Review

is a federal medical expense insurance program for people age 65 and older and even if the individual continues to work.

__________ are also available to anyone, regardless of age, who has been entitle to Social Security disability income benefits for 2 years or has chronic kidney disease.

____________ is administered by the Center of Medicare and Medicaid Services, which is a division of the USA Department of Health and Human Services.

What are the 4 distinct parts of Medicare?

________ is the amount a physician or supplier actually bills for a particular service or supply.

_____________ Care that is provided at an ambulatory center. These are surgical services performed at a center that do not require a hospital stay unlike in-patient hospital surgery.

________ the amount Medicare determines to be reasonable for a service that is covered under Part B of Medicare.

___________ The physician or a medical supplier agrees to accept the Medicare approved amount as full payment for the covered services.

______ organizations that process claims that are submitted by doctors and suppliers under Medicare.

_____________ Outpatient services received from a Medicare participating comprehensive outpatient rehabilitation facility.

_______ The amount of expense a beneficiary must first incur before Medicare begins payment for covered services.

______ Medical equipment such as oxygen equipment, wheel chairs, and other medically necessary equipment that a doctor prescribes for use in the home.

__________ the difference between the Medicare approved amount for a service or supply and the actual charge.

___________ organizatiosn that process inpatient and outpatient claims on individuals by hospitals, skilled nursing facilities, home health agencies, hospices and certain other providers of health services.

__________ The Maximum amount a physician may charge a Medicare beneficiary for a covered service if the physician does nt accept assignment.

__________ Doctors or suppliers who may choose whether or not to accept assignment on each individual claim.

_______ Medically necessary outpatient physical and occupational therapy or speech pathology services prescribed by a doctor or therapist.

______ Provides for a pap smear to screen for cervical cancer once every 2 years.

________ a program of outpatient mental health care

___________ Doctors and suppliers who sign agreements to become Medicare participating. For example, they have agreed in advance to accept assignment on all Medicare claims.

________ Groups of practicing doctors and other health care professionals who are paid who are paid by the government to review the care given to Medicare patients.

_______ is when an individual first becomes eligible for Medicare (starting 3 months before turning age 65, ending 3 months after the 65th birthday)

______________ between January 1st and March 31st each year.

____________ if the individual or his/her spouse is employed and covered under a group health plan

Under what hospital stay, does NOT include private duty nursing, a television or telephone in your room .(Part A)

What is the number of days can the inpatient hospital benefit start a new benenfit period and new deductible?