2026 COMPLETE QUESTIONS AND
VERIFIED ANSWERS
◉ The Original Medicare Plan requires a premium, a deductible, and.
Answer: coinsurance
◉ Determine which of the following individuals is not eligible for
coverage under Medicare without paying a premium.. Answer: a
seventy-year-old man who has paid FICA taxes for twenty calendar
quarters
◉ Which modifier indicates that a signed ABN is on file?. Answer: GA
◉ Under Medicare's global surgical package regulations, a physician
may bill separately for. Answer: diagnostic tests required to determine
the need for surgery
◉ On claims, CMS will not accept signatures that. Answer: use
signature stamps
◉ Under Medicare Advantage, a PPO ______ an HMO. Answer: is less
restrictive than
, ◉ Under the Medicare Part B traditional fee-for-service plan, Medicare
pays ______ percent of the allowed charges.. Answer: 80
◉ Medicare Part D covers. Answer: prescription drugs
◉ Medicare medical review is conducted by. Answer: the MAC
◉ If a patient who lives in Texarkana, Arkansas, sees a physician for
Medicare Part B services in Newark, New Jersey, to which location's
MAC
should the claim be sent?. Answer: The carrier for Newark, New Jersey
◉ eligible for medicare coverage. Answer: individuals age 65 and older,
disabled adults, individuals disabled before age 18, spouses of entitled
individuals, individuals with end stage renal disease, and retired federal
employees enrolled in the civil service retirement system
◉ not eligible for medicare coverage. Answer: Pregnant women, infants,
immigrants, individuals 64 or younger, individuals with terminal cancer,
individuals addicted to narcotics
◉ advance beneficiary notice (ABN). Answer: a form given to patients
when the practice thinks that a service to be provided will not be
considered medically necessary or reasonable by medicare
◉ MAC. Answer: Medicare part A/ Part B administrator