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Medical Billing > Test 2 > Flashcards

Test 2 Flashcards

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USMLE® Step 1 flashcards
1
Q

How many parts does MEDICAID have?

A

1

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2
Q

How many different types of governmental insurances are there?

A

6

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3
Q

What does the id number one a Tri Care insurance card look like?

A

Your SSN

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4
Q

How many parts does Medicare have?

A

4

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5
Q

What is another name for the Medicare card?

A

Red white and blue card

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6
Q

What individuals are eligible to receive CHAMP VA?

A

Individuals that are retired from the armed forces

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7
Q

What individuals are eligible to receive Worker’s Compensation

A

Individuals that were injured at the worksite while performing a duty that was required of them

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8
Q

Who pays for the benefit provided in worker’s compensation?

A

State govt pays half

Employers pays half

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9
Q

What individuals are eligible to receive Medicare?

A

Senior citizens, veterans, & individuals with disabilities

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10
Q

How are individuals screened in order to receive Tri Care?

A

DEERS

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11
Q

Who funds Medicaid?

A

State Government

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12
Q

What does the id # look like on a MEDICAID card?

A

Alphanumeric containing:3 letters,5 numbers

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13
Q

Explain the concept behind the “donut hole” or coverage gap.

A

After 2400 spent on medication the pt has to pay the next $3,051.25 until they can receive Medicare D again

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14
Q

What part of Medicare has the donut hole?

A

Medicare part D

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15
Q

What individuals are eligible to receive Medicaid?

A

Low income & people with disabilities

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16
Q

An individual can receive medical treatment with a Florida Medicaid card in Delaware?

A

No, can only be used in issuing state unless it’s an emergency

17
Q

T/F. You must be 65 and over in order to receive Medicaid

A

False

18
Q

What part of government funds Medicare?

A

Federal Government

19
Q

State governments funds?

A

Medicaid

20
Q

Federal government funds?

A

Medicare

21
Q

Medicare A covers?

A

Hospital admission & stay, hospice care, home health

22
Q

Medicare pt B covers ?

A

Outpatient expenses, X-rays,lab work, blood work, CATscan,mri, DME

23
Q

Medicare part C covers?

A

Combines A,B,& D together

24
Q

Medicare Part D covers?

A

Prescription coverage

25
Q

DME is

A

Durable medical Equipment

I.e. Canes, walkers, wheelchairs, seringes

26
Q

Medicare supplemental insurance given to?

A
  • Low Income
  • Severe Disability
  • Severely Sick
27
Q

Medicare supplemental insurance picks up the cost of?

A

Medicare deductible/ coverage gap

28
Q

Workers compensation is provided by the?

A

State government

29
Q

Workers compensation requires what for almost all procedures?

A

Preauthorization

30
Q

DEERS is short for?

A

Defense Enrollment Eligibility Reporting System

31
Q

Medicaid card # has how many digits?

A

16

32
Q

Medicaid sequence # is?

A

2 digits between 00-99

Medical Billing (2 decks)

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