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Chapter 6 Medicare Exam Questions and Answers
100% Pass
National Health Coverage for an American 65 years and older known as Medicare was signed into
legislation by who ? - ✔✔Lyndon B. Johnson
What is the federal agency that is responsible for implementation of all rules, regulations and health
related policies governing the Medicare program ? - ✔✔Centered Medicare/ Medicaid Services ( CMS )
Medicare Part A: - ✔✔Hospice Care
What is Medicare ? - ✔✔Federal Health Insurance Program
A program of income support for low-income aged, blind, and disabled persons: - ✔✔Supplemental
Security Income ( SSI )
For an illegal immigrant to be eligible for benefits under the Medicare program they must have lived in
the United States as a permanent resident for 5 consecutive years: - ✔✔( True ) The permanent resident
does have to be in the United States for 5 consecutive years before they can be eligible for any Medicare
Program
Medicare identification cards are currently being shifted from Social Security Numbers to Medicare
Beneficiaries Identifiers Numbers or MBI affective from ___________ all claims must be submitted with
the patients MBI: - ✔✔January 1st, 2020
Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE
, 2|Page
A short term inpatient stay that is necessary for a terminally ill patient to give temporarily leave to the
person who regularly assists with home care is referred to as: - ✔✔Respite Care
The frequency of Pap tests that may be billed for a Medicare patient who is low risk is: - ✔✔Once every
24 months
Plans may be offered under a Medicare advantage plan include: - ✔✔All are correct
Some Medicare advantage plans may provide services not covered by Medicare such as: - ✔✔Eyeglasses
and prescription drugs
Medi-gap insurance may cover: - ✔✔The deductible not covered under Medicare
A program that contracts with CMS to review medical necessity and appropriateness of inpatient medical
care is known as a: - ✔✔Quality Improvement Organizations ( QIO )
A participating physician with a Medicare plan agrees to accept what percent of what ? - ✔✔80% of the
Medicare approved charge
In the Medicare program, there is mandatory assignment for: - ✔✔Clinical Laboratory Test
When a Medicare patient signs an advance beneficiary notice or an ABN the procedure code for the
service provided must be modified using the HCPCS Level II modifier: - ✔✔GA
A Medicare prepayment screen: - ✔✔Identifies claims to review for medical necessity and monitors the
number of times given procedures can be billed during a specific time frame
Under the prospective payment system (PPS), hospitals treating Medicare patients are reimbursed
according to: - ✔✔Pre-established rates for each type of illness treated based on diagnosis
A type of value based program established by Medicare to provide an incentive for hospitals to reduce
hospital acquired conditions by reducing payments of the worst performing hospitals: - ✔✔Hospital-
Acquired Condition Reduction Program ( HACRP )
Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE
Chapter 6 Medicare Exam Questions and Answers
100% Pass
National Health Coverage for an American 65 years and older known as Medicare was signed into
legislation by who ? - ✔✔Lyndon B. Johnson
What is the federal agency that is responsible for implementation of all rules, regulations and health
related policies governing the Medicare program ? - ✔✔Centered Medicare/ Medicaid Services ( CMS )
Medicare Part A: - ✔✔Hospice Care
What is Medicare ? - ✔✔Federal Health Insurance Program
A program of income support for low-income aged, blind, and disabled persons: - ✔✔Supplemental
Security Income ( SSI )
For an illegal immigrant to be eligible for benefits under the Medicare program they must have lived in
the United States as a permanent resident for 5 consecutive years: - ✔✔( True ) The permanent resident
does have to be in the United States for 5 consecutive years before they can be eligible for any Medicare
Program
Medicare identification cards are currently being shifted from Social Security Numbers to Medicare
Beneficiaries Identifiers Numbers or MBI affective from ___________ all claims must be submitted with
the patients MBI: - ✔✔January 1st, 2020
Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE
, 2|Page
A short term inpatient stay that is necessary for a terminally ill patient to give temporarily leave to the
person who regularly assists with home care is referred to as: - ✔✔Respite Care
The frequency of Pap tests that may be billed for a Medicare patient who is low risk is: - ✔✔Once every
24 months
Plans may be offered under a Medicare advantage plan include: - ✔✔All are correct
Some Medicare advantage plans may provide services not covered by Medicare such as: - ✔✔Eyeglasses
and prescription drugs
Medi-gap insurance may cover: - ✔✔The deductible not covered under Medicare
A program that contracts with CMS to review medical necessity and appropriateness of inpatient medical
care is known as a: - ✔✔Quality Improvement Organizations ( QIO )
A participating physician with a Medicare plan agrees to accept what percent of what ? - ✔✔80% of the
Medicare approved charge
In the Medicare program, there is mandatory assignment for: - ✔✔Clinical Laboratory Test
When a Medicare patient signs an advance beneficiary notice or an ABN the procedure code for the
service provided must be modified using the HCPCS Level II modifier: - ✔✔GA
A Medicare prepayment screen: - ✔✔Identifies claims to review for medical necessity and monitors the
number of times given procedures can be billed during a specific time frame
Under the prospective payment system (PPS), hospitals treating Medicare patients are reimbursed
according to: - ✔✔Pre-established rates for each type of illness treated based on diagnosis
A type of value based program established by Medicare to provide an incentive for hospitals to reduce
hospital acquired conditions by reducing payments of the worst performing hospitals: - ✔✔Hospital-
Acquired Condition Reduction Program ( HACRP )
Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE
