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If a patient has retiree group health plan coverage (including from his spouse's former employment), the group health plan pays
first
What is the name of the monthly explanation of benefits statement that Medicare patient's receive?
medicare summary notice
Which is a characteristic of Medicare enrollment?
eligible individuals are automatically enrolled, or they apply for coverage
Which processes traditional Medicare claims?
medicare administrative contractor
Which is the total number of Medicare lifetime reserve days (defined as the number of days that can be used just once during a patient's lifetime)?
60
The Original Medicare Plan is also called Medicare
fee-for-service
Medigap coverage is offered to Medicare beneficiaries by
commercial payers
A Medicare nonparticipating provider is not allowed to
utilize balance billing
Which is a written document provided to a Medicare beneficiary by a provider prior to rendering a service that is unlikely to be reimbursed by Medicare?
advance beneficiary notice of noncoverage
Medicare Part A coverage is available to individuals under the age of 65 who
have end-stage renal disease and meet requirements
Which information must be obtained about the beneficiary to confirm Medicare eligibility over the phone?
date of birth
What length of time is the Medicare initial enrollment period (IEP)
7 months
The Medicare "spell of illness" is also known as the
benefit period
Patients may elect to use their Medicare lifetime reserve days after how many continuous days of hospitalization?
90
For a beneficiary to qualify for Medicare's skilled nursing benefit, the individual must have
had at least three inpatient days of an acute hospital stay
Temporary hospitalization of a patient for the purpose of providing relief from duty for the nonpaid primary caregiver of a patient is called_______ care
respite
