Government-Sponsored Healthcare Programs CH 3 RQ

.docx

School

Gwinnett Technical College *

*We aren’t endorsed by this school

Course

2410

Subject

Medicine

Date

Apr 3, 2024

Type

docx

Pages

2

Uploaded by KidSkunkPerson473

Report
Chapter 3 Review Quiz 1. Which part of the Medicare program does not include include a premium? Part A 2. Wes is enrolled in Medicare Part A. He had his first hospital encounter this March. He was admitted for congestive heart failure and stayed three days? Which of the following will Wes need to pay? Deductible and copayment amount 3. Evie is enrolled in Medicare Parts A and B. She recently started PT for hip pain. The approved amount per visit is $125. How much does Evie owe in cost sharing per visist. Evie has already met her outpatient deductible. $25 4. Clyde is enrolled in Medicare Parts A and B. He had a knee arthroscopy in January. This is Clyde’s first health encounter for the year so he has not met his deductible. The approved amount for his surgeon is $550. How much does Clyde owe in cost sharing for the surgeon’s services. $290.80 5. Liann is enrolled in Medicare Parts A and B. She has met her outpatient deductible. She goes to the hospital seniors clinic for her depression. She sees Dr. Chung each month. The approved amount for each visit is $175. What is the cost-sharing amount for each behavior healthcare encounter? $35 6. Alona is enrolled in Medicare Parts A and B. She goes to the hospital seniors clinic for her arthritis. She had a regular visit in June when Dr. Proudfoot examined her, checked her medications, and suggested water aerobics. The approved amount for her visit is $230. Alona met her outpatient deductible in March. What is her cost sharing amount for the visit to Dr. Proudfoot? $46 7. Sal is enrolled in Medicare Parts A and B. He goes to the hospital seniors clinic for congestive heart failure. He had a regular visit in November when Dr. Nauman examined him, checked his medications, and suggested a high fiber diet. The approved amount for her visit is $275. Sal met his outpatient deductible in February. What is his cost sharing amount for the visit to Dr. Nauman ? $55 8. Malcolm is enrolled in Medicare Parts A and B. He recently had a same day cardiac surgery that he thought was very expensive. He is wondering if there is a limit on the amount of cost-sharing he is responsible for in the hospital outpatient setting. What is the limit? The per procedure or service limit is the same as the inpatient deductible, which is $1,600. 9. The coverage gap, which is a period of expanded cost-sharing, is applicable to which part of Medicare? Medicare D 10. Medicaid is a joint program between _________and _________governments. Federal and state
11. Which government-sponsored program provides coverage for active-duty service members of the armed forces (ADSM)? TRICARE 12. Which government-sponsored program is designed to provide managed care to the frail elderly population? Programs of All-Inclusive Care for the Elderly (PACE) 13. Which of the following is not a function of the Indian Health Service (IHS)? Provides only inpatient healthcare services. 14. The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is available for: Spouse, widow(er), or children of a veteran meeting specific criteria 15. Which of the following is true of CHIP? It is a federal and state program 16. Which of the following statements about the Veterans Health Administration (VA) is false? Basic eligibility includes all veterans who served in active military service regardless of the separation condition 17. Medicare part C is a ___________ option known as Medicare Advantage. Managed care 18. All of the following are true of state Medicaid programs except : Services offered to beneficiaries are the same in each state. 19. In states where there is not a mandated fund for workers’ compensation, which of the following is an option for employers? Purchase workers’ compensation insurance from a private carrier 20. Which of the following is a service that is excluded from Medicare Part A and Part B, but may be provided under Part C? Eye exams including contacts and eyeglasses
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
  • Access to all documents
  • Unlimited textbook solutions
  • 24/7 expert homework help