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MEDICARE PARTS
COVERED/NON
NGD/SCRIPTING
GOVERNMENT/PROG
PROTO-CALL
100
Hospice, skilled nursing facility and Long term care are examples of this
What is Part A covered services
100
These "no cost" services are meant to help beneficiaries stay healthy and to prevent conditions from getting worse.
What are preventive services
100
Before searching for a script, you must click this button.
What is the "Show All" button.
100
"3 months before, the month of and 3 months after"
What is "Initial Enrollment period"
100
The amount of phases is the Call Management Framework.
What is "4"
200
What does the amount represent: $1,216.00
What is the Part A deductable
200
Eyeglasses and dentures are categorized as
What is non-covered DME
200
A beneficiary wants a Medicare publication; therefore I would go to the...
What is the Print Fulfillment Applet
200
This condition will qualify an individual for Medicare before age 65
What is ESRD (End Stage Renal Disease)
200
Requires the CSR to listen, question and confirm
What is Phase 2
300
Deductible and copayment are examples of what?
What is out-of-pocket costs.
300
No need for this providing general information to the beneficiary
What is disclosure
300
"Blocks" of information within the scripts are referred to as
What are "Cottages".
300
"Red, White and Blue"
What is "Medicare Card"
300
This is when you provide solutions
What is Phase 3
400
The 20% the beneficiary pays after meeting the deductible.
What is the co-insurance
400
DME, Part A and Part B services are cover based upon
What is Medical Necessity
400
When "logged", scripts can be viewed in this applet.
What is "Sub-Activities"
400
This government agency oversees and administers Medicare.
What is "CMS"
400
This outlines the appropriate steps for each call
What is "Call Management Framework"
500
Must be met before Medicare pays
What is the deductible
500
This is available once in a lifetime to Medicare beneficiaries
What is the Welcome to Medicare wellness visit
500
Notices from CMS regarding beneficiary's accounts can be views from which applet?
What is Beneficiary Indicators
500
Responsible for sending Initial Enrollment Packet.
What is SSA (Social Security Administration)
500
"One call, that's all"
What is "One call solution"