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Geriatric Medicine Boards > Medicare > Flashcards

Medicare Flashcards

1
Q

What part of medicare covers ambulance services?

A

Part B

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2
Q

What part of medicare covers blood transfusions?

A

Part A

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3
Q

What part of medicare covers hospice?

A

Part A

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4
Q

What part of medicare covers DME?

A

Part B

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5
Q

What part of medicare covers flu and pneumonia shots?

A

Part B

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6
Q

What part of medicare covers Home Health?

A

Part A

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7
Q

What part of medicare covers SNF?

A

Part A

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8
Q

What part of medicare covers inpatient care?

A

Part A

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9
Q

What part of medicare covers physician services?

A

Part B

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10
Q

What part of medicare covers observation stays?

A

Part B

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11
Q

Do you pay premiums for part A or B?

A

Part B only

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12
Q

What things are NOT covered under A, B and D?

A

-Homemaking services
-Driving safety evals
-Dental care
-Foot care
-Hearing aids
-Eyeglasses
-Orthopedic shoes
-Cosmetic surgery
-Care in foreign countries

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13
Q

What do medigap policies cover?

A

coinsurance costs and potentially deductibles

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14
Q

What do medigap policies not cover?

A

long term care, dental care, eyeglasses, hearing aids, private duty nursing

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15
Q

What is the only reason a person with Part A and B can be denied enrollment in a MA plan?

A

ESRD

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16
Q

What federal plan pays for LTC?

A

Medicaid

17
Q

How many days of IPR are fully covered by Medicare Part A?

A

60

18
Q

How many days of SNF are fully covered by Medicare Part A?

A

20

19
Q

What are the rules for qualifying for home health?

A

-Homebound
-Skilled need
-F2F within 90 days with physician
-Physician certifies need and POC q60 days

20
Q

What are the time maximums for home health?

A

No more than 7 days a week or 8 hours a day

21
Q

How do you qualify for inpatinet rehabilitation?

A

3 midnights in qualifying hospital stay with expectation of discharge to the community

22
Q

What part of medicare covers outpatient PT/OT?

A

Part B

23
Q

Who must perform the first visit for nursing home patinets requiring skilled level of care?

A

Physicians (otherwise NPs)

24
Q

How often must nursing home patients be seen in F2F medical visits?

A

Every 30 days for first 90 days then at least every 60 days thereafter (advanced practice providers can be substituted for every other physician visit)

25
Q

What can NPs not do in regard to home visits?

A

certify home care services

26
Q

What is the lower age limit for PACE participants?

A

55

Geriatric Medicine Boards (3 decks)

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