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CBCS Exam
CBCS medicare/medicaid knowledge
| Question | Answer |
|---|---|
| Which answer below is not covered under Medicare Part A? a. Skilled Nursing Home services b. Skilled Nursing Home services c. Physician Office services d. Hospice services | Physician Office services |
| What is the Medicare Advantage Program? | HMO program |
| Which answer below is not a Medicare eligibility requirement? | Must have income of less than $50,000 to qualify for Medicare Part B |
| Eligible Medicare beneficiaries must pay a monthly premium, which answer below is the correct premium the beneficiary is responsible for? | Beneficiaries that are eligible for Medicare receive Part A automatically at no extra cost and pay a monthly premium for Part B |
| The physician bills for a procedure in the amount of $100.00. Medicare allows $80.00 and the patient is responsible for 20% of the allowable. How much is paid to the physician by Medicare? | 64 |
| What are Medigap policies? | Health insurance sold by private insurance to help pay for some costs the Medicare plan doesn’t cover |
| What is EPSDT? | Medicaids comprehensive preventative child health care program for individuals 0-21 years of age |
| Who funds and administers Medicaid benefits? | Federally funded program, and administered by each state |
| If a patient has Medicare and Medicaid, which is primary? | Medicare |
| What is the name of the form given to a Medicare patient before a service is performed that a particular service or procedure may not be paid by Medicare and could be the financial responsibility of the patient? | ABN |
Created by:
drea08
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