Who are Providers of Service under Medicare? What are the eligibility requirements? List five or more nonparticipating facilities that Medicare does NOT make payments to
What will be an ideal response?
Answer:
Providers of services and medical equipment suppliers under Medicare must meet all licensing requirements of the state in which they are located. To be a participating provider under the Medicare program, they must meet additional Medicare requirements before payments can be made for their services. All providers must bill Medicare for a patient with Medicare benefits regardless of that provider's participation in the program.
Medicare does not pay for the following care received in nonparticipating facilities:
• Hospital care
• Skilled nursing facility
• Home health agency
• Hospice
• Outpatient rehabilitation
• Dialysis facilities
• Ambulatory surgical centers
• Independent physical therapists
• Independent occupational therapists
• Clinical laboratories
• Portable x-ray suppliers
• Rural health clinics
You might also like to view...
Which payroll document is completed to determine the number of exemptions an employee has?
A) W-3 B) W-2 C) W-4 D) 941
________ is (are) an instrument that is used for quadrant streaking to isolate pathogenic colonies of organisms from normal flora in a culture grown in a Petri dish.
A. A needle B. Incineration equipment C. A wire inoculating loop D. Culture media
A person has a blood sugar concentration of 60 mg/100 mL. This condition is called:
A. glucosuria. B. hyperglycemia. C. hypoglycemia. D. renal threshold.
Jill Hanson is a 16-year-old patient who has come to the office complaining of lower abdominal pain. As you interview her, you notice that she seems to have difficulty concentrating on the conversation. She constantly looks toward the closed door of the exam room, and she asks you several times whether the doctor is "nice." Which of the following would you suspect as the reason for Jill's behavior?
A. Aggression B. Substance abuse C. Depression D. Anxiety E. Physical abuse