Essentials Health Info Management Principles/Practices
4th Edition
ISBN: 9780357191651
Author: Bowie
Publisher: Cengage
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What is the premium of medicare Part A, b, c and D for qualifying comsumers
For Medicare Part A to cover a skilled nursing facility for a patient, these criteria must be met, Except:
A) Need physical therapy
B) Admitted to a Medicare certified nursing facility
C) Admitted to a skilled nursing facility 40 days after patient was discharged from an inpatient hospitalization
D) Had a hospital stay of 10 days
The Inpatient
Payment System is used by Medicare to pay hospitals for services at a pre-determined rate for
each discharge.
Professional
Administrative
C) Prospective
Diagnostic
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- The Centers for Medicare & Medicaid Services (CMS) is responsible for Accountable Care Organizations (ACOs). Describe one of the types of ACOs available to providers. Why is it so important to accurately code diagnoses and procedures as this relates to the ACOs?arrow_forwardA. why are there different rate tables for Medicare, insurance companies, workers compensation, employee health, and self-pay visits B. what are the data required to complete sections 21 through 33 of the CMS1500 form?arrow_forwardThe federal Medicare program will only reimburse (pay) for services performed by health professionals who are licensed to practice and certified to participate in the Medicare program. Let's say someone files a lawsuit arguing that this federal law allowing only licensed and certified health professionals to be paid through the Medicare program discriminates against people who don't have medical training, and therefore violates the Equal Protection Clause of the 5th Amendment? Which of the following best explains how a court would rule in such a case?arrow_forward
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