CMS WORLD OF MEDICARE EXAM
QUESTIONS AND ANSWERS 100% PASS
Providers that submit claims for Part A services include:
A.Hospitals
B.Physicians
C.Suppliers
D.Non-physician practitioners - ✔✔A.Hospitals
The Original Medicare Plan includes Part A and Medicare Advantage (MA) Plan benefits. - ✔✔true
Medicare Part B benefits include:
A. Inpatient hospital facility care
B. Doctor services and outpatient care
C. Skilled Nursing Facility (SNF) care
D. Hospice care - ✔✔B. Doctor services and outpatient care
Beneficiaries should enroll in both a Medicare Advantage (MA) Plan and Medigap to ensure they have
complete health insurance coverage. - ✔✔true
A Medicare Fee-For-Service (FFS) Contractor is an organization that has an agreement with the Centers
for Medicare & Medicaid Services (CMS) to administer the Medicare FFS Program within a specified
jurisdiction. - ✔✔true
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Providers and other health care professionals are automatically enrolled in the Medicare Program -
✔✔false
Beneficiaries are enrolled in the Medicare Program through an automatic enrollment process or by
applying to the program when they are eligible. - ✔✔true
Each Medicare Prescription Drug Plan has a formulary for beneficiaries enrolling in the plan. - ✔✔false
If a Medicare Advantage (MA) organization declines to include a provider in its network, it must furnish
a written notice to the provider of the reason for the decision. - ✔✔true
The Medicare Program serves the aged, certain disabled individuals, and individuals of any age who
have been determined to have End-Stage Renal Disease (ESRD). - ✔✔true
The Railroad Retirement Board (RRB) oversees the entire Medicare Program - ✔✔false
Medicare beneficiaries can receive their Medicare benefits, Part A and Part B, through the Original
Medicare Plan or through a Medicare Advantage (MA) Plan - ✔✔true
Medicare Part A is also known as:
A.Supplemental Insurance
B.Medical Insurance
C.Hospital Insurance
D.Long-Term Care Insurance - ✔✔C. Hospital Insurance
Choose the type of care that is NOT covered by Medicare Part B:
A.Doctors' Services
B.Preventive Services
C.Outpatient Services
Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE