE INCOME PER CAPITA RECEIVE A HIGHER
FMAP.
WHEN SUBMITTING A MEDIGAP POLICY, WHICH OPTION IS AN EXAMPLE OF HOW THE
PATIENT'S ID NUMBER SHOULD APPEAR IN ITEM 9A OF THE CMS-1500 CLAIM FORM?
A) 123456789
B) 123456789A
C) MGAP 123456789
Page 2 of 22
, D) AETNA 123456789 MEDIGAP - Answer: C) MGAP 123456789
RATIONALE: IN ITEM 9A ENTER MEDIGAP FOLLOWED BY THE POLICY NUMBER AND GROUP
NUMBER IF APPLICABLE. THESE SHOULD BE SEPARATED BY SPACES IE. MEDIGAP 123456 222.
MG OR MGAP ARE ALSO ACCEPTABLE.
MEDICAID COVERS EPSDT SERVICES. WHAT IS THE DEFINITION OF THIS ACRONYM?
A) EARLY POSTOPERATIVE SCREENING, DIAGNOSTIC, AND TREATMENT
B) EARLY PREGNANCY SCREENING, DIAGNOSTIC, AND TREATMENT
C) ESTABLISHED PATIENT SCREENING, DIAGNOSTIC, AND TREATMENT
D) EARLY AND PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT - Answer: D) EARLY AND
PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT.
RATIONALE: THE ACRONYM EPSDT STANDS FOR EARLY AND PERIODIC SCREENING, DIAGNOSTIC,
AND TREATMENT AND REFERS TO ROUTINE PEDIACTRIC PEDIATRIC CHECKUPS THAT INCLUDE
DENTAL, HEARING, VISION, AND OTHER SCREENING SERVICES TO DETECT POTENTIAL
PROBLEMS IN ALL CHILDREN ENROLLED IN MEDICAID.
A MEDICARE PATIENT HAS BEEN TREATED FOR FOUR (4) DIAGNOSES DURING HIS LAST VISIT:
HYPERTENSION, TYPE 2 DIABETESL OSTEOARTHRITIS, & CKD. HOW MANY DIAGNOSES CAN BE
REPORTED IN BOX 24E (DIAGNOSIS CODE POINTER) CMS-1500 CLAIM FORM FOR EACH SERVICE
PROVIDED FOR THIS PATIENT?
A) ONE
B) TWO
C) THREE
D) FOUR - Answer: A) ONE
Page 3 of 22
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Benzo. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.69. You're not tied to anything after your purchase.
