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Chapter 6 Medicare Exam Questions and Answers 100% Pass
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Chapter 6 Medicare Exam Questions and Answers 100% Pass National Health Coverage for an American 65 years and older known as Medicare was signed into legislation by who ? - Lyndon B. Johnson What is the federal agency that is responsible for implementation of all rules, regulations and health ...

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  • December 23, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • chapter 6 medicare exam questions and answers 100

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  • Medicare certifications
  • Medicare certifications

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Chapter 6 Medicare Exam Questions and Answers
100% Pass




National Health Coverage for an American 65 years and older known as Medicare was signed into

legislation by who ? - ✔✔Lyndon B. Johnson


What is the federal agency that is responsible for implementation of all rules, regulations and health

related policies governing the Medicare program ? - ✔✔Centered Medicare/ Medicaid Services ( CMS )


Medicare Part A: - ✔✔Hospice Care


What is Medicare ? - ✔✔Federal Health Insurance Program


A program of income support for low-income aged, blind, and disabled persons: - ✔✔Supplemental

Security Income ( SSI )


For an illegal immigrant to be eligible for benefits under the Medicare program they must have lived in

the United States as a permanent resident for 5 consecutive years: - ✔✔( True ) The permanent resident

does have to be in the United States for 5 consecutive years before they can be eligible for any Medicare

Program


Medicare identification cards are currently being shifted from Social Security Numbers to Medicare

Beneficiaries Identifiers Numbers or MBI affective from ___________ all claims must be submitted with

the patients MBI: - ✔✔January 1st, 2020




Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE

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A short term inpatient stay that is necessary for a terminally ill patient to give temporarily leave to the

person who regularly assists with home care is referred to as: - ✔✔Respite Care


The frequency of Pap tests that may be billed for a Medicare patient who is low risk is: - ✔✔Once every

24 months


Plans may be offered under a Medicare advantage plan include: - ✔✔All are correct


Some Medicare advantage plans may provide services not covered by Medicare such as: - ✔✔Eyeglasses

and prescription drugs


Medi-gap insurance may cover: - ✔✔The deductible not covered under Medicare


A program that contracts with CMS to review medical necessity and appropriateness of inpatient medical

care is known as a: - ✔✔Quality Improvement Organizations ( QIO )


A participating physician with a Medicare plan agrees to accept what percent of what ? - ✔✔80% of the

Medicare approved charge


In the Medicare program, there is mandatory assignment for: - ✔✔Clinical Laboratory Test


When a Medicare patient signs an advance beneficiary notice or an ABN the procedure code for the

service provided must be modified using the HCPCS Level II modifier: - ✔✔GA


A Medicare prepayment screen: - ✔✔Identifies claims to review for medical necessity and monitors the

number of times given procedures can be billed during a specific time frame


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

according to: - ✔✔Pre-established rates for each type of illness treated based on diagnosis


A type of value based program established by Medicare to provide an incentive for hospitals to reduce

hospital acquired conditions by reducing payments of the worst performing hospitals: - ✔✔Hospital-

Acquired Condition Reduction Program ( HACRP )


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