Medicare
What feeding modality is not covered by Medicare?
What is oral nutrition
What HCPC code is Pediatric Peptide 1.5?
What is B4161?
Who funds Medicaid?
What is the unit of measure used most for enteral reimbursement?
What is 100/kcal?
What type of insurance plan does Kate Farms offer to their employees?
What is the percentage the patient is responsible for?
What is 20%
What does the abbreviation HCPC code stand for?
What is Healthcare Common Procedure Coding System?
What does MCO stand for?
What can be required for an enteral order to be covered by a payer?
What is prior authorization?
What do you have pay before your insurance starts to pay?
What is deductible?
What part of Medicare covers Kate Farms products in outpatient services?
What is Part B?
What HCPC codes are Kate Farms Products currently aligned with?
What is B4149, B4150, B4153, B4154, B4160, B4161?
How is Medicaid FFS reimbursed?
What is the state pays providers directly for each covered service received by Medicaid beneficiary?
Who is the first payer Medicaid or WIC?
What is it is state specific?
Name 3 healthcare payer types?
What are Medicaid, Medicare and Commercial?
What is Medicare or CMS guidelines?
What are the HCPC codes used with Medical and/ or Pharmacy benefits?
What is medical benefits?
What program aimed to standardize Medicaid eligibility for any American making up to 133% of Federal Poverty level?
What is the Affordable Care Act?
What is a capitated rate?
What is a fixed payment made by a payer for each patient enrolled in a plan, per unit of time (usually monthly)?
What is the difference between co-pay and co-insurance?
What is co-pay is a fixed amount an insured individual pays at time of specific medical service and co-insurance insured pays a percentage after deductible is met?
What change was made for Medicare coverage policy of a specialty formula?
What is no longer requiring prescriber documentation that a standard formula was trialed and failed prior to prescribing a specialty formula?
What is the difference between B4150 & B4152?
What is caloric density?
What four states have Medicaid formularies?
What modifier is used for oral nutrition?
What is BO?
What are the four types of commercial insurance?