Matching
Match the following:
Premises:
The portion of Medicare that provides for inpatient hospital coverage
Supplementary health insurance policy that covers portions of the costs NOT paid for by Medicare
A company hired to process and pay Medicare claims on behalf of the federal government
Organization hired by Medicare to provide information on eligibility and benefits entitlement for situations in which beneficiaries are covered by Medicare and other coverage
The use of Medicare funds to pay for items or services when the provider is NOT legally entitled to this payment but has NOT deliberately committed fraud
The type of claim submitted to Medicare when Medicare is NOT the primary payer
The portion of Medicare that provides prescription drug coverage
A notice provided to inform beneficiaries that services may NOT be covered by Medicare due to lack of medical necessity
The portion of Medicare that provides for coverage of physician services
Notice sent to a provider when a claim is filed that needs additional documentation
Responses:
Medicare contractor
Medicare Part A
Advance Beneficiary Notice (ABN)
Medicare Part D
Medicare Part B
Medicare abuse
coordination of benefits contractor
Medicare secondary payer
Medicare Development Letter
Medigap
Correct Answer:
Premises:
Responses:
The portion of Medicare that provides for inpatient hospital coverage
Supplementary health insurance policy that covers portions of the costs NOT paid for by Medicare
A company hired to process and pay Medicare claims on behalf of the federal government
Organization hired by Medicare to provide information on eligibility and benefits entitlement for situations in which beneficiaries are covered by Medicare and other coverage
The use of Medicare funds to pay for items or services when the provider is NOT legally entitled to this payment but has NOT deliberately committed fraud
The type of claim submitted to Medicare when Medicare is NOT the primary payer
The portion of Medicare that provides prescription drug coverage
A notice provided to inform beneficiaries that services may NOT be covered by Medicare due to lack of medical necessity
The portion of Medicare that provides for coverage of physician services
Notice sent to a provider when a claim is filed that needs additional documentation
Premises:
The portion of Medicare that provides for inpatient hospital coverage
Supplementary health insurance policy that covers portions of the costs NOT paid for by Medicare
A company hired to process and pay Medicare claims on behalf of the federal government
Organization hired by Medicare to provide information on eligibility and benefits entitlement for situations in which beneficiaries are covered by Medicare and other coverage
The use of Medicare funds to pay for items or services when the provider is NOT legally entitled to this payment but has NOT deliberately committed fraud
The type of claim submitted to Medicare when Medicare is NOT the primary payer
The portion of Medicare that provides prescription drug coverage
A notice provided to inform beneficiaries that services may NOT be covered by Medicare due to lack of medical necessity
The portion of Medicare that provides for coverage of physician services
Notice sent to a provider when a claim is filed that needs additional documentation
Responses:
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