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Fi Man > Ex 1 Par 1 > Flashcards

Ex 1 Par 1 Flashcards

1
Q

Chiropractic is covered. Under what parts of Medicare?

A

B and C

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2
Q

Does Medicare pay for maintenance care?

A

No

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3
Q

What does HSA stand for?

A

Health savings account

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4
Q

What empowers the patient to spend their own money using a tax exempt trust or custodial account?

A

Health saving account.

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5
Q

What does HRA stand for?

A

Health reimbursement arrangement

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6
Q

What is when the patient determines how when and where the money is spent.

A

HRA

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7
Q

what does MSA stand for?

A

Medicare——Medical saving account

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8
Q

What is when the patient pays for services not covered by Medicare and can save up for future expenses?

A

MSA

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9
Q

What is VEBA?

A

Voluntary employee benefit association

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10
Q

What is employees in geographic area band together ?

A

VEBA

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11
Q

What does MEWA stand for>

A

Multiple employer welfare arrangements

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12
Q

What is 2 plus unrelated employers may establish a healthcare plan. Gives small employers access to low cost health coverage?

A

MEWA

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13
Q

What are the Medicare eligibility requirements?

A

65+, disabled/anyone receiving SS benefits in the last 2 years. Renal disease/ALS

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14
Q

What is NPI?

A

National provider identifier

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15
Q

What does an NPI re validation requirements?

A

Every 5 years

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16
Q

Medicare part A=

A

Hospital

17
Q

Medicare part B= ?

A

Physician

18
Q

Medicare part C= ?

A

Advantage plans

19
Q

Mediacare part D= ?

A

Rx coverage

20
Q

Par vs non par ? Par is….

A

Contract, accept assignment on all claims, payments made to provider, secondary insurance automatically billed, payments up to 15% higher than non par, provider listen in directory.

21
Q

What are used to call attention to a code on the claim form?

A

Modifiers

22
Q

What does AT indicate?

A

Active care and payment goes to the DC/pt.

23
Q

What does GA indicate?

A

Patient will pay

24
Q

What code can trigger and audit?

A

GZ

25
Q

What does GZ indicate?

A

DC failed to get an ABN form signed

26
Q

What does GY indicate?

A

Service excluded, medicare wont pay

27
Q

What does GP indicate?

A

Non CMT therapies

28
Q

What does GX indicate?

A

ABN used to tell pt they will pay

29
Q

What produces local coverage determinations?

A

MAC

30
Q

What specifies under what circumstances a service is considered reasonable and necessary ?

A

LCDs

Fi Man (2 decks)

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