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
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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
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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
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Does the Medicare beneficiary typically pay a monthly premium for Part B?
Yes
No
1 points
QUESTION 4
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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
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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
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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
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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
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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
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Individuals eligible for TRICARE may choose between TRICARE and CHAMPVA military health benefit programs. True or false?
True
False
1 points
QUESTION 10
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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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