What services are not covered under either Medicare Part A or Part B?
What will be an ideal response?
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Q. 2) A part of any compliance plan is the education of employees on self-disclosure protocol.
Indicate whether this statement is true or false.
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Q. 3) What benefit does WC insurance cover?
a. Divorce benefits
b. Disability income
c. Childcare
d. Alternative treatments like biofeedback
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Q. 4) Workers' Compensation (WC) is a separate medical and disability reimbursement program which provides 100 coverage for job-related injuries, illnesses, or conditions arising out of and in the course of employment.
Indicate whether this statement is true or false.
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Q. 5) Individual Practice Organizations (IPOs) are legal entities.
Indicate whether this statement is true or false.
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Q. 6) Federal WC programs cover federal employees, longshoremen, and harbor workers. State WC laws cover coal miners.
Indicate whether this statement is true or false.
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Q. 7) As a general limitation, most health insurance plans specify that the claimant will not be entitled to payment for bodily injury or disease resulting from and arising out of any employment or occupation for compensation or profit.
Indicate whether this statement is true or false.
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Q. 8) Subjective findings are those that are discernible by anyone other than the patient.
Indicate whether this statement is true or false.
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Q. 9) Identify and explain the process of the MCP with regard to Check Referrals, Preauthorizations, or Second Opinions.
What will be an ideal response?
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Q. 10) For a claimant's services to be covered under Medicaid, the claimant must be:
a. Aged 65 and older
b. An approved Medicaid provider
c. Mentally disabled
d. A Medicaid beneficiary
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