Medicare

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What is the first step in submitting Medicare claims

The medical provider submits expenses to Medicare

What rights do individuals have if they disagree with a decision on the amount Medicare will pay?

They can ask the Medicare carrier to review the decision

The initial enrollment period for Medicare part B and how many months after the 65th birthday month?

Three months

Part a of Medicare covers expenses incurred for

Home health care

Part-time nursing care that follows a hospitalization and can be provided in a patient's home is covered under

Home health care benefits

Who submits the claim for Medicare part A

Hospital

After receiving care by a physician how as a patient notified of Medicare's decision to cover it

Medicare summary notice (MSN)

After the deductible what portion does a patient pay for covered expenses under Medicare part B

20%

Medicare part a begins automatically at age

65

Which of these statements concerning Medicare is not true?

Part C provides long-term care benefits

Charles is not pleased with the fact that Medicare will not pay for certain health expense benefits Charles

Can appeal both part a and part B claims that are not paid

How does a Medicare claim get started

Medical provider contacts Medicare

Which coverage is available at no cost to persons at age 65?

Medicare Part A

Which statement about Medicare is not correct

Medicare part C covers long-term care

How many days will Medicare pay benefits if an individual is in a skilled nursing home?

100

Physicians and surgeons services whether provided in a hospital or elsewhere

Are covered by Medicare part B there is a charge for the coverage

Medicare part A will send a statement to which of the following

Insured

Medicare part A provides coverage for all of the following except

Physicians services

What is Medicare part D

Prescription drug coverage

All of the following are covered by Medicare part B except

Private duty nursing


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