each part of Medicare Coverage Medicare Part A, B, C, & D

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
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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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