Term
| Electronic Medical Record |
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| a computerized health record limited to one practice |
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| the entire health record including multiple practices |
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| the official publication for all presidential documents, rules and regulations, proposed rules, and notices |
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| Which edition of the Federal Register is of special nterest to hospital facilities? |
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| Which edition of the Federal Register is of special interest to outpatient facilities (2)? |
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| What is the fastest growing segment of our population? |
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Reimbursement usually comes from:
a) patients
b) third-party payers
c) charities
d) all of the above |
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| Who is the largest third-party payer? What is their program? |
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| The Medicare program was established in ____ with the passage of the _______ Act. |
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| Another name for Medicare Part A |
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| Supplemental Medical Insurance |
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Definition
| Another name for Medicare Part B |
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Medicare Part A covers:
a) hospital care
b) physician services
c) durable medical equipment
d) skilled nursing facility (long-term) care
e) hospice care
f) some home health services
g) all of the above
h) all but b and c
i) all but d-f |
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Definition
Medicare Part B covers:
a) hospital care
b) physician services
c) durable medical equipment
d) skilled nursing facility (long-term) care
e) hospice care
f) some home health services
g) all of the above
h) b and c
i) all but d-f
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Definition
| T or F: Medicare was originally designed for people 65 and over. |
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Medicare is for people:
a) 65 and over
b) eligible for disability benefits from Social Security
c) patients experiencing permenant renal failure
d) all of the above
e) all but c |
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Definition
| T or F: CMS is not part of DHHS |
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| Who is responsible for the administration of the Federal Medicare Program? |
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| handles the operation of Medicare within DHHS |
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Term
| payroll, employers, employees |
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Definition
| The funds for Medicare are generated from the _____ taxes paid by ______ and _______. |
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Definition
Who is responsible for collecting and handling the funds to run Medicare?
a) Medicare
b) CMS
c) Social Security
d) DHHS |
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| "To ensure effective, up-to-date health care coverage and to promote quality care for beneficiaries" is the mission of who? |
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| handles the daily operations of the Medicare program for CMS |
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| The Medicare Administrative Contractors used to be known as _________. |
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| MACs are usually ________ that bid for a contract with CMS to handle the Medicare program in a specific area. |
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Put in order the money flow for Medicare:
a) MACs
b) beneficiary
c) Social Security
d) CMS |
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Definition
The Medicare Prescription Drug Improvement and Modernization Act:
a) reduced the prices of prescription drugs
b) required that all medicine be dispensed by computers rather than pharmacists
c) increased FDA requirements on drug safety
d) allowed CMS to reduce the administrative structure from 48 FIs to 19 MACs |
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Definition
| Medicare pays ___ of allowable charges, and the beneficiary pays the remaining ____. |
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