Insurance
Affordable Care Act
How Does Insurance Work?
All about Medicare and Medicaid
PA Practice
100

Covered Mostly accidents recieved from travelling by steamboat or train.

What is the first insurance policies in the US?

100

PPACA stands for  _____.

What is Patient Protection and Affordable Care Act?

100

When everyone pays a little and the sick get the benefits. 

What is Pooling the Risk?

100

This is a program available to individuals Age 65 or older, Disabled no matter their income, and those with End-Stage Renal Disease.

What is Medicare?

100

What must you be credentialled as to receive any type payment when billing for surgical services under BCBS?

What is an "Assistant-at-Surgery"?

200

Companies could not compete for employees by paying a higher salary so they began offering this. 

What is Employer offered Heath Insurance?

200

The program the Affordable Care Act expanded to cover all adults with income below 138% of the Federal Poverty Line.

What is Medicaid?

200

These groups usually have insurance: those that the Employer provides insurance for, those eligible and able to afford insurance from the Marketplace, and  ____.

What is the members of the military?

200

This is the section of Medicare that covers inpatient care recieved in a hospital or skilled nursing facility.

What is Medicare Part A?

200

This is the medicare reimbursement rate for a Physician assistant when they see a patient that the physician is not also involed in the encounter. 

What is 85% of the physician fee schedule?

300
The first insurance plan that covered Hospital services only.

What is Blue Cross?

300

The president who introduced the Affordable Care Act.

Who is President Obama?

300

This is who you have to have purchasing insurance plans for your state's Insurance Marketplace not to struggle.

What is healthy people?

300

The group that manages Medicare.

What is CMS? (Centers for Medicare & Medicaid Services)

300

This liberalized Medicare coverage of Physician Assistant services by removing limits based on setting and place of service. 

What is the Balanced Budget Act (BBA)?

400

A physician provided you a service, and you were charged a fee.  Providing ANY care, at ANY cost.

What is "Fee for Service"?

400
 ____  is protected by the Affordable Care Act by making health coverage more fair and easy to understand.

Who is the Patient?

400

This is the percentage of the cost of care that insurance will cover.

What is the Actuarial Value?

400

This is part of Medicare Coverage that offers prescription drug benefits.

What is Part D?

400

The way you can bill to recieve 100% of the physician fee schedule.  This can occure only if certain conditions are met such as the physician MUST have saw the patient initially and dictated the first encounter. 

What is "Incident to" billing?

500

As healthcare grew in popularity, no one wanted to cover either of these groups.

What is the elderly or the poor?

500

The year the comprehensive health care reform law known as the Affordable Care Act enacted.

What is March 2010?

500

The actuary value of a plan is 90%, then the patient is responsible for the remaining ____% of the cost of all covered benefits. 

What is 10%?

500

This program differs from state to state.

What is Medicaid?

500
This is the bill that will go into effect Jan 1, 2022 and allow Medicare to make direct payments to PAs.

What is the Direct Payment bill?

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