Medicare
Lien Resolution General
Private Lien Resolution
Medicaid/Tricare/VA
Acronym Fun
100

What are the two types or parts of Medicare that most people over 65 qualify for?

Part A & B

100

What are the 2 types of personal injury cases?

single event & mass tort

100

Most private plans are what kind of plans that are offered through employment?

ERISA

100

Medicaid is handled by each individual __________.

state

100

PI Test stands for what?

Predictive Index

200

Medicare Global has _____ set amount for all claimants to pay?

one

200

What are the 3 main types of mass tort cases?

Pharmaceutical, Implantation, exposure

200

What Medicare plans are treated as private?

Medicare part C & D

200

Who does Tricare Cover?

Active or retired veterans and their spouse and children/ dependents

200

MSA Stands for what?

master settlement agreement

300

Reduction at finalization takes place when using what Medicare route to a settlement? (Global or Traditional)

Medicare Traditional

300

VOE takes place at what stage in the lien resolution process?

Identify stage

300

Private health plans assert their rights though law or contracts?

contracts

300

What needs to be known when working a Tricare case?

The branch of service

300

What does IHS Stand for?

Indian health services

400

Who must make payments on liens when using Medicare Global?

Garretson

400

A third party’s claim to an individuals settlement award is also known as what?

Lien

400

Companies that are hired on behalf of the insurance companies or health plans are known as what?

Recovery Contractors

400

What needs to be known when working VA cases?

The treatment facility

400

PHI stands for?

Protected Health Information

500

How long does the firm have to pay on the Medicare lien after the final notice has been received?

60 days

500

What are the milestones or steps in lien resolution?

1. Identify

2. claims

3. Audit

4. Negotiate claims

5. Finalize

6. Payment

500

What reduction strategy is used when a claimant does not even have enough money in the settlement to pay for their care before even addressing liens?

Made whole doctrine

500

True or False:


VA coverage applies to honorably discharged veterans and the families of that veteran

False: It only covers the veteran. If the veteran is 100% disabled or deceased then the spouse or dependent are entitled to Champ VA

500

QPO Stands for?

Qualified Protective Order

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