Medical Office Assistant · Medical Economics, Billing, and Coding

Medicare and Medicaid

On this page 3 sections
  1. Quick check
  2. Study tools
  3. Sources & references

Quick check

5 questions here, of 90 in this lesson’s practice set. Answers stay hidden until you check.

Question 1 of 5foundational

Medicare is best described as which type of health coverage program?

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Question 2 of 5foundational

Which federal agency administers (runs) the Medicare program?

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Question 3 of 5foundational

A patient who turns 65 and has enough work history becomes eligible for Medicare primarily because of their what?

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Question 4 of 5foundational

Besides people 65 and older, which group is also eligible for Medicare?

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Question 5 of 5intermediate

A patient of any age who has end-stage renal disease (ESRD) may qualify for Medicare based on what?

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Practice all 90

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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.

Sources & references

  1. Centers for Medicare & Medicaid Services — CMS.gov
  2. American Health Information Management Association — AHIMA - Health Information and Coding
  3. AAPC — Medical Coding and Billing

This lesson was adapted from the open educational references above; their licenses and attributions are preserved. See Copyright & Licensing.

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