Medicare & Medicaid Reimbursement

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Reimbursement basics

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Lavern Pope

United States

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Froggy Jumps Medicare & Medicaid ReimbursementOnline version Reimbursement basics by Lavern Pope 1 Which agency administers Medicare and oversees federal reimbursement policies? a Centers for Medicare & Medicaid Services (CMS) b National Institutes of Health (NIH) c Department of Health and Human Services (HHS) 2 Medicaid is funded by which sources? a Fully federal program b Joint federal and state programs c Private insurers only 3 Medicare Part A primarily covers which service? a Hospital inpatient care b Outpatient visits c Prescription drugs (Part D) 4 What is a DRG in hospital reimbursement? a Diagnosis-Related Group b Direct Reimbursement Grant c Drug Rebate Guide 5 Medicare Part C is also known as: a Medicare Advantage b Medicare Supplement (Medigap) c Medicare Part D 6 Which payment model pays hospitals a fixed amount per admission? a Capitation model b Prospective Payment System (PPS) c Fee-for-Service (FFS) 7 Medicaid long-term care for eligible individuals is primarily funded by: a State governments with federal matching b Medicare trust fund c Private insurance only 8 Which schedule lists physician payment rates under Medicare? a Medicare Physician Fee Schedule (MPFS) b Hospital Cost Report Schedule c Nurse Staffing Schedule 9 Under Medicare, which patient group is commonly paid under a PPS for acute inpatient stays? a Home health agencies b Hospitals c Primary care clinics 10 Which statement best describes Medicaid reimbursements? a Typically lower payment rates than Medicare b Always equal to Medicare rates c Always higher than private insurance

Froggy Jumps

Medicare & Medicaid ReimbursementOnline version

Reimbursement basics

by Lavern Pope

Which agency administers Medicare and oversees federal reimbursement policies?

Centers for Medicare & Medicaid Services (CMS)

National Institutes of Health (NIH)

Department of Health and Human Services (HHS)

Medicaid is funded by which sources?

Fully federal program

Joint federal and state programs

Private insurers only

Medicare Part A primarily covers which service?

Hospital inpatient care

Outpatient visits

Prescription drugs (Part D)

What is a DRG in hospital reimbursement?

Diagnosis-Related Group

Direct Reimbursement Grant

Drug Rebate Guide

Medicare Part C is also known as:

Medicare Advantage

Medicare Supplement (Medigap)

Medicare Part D

Which payment model pays hospitals a fixed amount per admission?

Capitation model

Prospective Payment System (PPS)

Fee-for-Service (FFS)

Medicaid long-term care for eligible individuals is primarily funded by:

State governments with federal matching

Medicare trust fund

Private insurance only

Which schedule lists physician payment rates under Medicare?

Medicare Physician Fee Schedule (MPFS)

Hospital Cost Report Schedule

Nurse Staffing Schedule

Under Medicare, which patient group is commonly paid under a PPS for acute inpatient stays?

Home health agencies

Hospitals

Primary care clinics

Which statement best describes Medicaid reimbursements?

Typically lower payment rates than Medicare

Always equal to Medicare rates

Always higher than private insurance

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Medicare & Medicaid Reimbursement

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Medicare & Medicaid ReimbursementOnline version

by Lavern Pope

Which agency administers Medicare and oversees federal reimbursement policies?

Medicaid is funded by which sources?

Medicare Part A primarily covers which service?

What is a DRG in hospital reimbursement?

Medicare Part C is also known as:

Which payment model pays hospitals a fixed amount per admission?

Medicaid long-term care for eligible individuals is primarily funded by:

Which schedule lists physician payment rates under Medicare?

Under Medicare, which patient group is commonly paid under a PPS for acute inpatient stays?

Which statement best describes Medicaid reimbursements?

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