The acronym for the Medicaid program that was formerly referred to as AFDC is
What is TANF (Temporary Assistance for Needy Families)
100
Insurance coverage that is typically primary to Medicare includes all of the following except
What is Medicaid
100
Under the Affordable Care Act of 2010 dependants can be covered under their parents insurance plan until the age of
What is 26
100
Part _____ of Medicare helps pay for charges incurred during an inpatient hospital stay.
What is Part A
100
Part _____ of Medicare helps pay for physician and outpatient charges.
What is Part B
200
Medicaid pays only for services that are
What is Medically necessary
200
An individual who has health insurance coverage through the Medicare or Medicaid programs is
commonly referred to as a
What is the beneficiary
200
Under the DRA, the cost-share amount a state can charge an individual is based on his or her
What is income
200
Individuals pay for Medicare Part B coverage through
What is a monthy premium
200
Fees that Medicare permits for a particular procedure, service, or supply are called
What is allowable charges
300
When a Medicaid beneficiary has no other healthcare coverage, the type of claim to be submitted is
called a
What is a Medicaid simple claim
300
Studies performed to improve the processes and outcomes of patient care are called
What is quality review studies
300
Unless an individual has health coverage through his or her employer, when he or she becomes
eligible for Medicare, late enrollment can result in
What is up to two penalties
300
Medicare Part A is free to those who have _____ or more quarters of Social Security work credits
What is 40
400
An individual who is eligible for Medicare and Medicaid programs is
What is Dual eligible
400
To qualify for supplemental security income (SSI), individuals must meet certain financial guidelines
set by
What is the The Financial Means Test
400
The Deficit Reduction Act (DRA) of 2005 provided states with the option of imposing _____ and/or ______to
certain categories of Medicaid recipients.
What is cost-sharing charges and premiums
400
The act that provides for a federal system of old age, survivors, disability, and hospital insurance is
the
What is Federal Insurance Contribution Act (FICA)
400
There are _____ levels to the Medicare appeals process.
What is 5
500
When one state allows Medicaid beneficiaries to be treated in an adjacent state, it is referred to as
What is reciprocity
500
A commercial insurer contracted by the Department of Health and Human Services (HHS) for the
purpose of processing and administering Medicaid claims is a
What is fiscal intermediary
500
The Tax Relief and Health Care Act (TRHCA) of 2006 established a physician quality report system
referred to as
What is the PQRI (Physician Quality Reporting Initiative/System)
500
The act that established quality standards for all laboratory testing to ensure safety, accuracy,
reliability, and timeliness is
What is CLIA (Clinical Laboratory Improvement Act)
500
Medicare’s fee schedule is based on a system whereby each payment value is found within a range
of payments known as
What is RBRVS (Resource-based relative value system)