The Implications Of The Medicare Modernization Act

The Implications Of The Medicare Modernization Act

BHA 4053: Part III

Question 1

Medicare _________ services are paid through a trust fund financed by a special form of Social Security tax on earnings.

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Part A

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Part B

[removed]

Part C

[removed]

Part D

Question 2

The _________ was signed in 2003 and became the largest increase in the Medicare program since its inception.

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Balanced Budget Act

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Medicare Modernization Act

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Benefits Improvement and Protection Act

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Health for All Act

Question 3

A _________ is a healthcare financing and delivery program that creates a financial incentive for the consumer to use a selected panel of preferred providers.

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HMO

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PPO

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POS

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DRG

Question 4

_________ is the most widely accepted coding methodology in the United States.

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RBRVS

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ICD

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CPT-4

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HCPCS

Question 5

_________ is the method used by the Health Care Financing Administration for health care providers and medical suppliers to code their professional services, procedures, and supplies in order to obtain reimbursement for Medicare outpatients.

[removed]

RBRVS

[removed]

ICD

[removed]

CPT-4

[removed]

HCPCS

Question 6

The Office of the Inspector General (OIG) reported an overall savings of more than _________ in a four year period (1997-200) after the Healthcare Fraud and Abuse Program was implemented in 1996.

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$20.5 billion

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$47.3 billion

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$10.7 billion

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$15.0 billion

Question 7

Medicare _________ primarily covers physician services, outpatient medical, surgical services, and independent laboratory services.

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Part A

[removed]

Part B

[removed]

Part C

[removed]

Part D

Question 8

Precertification, preregistration, and _________ are the most important concepts of accounts receivable.

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preauthorization

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data verification

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insurance verification

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authorization

Question 9

Medicare _________ services are financed by patient premiums and general federal tax revenues.

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Part A

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Part B

[removed]

Part C

[removed]

Part D

Question 10

Who are the beneficiaries of this 280% increase in GDP absorption by healthcare?

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patients

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caregivers and the corporations

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patients, providers and the community

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The corporations that made money proving health services

Question 11

What are the implications of the Medicare Modernization Act of 2003?

Question 12

To which department should the patient registration department report and why?

Question 13

(Chapters 4-5) Review the entire depth and breadth of the revenue cycle in fig. 5.1. Are there any elements that appear unnecessary or extraneous? Which elements take the most time for the organization? Which take the least? Why?

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