Question: What coverage is provided under Medicare Part C, for an additional monthly premium? Clinical lab services Outpatient hospital and home health services Voluntary prescription drug

  1. What coverage is provided under Medicare Part C, for an additional monthly premium?

    Clinical lab services

    Outpatient hospital and home health services

    Voluntary prescription drug coverage

    A managed care plan option with additional benefits

1 points

QUESTION 2

  1. What coverage is provided under Part D?

    Inpatient psychiatric care

    Voluntary prescription drug coverage

    Long-term care services

    Managed care option

1 points

QUESTION 3

  1. Does the Medicare beneficiary typically pay a monthly premium for Part B?

    Yes

    No

1 points

QUESTION 4

  1. Does the Medicare beneficiary pay an annual deductible portion for hospital inpatient services under Part A?

    Yes

    No

    Varies by service provided

1 points

QUESTION 5

  1. In comparing Medicare and Medicaid, which of the following is true?

    Both are considered entitlement programs

    Medicare is means-tested program, provided to qualifying low-income individuals

    Medicaid financing is provided through federal funds in the form of block grants to the states

    Low-income Medicare beneficiaries may also receive Medicaid benefits

1 points

QUESTION 6

  1. Cost-plus reimbursement is characterized by which of the following?

    It is referred to as retrospective reimbursement

    Payment is based on per diem or per-patient-day rates.

    Providers have incentive to provide services without consideration of cost.

    All of the above are consistent with the cost-plus reimbursement method

1 points

QUESTION 7

  1. Forces driving the Medicare program away from a cost-based to a prospective inpatient payment system included all of the following EXCEPT:

    Medicare payments to hospitals were exceeding the rate of inflation.

    The solvency of the Medicare Trust Fund was at risk

    Medicare payments for comparable services varied greatly across hospitals

    Congress mandated the change as part of the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1972.

    all of the above

1 points

QUESTION 8

  1. The 2008 MS-DRG refinement of the DRG system was adopted by Medicare to recognize

    severity of patient illness

    complexity of cases and resource consumption

    quality of care indicators.

    both a. and b.

    all of the above

1 points

QUESTION 9

  1. Individuals eligible for TRICARE may choose between TRICARE and CHAMPVA military health benefit programs. True or false?

    True

    False

1 points

QUESTION 10

  1. CHIP is a federal-state partnership health insurance program for children in low-income families who do not qualify for Medicaid.

    True

    False

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