Ch 1: Text Questions

Question 1

What Medicare part provides automatic coverage under Social Security?

Answer 1

A

Question 2

What Medicare part provides optional coverage under Social Security?

Answer 2

B, C, & D

Question 3

What Medicare part provides hospice care coverage?

Answer 3

A

Question 4

What Medicare part provides Prescription drug coverage?

Answer 4

D

Question 5

What Medicare part provides physician visit coverage?

Answer 5

B

Question 6

What Medicare part requires that the beneficiary pay a premium for coverage?

Answer 6

B, C, & D

Question 7

What Medicare part assigns codes for payment using diagnosis; CPT; and HCPCS?

Answer 7

A, B, & C

Question 8

Who is the major third-party payer in the United States?

Answer 8

The government

Question 9

The Medicare program was established in what year?

Answer 9

1965

Question 10

What Medicare part includes hospice insurance?

Answer 10

A

Question 11

What Medicare part is Supplemental Medical Insurance?

Answer 11

B

Question 12

What edition of the “Federal Register” is of special interest to hospital facilities?

Answer 12

October

Question 13

What edition of the “Federal Register” is of special interest to outpatient facilities?

Answer 13

November or December

Question 14

What does RBRVS stand for?

Answer 14

Resource-Based Relative Value Scale

Question 15

The Medicare Economic Index is published in what publication?

Answer 15

Federal Register

Question 16

In 1989, a major change took place in Medicare with the enactment of what law?

Answer 16

OBRA (Omnibus Reconciliation Act)

Question 17

The intentional deception or misrepresentation that an individual knows to be false or does not believe to be true and makes knowing that the deception could result in some unauthorized benefit

Answer 17

Fraud

Question 18

What organization develops a work plan to identify areas of the Medicare program that will be monitored?

Answer 18

OIG (Office of the Inspector General)

Question 19

The physician responsible for controlling and managing the health care of an HMO enrollee is the _____?

Answer 19

Gatekeeper

Question 20

What does the abbreviation PACE stand for?

Answer 20

Program for All-Inclusive Care of the Elderly