Question 1

Medicare covers some services by chiropractors.

Accepted Answer

Medicare Part B covers chiropractic services to help with spinal manipulation treatment for subluxation (when one or more of the bones of your spine move out of position). However, Medicare does not cover other services provided by chiropractors, such as massage therapy or acupuncture.

Question 2

The number of Medicare benefit periods a patient can have for hospital care is limited.

Accepted Answer

A patient can have multiple benefit periods for hospital care under Medicare; a new benefit period begins after a patient has been out of the hospital for 60 consecutive days.

Question 3

What does TEFRA stand for?

Accepted Answer

The answer of What does TEFRA stand for?...

Question 4

Patients who elect Medicare Part B coverage pay annually increasing basic premium payments.

Accepted Answer

Medicare Part B premiums are subject to increase annually.

Question 5

When Medicare payments are posted to a separate daysheet, what should the daysheet payment total agree with?

Accepted Answer

The answer of When Medicare payments are posted to a...

Question 6

Medicare provides insurance for disabled workers of any age.

Accepted Answer

Medicare does provide insurance for disabled workers of any age, as long as they have been receiving Social Security disability benefits for at least two years or have End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS).

Question 7

Medicare Part A is called supplementary medical insurance (SMI).

Accepted Answer

Medicare Part A is actually called Hospital Insurance, not Supplementary Medical Insurance (SMI). SMI refers to Medicare Part B, which covers medical services such as doctor visits, outpatient care, and preventive services.

Question 8

In the Medicare program, a physical examination is a covered benefit when performed within 12 months of enrollment.

Accepted Answer

A physical examination is a covered benefit under Medicare when performed within the first 12 months of enrollment. This initial preventive physical examination is also known as the “Welcome to Medicare” preventive visit. After that, Medicare covers an annual wellness visit, which does not include a physical examination. However, Medicare will cover a physical examination if it is medically necessary and ordered by a healthcare provider.

Question 9

On what basis are HMO enrollees classified into DCGs?

Accepted Answer

The answer of On what basis are HMO enrollees classified...

Question 10

Scenario: The following questions pertain to a participating physician who bills Medicare $480; Medicare allows $400, and the patient has met the Medicare deductible for the calendar year.
-What is the amount of the check that Medicare sends to the physician?

Accepted Answer

The answer of Scenario: The following questions pertain to a...

Question 11

Medicare provides insurance for disabled individuals if they have received Social Security disability benefits for 24 months.

Accepted Answer

Medicare eligibility for disabled individuals is based on receiving Social Security disability benefits for 24 months.

Question 12

It is possible for an alien to be eligible for Medicare Part A and Part B.

Accepted Answer

Certain lawful aliens (non-U.S. citizens) who have worked in the United States for at least 10 years (or 40 quarters) and have paid Medicare taxes during this time are eligible for Medicare Part A and Part B.

Question 13

All persons age 65 who meet eligibility requirements for Medicare receive Medicare Part B (outpatient coverage).

Accepted Answer

While most persons age 65 and over are eligible for Medicare Part B, enrollment is not automatic for everyone. Individuals must sign up for it unless they are automatically enrolled because they are receiving Social Security or Railroad Retirement Board benefits.

Question 14

What type of coverage does a Medi-Medi patient have?

Accepted Answer

The answer of What type of coverage does a Medi-Medi...

Question 15

Employee and employer contributions help pay for Medicare Part A health services.

Accepted Answer

Both employees and employers contribute an equal percentage of the employee's salary to Medicare Part A taxes, which help fund hospital and skilled nursing facility care.

Question 16

Scenario: The following questions pertain to a participating physician who bills Medicare $480; Medicare allows $400, and the patient has met the Medicare deductible for the calendar year.
-What is the courtesy adjustment?

Accepted Answer

The answer of Scenario: The following questions pertain to a...

Question 17

Funds for Medicare Part B come equally from those who sign up for it and the federal government.

Accepted Answer

Medicare Part B is funded by both beneficiaries who sign up for it, through monthly premiums, and the federal government. The amount paid by beneficiaries is based on their income.

Question 18

Each Medicare hospital benefit period consists of 60 consecutive days in a hospital or nursing facility.

Accepted Answer

This is true according to the Medicare program. Each benefit period begins the day you are admitted as an inpatient to a hospital or skilled nursing facility and ends when you have been out of the hospital or facility for 60 consecutive days.

Question 19

Scenario: The following questions pertain to a participating physician who bills Medicare $480; Medicare allows $400, and the patient has met the Medicare deductible for the calendar year.
-What is the patient's financial responsibility?

Accepted Answer

The answer of Scenario: The following questions pertain to a...

Question 20

A patient classified with ESRD may be provided benefits from Medicare. What does ESRD stand for?

Accepted Answer

The answer of A patient classified with ESRD may be...

Quiz 12: Medicare

Medicare covers some services by chiropractors.

The number of Medicare benefit periods a patient can have for hospital care is limited.

What does TEFRA stand for?

Patients who elect Medicare Part B coverage pay annually increasing basic premium payments.

When Medicare payments are posted to a separate daysheet, what should the daysheet payment total agree with?

Medicare provides insurance for disabled workers of any age.

Medicare Part A is called supplementary medical insurance (SMI).

In the Medicare program, a physical examination is a covered benefit when performed within 12 months of enrollment.

On what basis are HMO enrollees classified into DCGs?

Scenario: The following questions pertain to a participating physician who bills Medicare $480; Medicare allows $400, and the patient has met the Medicare deductible for the calendar year. -What is the amount of the check that Medicare sends to the physician?

Medicare provides insurance for disabled individuals if they have received Social Security disability benefits for 24 months.

It is possible for an alien to be eligible for Medicare Part A and Part B.

All persons age 65 who meet eligibility requirements for Medicare receive Medicare Part B (outpatient coverage).

What type of coverage does a Medi-Medi patient have?

Employee and employer contributions help pay for Medicare Part A health services.

Scenario: The following questions pertain to a participating physician who bills Medicare $480; Medicare allows $400, and the patient has met the Medicare deductible for the calendar year. -What is the courtesy adjustment?

Funds for Medicare Part B come equally from those who sign up for it and the federal government.

Each Medicare hospital benefit period consists of 60 consecutive days in a hospital or nursing facility.

Scenario: The following questions pertain to a participating physician who bills Medicare $480; Medicare allows $400, and the patient has met the Medicare deductible for the calendar year. -What is the patient's financial responsibility?

A patient classified with ESRD may be provided benefits from Medicare. What does ESRD stand for?