Activity – Medicare Medicaid fully solved
Select the correct term for each of the six fields on the CMS-1500 form (see image for form)
#1 S50901a
#2 95.00
#3 4455667788
#4 123459666
#5 Center Clinic, 3801 Executive Blvd, Raytown CO 80033
#6 99203
Identify whether each group of individuals is, in and of itself, eligible for Medicare coverage
Eligible for Medicare coverage
- Individuals age 65 or older
- Disabled adults
- Individuals disabled before age eighteen
, - Spouses of entitled individuals
- Individuals with end-stage renal disease
- Retired federal employees enrolled in the Civil Service Retirement System
Might not be eligible for Medicare coverage
- Pregnant women
- Individuals addicted to narcotics
- Infants
- Individuals with terminal cancer
- Immigrants
- Individuals age 64 or younger
Classify each service based on whether it is a general service covered by Medicare, a preventative
service covered by Medicare, or is excluded from Medicare coverage.
General service covered by Medicare
- Physical, occupational, and speech therapy