Medicare Facts
A person must be a minimum of ____ years old in order to qualify for Medicare based on their age.
What is 65?
The MSPQ must be completed by Medicare patients every _____ _____.
What is 30 days?
If a patient has a group health plan (GHP) based on their or their spouse’s current employment, Medicare is almost always the _________ payer.
What is secondary?
Since Medicare Part B is not mandatory, some patients may only have ______ _______ .
What is Part A?
This term is used when Medicare does not have primary payment responsibility.
What is Medicare Secondary Payer (MSP)?
The ______ _______ Benefits Act provides medical coverage for the treatment of lung diseases related to pneumoconiosis arising from coal mine employment.
What is Black Lung?
If you have received Social Security Disability Insurance (SSDI) for 24 months, you would qualify for Medicare based on this:
What is disability?
Gathering MSP data helps us determine if Medicare should be the ________ or secondary payer.
What is primary?
A government research program differs from research protocols at MD Anderson because they are funded by the _________ government.
What is the federal?
This disease, which is the result of permanent kidney failure or kidney transplant, also qualifies a person for Medicare.
What is End-Stage Renal Disease (ESRD)?
Completing the MSPQ completely and accurately helps increase approvals and prevent claim _______.
What are denials?
The MSPQ must be completed entirely and _________.
What is accurately?
Medicare, a _______ _______ program, is a health insurance plan or program funded by the United States government.
What is federal healthcare?
Medicare claim adjustments leave MD Anderson vulnerable to unexpected CMS ______.
What are audits?
To ensure a patient is entitled to Department of Veterans Affairs (DVA) benefits for care at MD Anderson, the DVA must __________ and _________ to pay for the care.
What are authorize and agree?