Payer/Program
Payer/Program
Payer/Program
100

Part A beneficiary obligation for days 1-60 of a hospital stay

What is $1316 per spell of illness

100

Part A beneficiary obligation for hospice care

What is $0 (no deductible or coinsurance)

100

Which of the following is NOT a true statement about the Medicare Participating Physician Program

What is: it enables providers to ask the beneficiary to pay the entire charge at the time of service
200

Par A beneficiary obligation for days 91-150 of a hospital stay

What is $658 per day (1/2 or 50% of current year inpatient deductible)

200

Part B beneficiary obligation for doctors services (except for routine physical exams)

What is $183 per year, then 20% of Medicare-approved amount

200
Each HICN will include either _ or _ numeric digits

What is 6 or 9

300

Part A beneficiary obligation for days 21-100 of SNF care

What is 164.50 per day (1/5 of current year inpatient deductible)

300

Part B beneficiary obligation for outpatient mental healthcare

What is 20% of Medicare-approved amount

300

The suffix for a husband, age 65 or older is

What is B1


400

Part A beneficiary obligation for days 1-20 of Home Health care

What is $0 (no deductible or coinsurance)

400

What is the frequency of coverage for intensive behavioral therapy for obesity

What is one visit every week for month 1; one visit every other week for months 2-6; and one visit every month for months 7-12

400

The suffix for a widow, age 65 or older and first claimant is

What is D

500

Part A beneficiary obligation for DME

What is 20% of Medicare-approved amount


500

Which of the following  are NOT covered by Medicare for qualified beneficiaries

What is cosmetic surgery, routine eye care and most eyeglasses in the absence of disease and Hearing aids and exams
500

Which elements of an insurance payer contract will indicate whether the payer will backdate the effective date to when a provider started at the practice if the payer provider number has not been issued at the time the provider starts working at the practice

What is Credentialing

M
e
n
u