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Insurance coverage > Insurance coverage > Flashcards

Insurance coverage Flashcards

1
Q

Medicare Part A Coverage

A

Inpatient
SNF
Hospice
Home Health

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2
Q

Medicare Part B Coverage

A

Doctor visits
Physician fees
Diagnostic testing and labs
Ambulance
Preventative Services
DME
Non self administered medications

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3
Q

If working 65+

A

can delay enrollment for Medicare (works at place with 20 or more employees)

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4
Q

Medicare Part C

A

managed care plan (HMO, PPO) through private insurance

have to be enrolled in A and B

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5
Q

Medicare Part D

A

Prescription medications
- immunosuppressants
- antidepressants
- antipsychotics
- anticonvulsants
- antiretrovirals
- antineoplastics
only private insurance approved by fed gov

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6
Q

DME covered under Medicare part B

A

blood sugar meters
blood sugar test strips
canes
3 in 1 commode
continuous passive motion machines
CPAP
crutches
home infusion services
hospital beds
infusion pumps and supplies
lancet devices + lancets
nebulizers + “” medications
O2 equipment
patient lifts
pressure-reducing support surfaces
suction pumps
traction equipment
walkers
wheelchairs and scooters

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7
Q

Kits covered under medicare

A

hip replacement kits

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8
Q

Feeding AE under medicare

A

walker tray w cup holder
plate guard
weighted utensils

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9
Q

Mobility AE under medicare

A

FWW
PFWW
4WW
WBQC
SBQC
SPC
walker basket with cup holder
walker tote bag
walker tennis balls

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10
Q

Shower chair and benches under medicare

A

Shower Chair
Shower Bench
Bariatric Shower Chair
Bariatric Shower Bench

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11
Q

Bed/chair/couch mobility

A

Bed Assist Rail / Handle
Leg Lifter
Couch Assist Rail / Handle

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12
Q

Car / Driving

A

Handy Bar

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13
Q

Toileting under medicare

A

3-in-1 Commode
Bariatric Commode
Raised Toilet Seat with Handle Bars
Toilet Handle Bars
Toilet Aids / Buddies

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14
Q

Cooking under medicare

A

Rocker Knife
One-handed Cutting Board
One-handed Jar Opener

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15
Q

General Purpose

A

Dycem
Build-up Foam
Reachers
Shoe Horns

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16
Q

Merit-based incentive payment system

A

value-based payment model for Medicare Part B. Occupational therapists and occupational therapy clinics may be subjected to MIPS depending on your patient caseload

Insurance coverage (25 decks)

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