CHAA Master Study Guide 2
Questions with solved Answers.
Medicare is for people at or over the age of _________, those of any age with
________________, and certain disabled people under the age of __________. - -
65, ESRD, 65
-Medicare cards identify if the patient has Part A and B and will list the date these
benefits became ______________. - -Effective
-Medicare claim numbers are usually the patient or spouse's _______________ with
a _________________/_______________ prefix. - -SSN, letter/number
-Common codes:
a. Primary Wage Earner __________
b. Retired Railroad Employee __________
c. Entitled Through Spouse __________
d. Child _________
e. Widow __________
f. Widower __________
g. Disabled Widow _________
h. Disabled Widower ___________ - -a. A
b. A (prefix)
c. B
d. C
e. D
f. D1
g. W
h. W1
-Medicare beneficiaries are automatically eligible on their ________ birthday but
must apply ___________ months beforehand. - -65th, 3
-Inpatient hospital services are covered under Part ______; Outpatient services Part
_______. - -A, B
-Beneficiaries can pay private insurance companies to offer HMO or PPO coverage
instead of traditional Medicare coverage through Part ________. - -C
, -This is also knowns as ______________ _____________. - -Medicare Advantage
-Part ______ helps cover prescription drug plans. - -D
-Part A helps pay for inpatient ___________ care, _____________
_____________ ________________, home health agencies, and
________________. - -Hospital, skilled nursing facilities, hospice
-Inpatient Hospital Care is for up to __________ days each benefit period. - -90
-The ___________ day or __________ hour rule allows all pre-admission or
diagnostic services provided within this time prior to admission to be included with the
inpatient payment. Doesn't cover ___________ services. - -3, 72, Ambulance
-Medicare's BENEFIT PERIOD for inpatient hospital and skilled nursing home facility
care is ________ days. The BENEFIT PERIOD begins on the __________ day of
services and ends ____________ days following discharge if those days aren't
interrupted by skilled care in another facility. - -60, first, 60
-Medicare beneficiaries can have an _________ number of BENEFITS PERIODS but
they must pay the inpatient _____________ for each period. - -Unlimited, deductible
-Lifetime Reserve Days refers to _____________ additional days of hospitalization
when beneficiary is an inpatient for a period greater than __________ days. These
days can be used only ____________ in a lifetime. - -60, 90, once
-Important Message from Medicare (IMM) is given to all inpatient ___________
recipients and explains their rights to care and follow up care after discharge. It also
gives them a number to call if they feel they are being discharged too __________.
Hospitals cannot force beneficiaries to leave while their case is being ___________. -
-Medicare, early, reviewed
-Skilled Nursing Facility Care - if medically ________, Part A pays for up to 100 days
for each benefit period. Medicare pays all of first ________ days, and patients pay a co
insurance for days ___________-___________. - -Necessary, 20, 21-100
-Home Health Care - Medicare covers full ___________ cost of covered HHC
services. Patients only pay 20% co-insurance on equipment such as
walkers/wheelchairs. - -Approved
Questions with solved Answers.
Medicare is for people at or over the age of _________, those of any age with
________________, and certain disabled people under the age of __________. - -
65, ESRD, 65
-Medicare cards identify if the patient has Part A and B and will list the date these
benefits became ______________. - -Effective
-Medicare claim numbers are usually the patient or spouse's _______________ with
a _________________/_______________ prefix. - -SSN, letter/number
-Common codes:
a. Primary Wage Earner __________
b. Retired Railroad Employee __________
c. Entitled Through Spouse __________
d. Child _________
e. Widow __________
f. Widower __________
g. Disabled Widow _________
h. Disabled Widower ___________ - -a. A
b. A (prefix)
c. B
d. C
e. D
f. D1
g. W
h. W1
-Medicare beneficiaries are automatically eligible on their ________ birthday but
must apply ___________ months beforehand. - -65th, 3
-Inpatient hospital services are covered under Part ______; Outpatient services Part
_______. - -A, B
-Beneficiaries can pay private insurance companies to offer HMO or PPO coverage
instead of traditional Medicare coverage through Part ________. - -C
, -This is also knowns as ______________ _____________. - -Medicare Advantage
-Part ______ helps cover prescription drug plans. - -D
-Part A helps pay for inpatient ___________ care, _____________
_____________ ________________, home health agencies, and
________________. - -Hospital, skilled nursing facilities, hospice
-Inpatient Hospital Care is for up to __________ days each benefit period. - -90
-The ___________ day or __________ hour rule allows all pre-admission or
diagnostic services provided within this time prior to admission to be included with the
inpatient payment. Doesn't cover ___________ services. - -3, 72, Ambulance
-Medicare's BENEFIT PERIOD for inpatient hospital and skilled nursing home facility
care is ________ days. The BENEFIT PERIOD begins on the __________ day of
services and ends ____________ days following discharge if those days aren't
interrupted by skilled care in another facility. - -60, first, 60
-Medicare beneficiaries can have an _________ number of BENEFITS PERIODS but
they must pay the inpatient _____________ for each period. - -Unlimited, deductible
-Lifetime Reserve Days refers to _____________ additional days of hospitalization
when beneficiary is an inpatient for a period greater than __________ days. These
days can be used only ____________ in a lifetime. - -60, 90, once
-Important Message from Medicare (IMM) is given to all inpatient ___________
recipients and explains their rights to care and follow up care after discharge. It also
gives them a number to call if they feel they are being discharged too __________.
Hospitals cannot force beneficiaries to leave while their case is being ___________. -
-Medicare, early, reviewed
-Skilled Nursing Facility Care - if medically ________, Part A pays for up to 100 days
for each benefit period. Medicare pays all of first ________ days, and patients pay a co
insurance for days ___________-___________. - -Necessary, 20, 21-100
-Home Health Care - Medicare covers full ___________ cost of covered HHC
services. Patients only pay 20% co-insurance on equipment such as
walkers/wheelchairs. - -Approved
