Medicare Flashcards
What part of medicare covers ambulance services?
Part B
What part of medicare covers blood transfusions?
Part A
What part of medicare covers hospice?
Part A
What part of medicare covers DME?
Part B
What part of medicare covers flu and pneumonia shots?
Part B
What part of medicare covers Home Health?
Part A
What part of medicare covers SNF?
Part A
What part of medicare covers inpatient care?
Part A
What part of medicare covers physician services?
Part B
What part of medicare covers observation stays?
Part B
Do you pay premiums for part A or B?
Part B only
What things are NOT covered under A, B and D?
-Homemaking services
-Driving safety evals
-Dental care
-Foot care
-Hearing aids
-Eyeglasses
-Orthopedic shoes
-Cosmetic surgery
-Care in foreign countries
What do medigap policies cover?
coinsurance costs and potentially deductibles
What do medigap policies not cover?
long term care, dental care, eyeglasses, hearing aids, private duty nursing
What is the only reason a person with Part A and B can be denied enrollment in a MA plan?
ESRD
What federal plan pays for LTC?
Medicaid
How many days of IPR are fully covered by Medicare Part A?
60
How many days of SNF are fully covered by Medicare Part A?
20
What are the rules for qualifying for home health?
-Homebound
-Skilled need
-F2F within 90 days with physician
-Physician certifies need and POC q60 days
What are the time maximums for home health?
No more than 7 days a week or 8 hours a day
How do you qualify for inpatinet rehabilitation?
3 midnights in qualifying hospital stay with expectation of discharge to the community
What part of medicare covers outpatient PT/OT?
Part B
Who must perform the first visit for nursing home patinets requiring skilled level of care?
Physicians (otherwise NPs)
How often must nursing home patients be seen in F2F medical visits?
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)
What can NPs not do in regard to home visits?
certify home care services
What is the lower age limit for PACE participants?
55