Which one of the following types of care is not covered by Medicare Part A? Long-term nursing care, Skilled nursing care, Hospice care, Outpatient services

Domain IV

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1.
FLASHCARD QUESTION
Front
Back
Outpatient services
Answer explanation
Medicare Part A covers inpatient care, including skilled nursing and hospice care, but does not cover outpatient services, which are typically covered under Medicare Part B.
2.
FLASHCARD QUESTION
Front
_____ covers prescribed preventive benefits and is subject to an annual deductible.
Back
Medicare Part B
Answer explanation
Medicare Part B covers prescribed preventive benefits and requires beneficiaries to meet an annual deductible before coverage begins, distinguishing it from Medicare Part A and Medicaid.
3.
FLASHCARD QUESTION
Front
The amount charged for a medical insurance policy is called the _____.
Back
Premium
Answer explanation
The amount charged for a medical insurance policy is called the 'Premium'. This is the regular payment made to maintain coverage, distinguishing it from terms like 'deductible' or 'co-payment', which refer to out-of-pocket costs.
4.
FLASHCARD QUESTION
Front
Some services are covered and paid under Medicare before payments are made by Medicaid because Medicaid is considered the _____?
Back
Payer of last resort
Answer explanation
Medicaid is known as the 'payer of last resort' because it only pays for services after all other potential sources of payment, like Medicare, have been exhausted.
5.
FLASHCARD QUESTION
Front
A _____ occurs when radiological and other procedures that include professional and technical components are paid as a lump sum to be divided between the physician and the healthcare facility.
Back
Global payment
Answer explanation
A global payment is a single payment that covers both the professional and technical components of radiological procedures, making it the correct choice for the definition provided.
6.
FLASHCARD QUESTION
Front
Which of the following is a fee-for-service payment? Options: Global payment, Ambulatory surgery, Professional surgery, Technical surgery
Back
Global payment
Answer explanation
Global payment is a fee-for-service model where providers are paid for each service rendered, unlike bundled payments which cover multiple services under a single fee. Therefore, it is the correct choice.
7.
FLASHCARD QUESTION
Front
A(n) _____ center is a state-licensed, Medicare-certified supplier of outpatient surgical services to Medicare beneficiaries.
Back
Ambulatory surgery
Answer explanation
An ambulatory surgery center is specifically designed to provide outpatient surgical services and is licensed and certified to serve Medicare beneficiaries, making it the correct choice for the blank.
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