FiltersDone

Question type

Essay

Multiple Choice

Short Answer

True False

Matching

Exam 8: Understanding Medicaid

Show Answer

Share

---

All types

Filters

Study FlashcardsPractice ExamLearn

Question 31

True/False

Review LaterAdd Note

Review Later

In most states,SSI beneficiaries also qualify for Medicaid assistance to pay for hospital stays,doctor bills,prescription drugs,and other health costs.

Correct Answer

verified

Show Answer

Question 32

Multiple Choice

Review LaterAdd Note

Review Later

It is good practice to file all Medicaid claims:

A) in a timely manner.
B) within 2 years of the date of services.
C) after the patient has been released from medical care.
D) within 6 months.

Correct Answer

verified

Show Answer

Question 33

Short Answer

Review LaterAdd Note

Facilities that receive additional payments to ensure that communities have access to certain high-cost services such as trauma and emergency care and burn services are called ______________.

Medicaid is allowed to impose cost-sharing charges and premiums on certain categories of Medicaid recipients.

A comprehensive federal policy established to prevent and reduce provider fraud,waste,and abuse in the Medicaid program.

Medically needy individuals can reduce their assets to the Medicaid eligibility level by deducting medical expenses;this is called a/an:

Individuals eligible for Medicaid assign their rights to third-party payments to the state Medicaid agency.

CMS determines eligibility criteria for SSI.

The Affordable Care Act provides Americans with opportunities for better healthcare by:

As a general rule,Medicaid only pays for services that are determined to be medically necessary.Give a definition of "medically necessary."

Every state has the same Medicaid benefits.

List at least five of the federally mandated services under the Medicaid program.

List four examples of third parties that may be liable to pay for services before Medicaid pays.

Individuals who receive medical assistance because their income falls within the poverty or FPL guidelines or as a result of SSI eligibility are considered:

In 1972 federal law established the ______________program,which provides federally funded cash assistance to qualifying elderly and disabled poor.

A combination federal/state medical assistance program that provides comprehensive and quality medical care for certain categories of low-income and qualifying elderly people is:

States that offer a medically needy program must cover pregnant women and their children regardless of age.

Most states have their own specific form to use for Medicaid claims.

Hospitals that receive additional payments to ensure that communities have access to certain high-cost services are called disproportional share hospitals.

Every time a claim is sent to Medicaid,a document is generated explaining how the claim was adjudicated,or how the payment was determined,which is called a: