Subjects Medical Office Assistant Medical Economics, Billing, and Coding Medicare and Medicaid Medical Office Assistant · Medical Economics, Billing, and Coding
Medicare and Medicaid On this page 3 sections Quick check Study tools Sources & references Quick check 5 questions here, of 90 in this lesson’s practice set. Answers stay hidden until you check.
Question 1 of 5 foundational
Medicare is best described as which type of health coverage program? A A health insurance program run by each state for low-income residents B A federal health insurance program for people 65 and older and certain younger people with disabilities or illness C A private insurance plan employees choose through their workplace D A workers' compensation program for injured employees
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Question 2 of 5 foundational
Which federal agency administers (runs) the Medicare program? A The Social Security Administration (SSA) B The Food and Drug Administration (FDA) C The Centers for Medicare & Medicaid Services (CMS) D The Internal Revenue Service (IRS)
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Question 3 of 5 foundational
A patient who turns 65 and has enough work history becomes eligible for Medicare primarily because of their what? A Age B Income level C Employer size D Race or ethnicity
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Question 4 of 5 foundational
Besides people 65 and older, which group is also eligible for Medicare? A Anyone who is unemployed B People under 65 with certain disabilities or with end-stage renal disease C Any parent of a young child D College students under 26
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Question 5 of 5 intermediate
A patient of any age who has end-stage renal disease (ESRD) may qualify for Medicare based on what? A Their income B Their diagnosis of kidney failure C Their employment status D Their age only
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Previous lesson Error, Waste, Abuse, and Fraud DistinctionsNext lesson Commercial Insurance, HMO, PPO, and Managed Care Study tools & related lessonsYou’ll learn to · Related You’ll learn to Describe the four parts of Medicare (A, B, C, and D), including the types of services each covers and basic eligibility concepts. Describe Medicaid as a joint federal-state program, including how eligibility and benefits can vary by state. Compare and contrast Medicare and Medicaid, including administration, funding, and eligible populations. Recognize key billing implications for the medical office assistant, including eligibility verification, coordination of benefits, ABNs, and payer order for dual-eligible patients. Apply scope-of-practice boundaries by gathering and routing information and escalating coverage, enrollment, and payment questions to clinicians and billing professionals. Educational content only. It is not medical, legal or professional advice. Found an error? Tell us.