Essentials Health Info Management Principles/Practices
4th Edition
ISBN:9780357191651
Author:Bowie
Publisher:Bowie
Chapter10: Introduction To Coding And Reimbursement
Section10.3: Health Care Reimbursement Systems
Problem 11E
Related questions
Question
List and explain in detail each part of Medicare Coverage Medicare Part A, B, C, & D
Expert Solution
MEDICARE
Medicare is a federally developed insurance coverage program. The goal of this program to provide health care coverage to all vulnerable populations. This launched in 1965 by federal government.
criteria
- 65 years and older
- under 65 with disabilities
- Patient with ESRD ( End stage kidney disease)
PART A - Hospital insurance
- Cares for inpatient services or skilled nursing facility.
- covers for food, nursing services
- Pays for supplies or equipment used in care
PART B - Medical insurance
- Covers for physician services and visits.
- out-patient and emergency services.
- Clinic visits
- Medical devices
- Ambulatory services
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