Ex 1 Par 1

Question 1

Chiropractic is covered. Under what parts of Medicare?

Answer 1

B and C

Question 2

Does Medicare pay for maintenance care?

Answer 2

No

Question 3

What does HSA stand for?

Answer 3

Health savings account

Question 4

What empowers the patient to spend their own money using a tax exempt trust or custodial account?

Answer 4

Health saving account.

Question 5

What does HRA stand for?

Answer 5

Health reimbursement arrangement

Question 6

What is when the patient determines how when and where the money is spent.

Answer 6

HRA

Question 7

what does MSA stand for?

Answer 7

Medicare——Medical saving account

Question 8

What is when the patient pays for services not covered by Medicare and can save up for future expenses?

Answer 8

MSA

Question 9

What is VEBA?

Answer 9

Voluntary employee benefit association

Question 10

What is employees in geographic area band together ?

Answer 10

VEBA

Question 11

What does MEWA stand for>

Answer 11

Multiple employer welfare arrangements

Question 12

What is 2 plus unrelated employers may establish a healthcare plan. Gives small employers access to low cost health coverage?

Answer 12

MEWA

Question 13

What are the Medicare eligibility requirements?

Answer 13

65+, disabled/anyone receiving SS benefits in the last 2 years. Renal disease/ALS

Question 14

What is NPI?

Answer 14

National provider identifier

Question 15

What does an NPI re validation requirements?

Answer 15

Every 5 years

Question 16

Medicare part A=

Answer 16

Hospital

Question 17

Medicare part B= ?

Answer 17

Physician

Question 18

Medicare part C= ?

Answer 18

Advantage plans

Question 19

Mediacare part D= ?

Answer 19

Rx coverage

Question 20

Par vs non par ? Par is….

Answer 20

Contract, accept assignment on all claims, payments made to provider, secondary insurance automatically billed, payments up to 15% higher than non par, provider listen in directory.

Question 21

What are used to call attention to a code on the claim form?

Answer 21

Modifiers

Question 22

What does AT indicate?

Answer 22

Active care and payment goes to the DC/pt.

Question 23

What does GA indicate?

Answer 23

Patient will pay

Question 24

What code can trigger and audit?

Answer 24

GZ

Question 25

What does GZ indicate?

Answer 25

DC failed to get an ABN form signed

Question 26

What does GY indicate?

Answer 26

Service excluded, medicare wont pay

Question 27

What does GP indicate?

Answer 27

Non CMT therapies

Question 28

What does GX indicate?

Answer 28

ABN used to tell pt they will pay

Question 29

What produces local coverage determinations?

Answer 29

MAC

Question 30

What specifies under what circumstances a service is considered reasonable and necessary ?

Answer 30

LCDs