MCBC Exam Medicare with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
What is the federal medical insurance program established in 1965 under Title XVIII of the Social
Security Act? ✔Correct Answer-Medicare
Choose all of the following individuals that would be eligible to receive Medicare benefits
✔Correct Answer-A thirty-year-old person who receives dialysis
A person who is sixty-five and has paid FICA taxes for at least forty calendar quarters
A person who is receiving Social Security disability benefits
Medicare Part A is also called _____. ✔Correct Answer-hospital Insurance
Choose all of the following that are true under Medicare Part B. ✔Correct Answer-Benefits are
subject to coinsurance.
Beneficiaries pay a monthly premium.
Benefits are subject to an annual deductible
When did Medicare Part C become effective? ✔Correct Answer-1997
The Medicare program is managed by ______________. ✔Correct Answer-Centers for Medicare
and Medicaid Services (CMS)
Select all of the following areas where changes were made to Medicare as a result of the Medicare
Modernization Act. ✔Correct Answer-Medicare + Choice plans
Better benefits and lower costs for Part C enrollees
A retired federal employee who is over the age of sixty-five and enrolled in Civil Service Retirement
System (CSRS) is eligible for _____. ✔Correct Answer-Medicare
Individuals age sixty-five or older who are eligible for Social Security benefits may enroll in Medicare
Part _____ without having to pay premiums. ✔Correct Answer-A
What is "step therapy"? ✔Correct Answer-A plan that requires patients to try a generic or less
expensive drug rather than the prescribed medication
Medicare Part B is also called _____. ✔Correct Answer-Supplementary Medical Insurance
Medicare Part C was originally known as _____. ✔Correct Answer-Medicare + Choice
Who issues the Medicare card to Medicare enrollees? ✔Correct Answer-CMS
When was the Medicare Modernization Act enacted? ✔Correct Answer-2003
Who replaced the Part A fiscal intermediaries and the Part B contractors? ✔Correct Answer-MACs
Which of the following services are a covered benefit under Medicare Part B? ✔Correct Answer-
Prosthetic devices
Emergency care
, Kidney dialysis
Ambulance services
What benefits are offered under the Medicare Advantage Plus Prescription Drug plan? ✔Correct
Answer-It combines a prescription drug plan with a Medicare Advantage plan.
preventive services that are provided under Medicare Part B? ✔Correct Answer-Bone mass
measurements
Glaucoma screening
HIV testing
Individuals entitled to Medicare Part A benefits are automatically qualified to enroll in _____.
✔Correct Answer-Medicare Part B
What is the purpose of screening services? ✔Correct Answer-To detect an undiagnosed disease so
early medical intervention can begin to prevent harm
To help fight identify theft, the Medicare Beneficiary Identifier (MBI) has replaced the Medicare
health insurance claim number (HICN) because the HICN was based on the beneficiary's ______.
✔Correct Answer-Social Security Number
What determines the services that are covered under Medicare? ✔Correct Answer-Federal
legislation
By what means are services denied when they do not meet medically necessary parameters?
✔Correct Answer-Medicare code edits
How much is the coinsurance for physicians' services covered under Medicare Part B ✔Correct
Answer-20 percent
Select all of the following that would be considered cost sharing by the beneficiary. ✔Correct
Answer-Deductibles
Coinsurances
What is the term for services that are performed for a patient who does not have symptoms,
abnormal findings, or any past history of the disease? ✔Correct Answer-Screening services
Select all of the following services that are excluded under Medicare ✔Correct Answer-Self-
administered medications
Eye refraction
Acupuncture
Services that do not meet certain conditions for coverage are classified as _____. ✔Correct
Answer-not medically necessary
Upon enrollment in the Medicare program, providers are issued a(n) _____. ✔Correct Answer-
provider transaction access number
data elements that would be found on PECOS and the CMS 855 form. ✔Correct Answer-Education
Credentials
Answers |Latest Version |Already Graded A+
What is the federal medical insurance program established in 1965 under Title XVIII of the Social
Security Act? ✔Correct Answer-Medicare
Choose all of the following individuals that would be eligible to receive Medicare benefits
✔Correct Answer-A thirty-year-old person who receives dialysis
A person who is sixty-five and has paid FICA taxes for at least forty calendar quarters
A person who is receiving Social Security disability benefits
Medicare Part A is also called _____. ✔Correct Answer-hospital Insurance
Choose all of the following that are true under Medicare Part B. ✔Correct Answer-Benefits are
subject to coinsurance.
Beneficiaries pay a monthly premium.
Benefits are subject to an annual deductible
When did Medicare Part C become effective? ✔Correct Answer-1997
The Medicare program is managed by ______________. ✔Correct Answer-Centers for Medicare
and Medicaid Services (CMS)
Select all of the following areas where changes were made to Medicare as a result of the Medicare
Modernization Act. ✔Correct Answer-Medicare + Choice plans
Better benefits and lower costs for Part C enrollees
A retired federal employee who is over the age of sixty-five and enrolled in Civil Service Retirement
System (CSRS) is eligible for _____. ✔Correct Answer-Medicare
Individuals age sixty-five or older who are eligible for Social Security benefits may enroll in Medicare
Part _____ without having to pay premiums. ✔Correct Answer-A
What is "step therapy"? ✔Correct Answer-A plan that requires patients to try a generic or less
expensive drug rather than the prescribed medication
Medicare Part B is also called _____. ✔Correct Answer-Supplementary Medical Insurance
Medicare Part C was originally known as _____. ✔Correct Answer-Medicare + Choice
Who issues the Medicare card to Medicare enrollees? ✔Correct Answer-CMS
When was the Medicare Modernization Act enacted? ✔Correct Answer-2003
Who replaced the Part A fiscal intermediaries and the Part B contractors? ✔Correct Answer-MACs
Which of the following services are a covered benefit under Medicare Part B? ✔Correct Answer-
Prosthetic devices
Emergency care
, Kidney dialysis
Ambulance services
What benefits are offered under the Medicare Advantage Plus Prescription Drug plan? ✔Correct
Answer-It combines a prescription drug plan with a Medicare Advantage plan.
preventive services that are provided under Medicare Part B? ✔Correct Answer-Bone mass
measurements
Glaucoma screening
HIV testing
Individuals entitled to Medicare Part A benefits are automatically qualified to enroll in _____.
✔Correct Answer-Medicare Part B
What is the purpose of screening services? ✔Correct Answer-To detect an undiagnosed disease so
early medical intervention can begin to prevent harm
To help fight identify theft, the Medicare Beneficiary Identifier (MBI) has replaced the Medicare
health insurance claim number (HICN) because the HICN was based on the beneficiary's ______.
✔Correct Answer-Social Security Number
What determines the services that are covered under Medicare? ✔Correct Answer-Federal
legislation
By what means are services denied when they do not meet medically necessary parameters?
✔Correct Answer-Medicare code edits
How much is the coinsurance for physicians' services covered under Medicare Part B ✔Correct
Answer-20 percent
Select all of the following that would be considered cost sharing by the beneficiary. ✔Correct
Answer-Deductibles
Coinsurances
What is the term for services that are performed for a patient who does not have symptoms,
abnormal findings, or any past history of the disease? ✔Correct Answer-Screening services
Select all of the following services that are excluded under Medicare ✔Correct Answer-Self-
administered medications
Eye refraction
Acupuncture
Services that do not meet certain conditions for coverage are classified as _____. ✔Correct
Answer-not medically necessary
Upon enrollment in the Medicare program, providers are issued a(n) _____. ✔Correct Answer-
provider transaction access number
data elements that would be found on PECOS and the CMS 855 form. ✔Correct Answer-Education
Credentials
