1. What services are covered under Part B of Medicare? 2. State the differences
ID: 125904 • Letter: 1
Question
1. What services are covered under Part B of Medicare?
2. State the differences between the Tricare options (Tricare Prime, Tricare Extra, Tricare Standard).
3. What federal law established an employee's right to continue healthcare coverage beyond the benefit termination date?
4. Which HMO model directly employees physicians and other healthcare professionals to provide medical serves to members?
5. Describe the difference between private health insurance plans and employer based self insurance plans.
6. How do exclusive provider organizations differ from preferred provider organizations?
7. Describe the fee-for-service reimbursement methodology.
8. How is discharge planning used as a type of utilization control?
9. What are global payments?
10. What are episode-of-care payments and how do they relate to the bundle payments?
11. What is a capitated managed care plan?
12. What does case mix index refer to?
13. Describe the major components of the resource-based relative value scale.
14. What concept is applied when multiple surgical procedures are furnished during the same operative session?
15. What must the average length of stay be to meet the definition of a long-term care hospital?
16. What other PPSs use the MS-DRGs currently used for inpatient hospitals?
17. What is a COB transaction, and what is its purpose?
18. What purpose does the remittance advice serve? What purpose does the EOB serve?
19. What is the Medicare summary notice?
20. Differentiate between the 8371 and the 837P
21. What is a Medicare administrative contractor and what do they do?
Explanation / Answer
According to the Chegg guidelines I'll answer the first question when more than one question is posted. Post them separately to get the answers.
1) Part B of the Medicare covers doctor's service, preventive care, durable medical equipment, hospital Outpatient services, laboratory test, X-ray, mental health care and ambulance services are covered under part B of the Medicare.
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