Question: Medicare Has Four Parts – A. B. C. D. Hospital Care (Inpatient And Acute Care) – A. B. C. D. Medicare Part B – A. B. C. D. Medicare Advantage Plans – A. B. C. D. Medicare Part D A. Prescription Drug Coverage B. Outpatient And Ambulatory Care C. Medicare Part C D. Medicare Part A 5 Points QUESTION 18 Non-covered Medicare Part B Services May Include …

1. Medicare has four parts

   –       a.      b.       c.      d.    Hospital Care (Inpatient and Acute Care)       –       a.      b.       c.      d.    Medicare Part B       –       a.      b.       c.      d.    Medicare Advantage Plans       –       a.      b.       c.      d.    Medicare Part D

   a. Prescription Drug Coverage b. Outpatient and Ambulatory Care c. Medicare Part C d. Medicare Part A

5 points   

QUESTION 18

1. Non-covered Medicare Part B services may include

   	a.	physician services
   	b.	dental services
   	c.	outpatient services
   	d.	renal dialysis

5 points   

QUESTION 19

1. Retrospective payments

   	a.	forward-looking determines the amount owed in advance
   	b.	the traditional method used by Medicare and Medicaid todetermine per-diem rates
   	c.	evaluate costs by looking back and take capital costs intoconsideration
   	d.	are cost-plus methods of reimbursement

5 points   

QUESTION 20

1. Case mix is

   	a.	resource utilization groups
   	b.	an aggregate of the severity of conditions requiringservices
   	c.	is tiered based on level of rehabilitation
   	d.	is the primary function of inpatient therapy services

2. QUESTION 14

3. cost benefit analysis is

   	a.	budgeting for services
   	b.	an evaluation of benefits in relation to cost
   	c.	cost savings
   	d.	the difference in co-payment

4. 5 points   

   QUESTION 15

5. A deductible is

   	a.	the same as a copayment
   	b.	a form of coinsurance
   	c.	an amount that is paid by the subscriber before benefits areavailable
   	d.	an adjusted community rating