Medicare Eligibility
This is the age when you become eligible for Medicare benefits.
What is 65?
When a patient is eligible with Medicare due to Age and is covered under a Group Health Plan (GHP), this is how many employees there must be for that insurance to be primary.
What is 20?
A website where we can verify Medicare eligibility.
What is Emdeon/My Ability?
The subscriber to Medicare and Medicare Advantage plans is always this.
What is Self?
This is what Medicare part A covers.
Once you reach age 65, this eligibility reason is no longer valid.
What is disability?
When a patient is eligible for Medicare due to Disability and is covered under a Group Health Plan (GHP), this is how many employees there has to be for the GHP to be primary.
What is 100?
This website is where we can obtain the MBI if the patient does not have their Medicare card.
What is Novitasphere?
This is what MSPQ stands for.
What is Medicare Secondary Payer Questionnaire?
This is what Medicare part B covers.
What is Outpatient care?
This eligibility reason can coincide with age and/or disability at the same time.
What is ESRD?
When a patient is eligible for Medicare due to ESRD and has a group health plan, this the the length of the coordination period that determines what insurance is primary.
What is 30 months?
What is by the Federal Government?
The Medicare ID is also know by this abbreviation.
What is HIC/MBI?
Medicare part B covers at this percentage.
What is 80%?
These two qualifications can never be active together, it will always be one or the other.
What is Age and Disability?
When a patient has ESRD and a Group Health Plan, the Group Health Plan is primary during this time.
What is within the 30 month coordination period?
If the Medicare Survey is not answered, this is what could happen.
What is fines, fraud, loss of revenue?
The three ways to qualify for Medicare benefits.
What is Age, Disability and ESRD?
If a patient provides a Medicare card and a Medicare Advantage card, this is what should be loaded onto their visit.
What is the Medicare Advantage only?
If a patient is eligible for ESRD and Age/Disability, this is how we determine what rules to follow.
What is, the first eligibility reason that qualified the patient for Medicare?
When a patient is eligible for Medicare due to ESRD and has had a successful transplant, Medicare ends after this month.
What is 36?
Medicare is overseen by this agency.
What is CMS?
When a Medicare patient is dual eligible it means they also have these benefits.
When adding a Medicare Advantage plan, this information should also be added into the insurance information.
What is the HIC/MBI?