Match the following:

Question

A) Medicare Development Letter
B) coordination of benefits contractor
C) Medicare abuse
D) Medicare Part B
E) Medicare contractor
F) Medicare secondary payer
G) Advance Beneficiary Notice (ABN)
H) Medigap
I) Medicare Part D
J) Medicare Part A

1) A company hired to process and pay Medicare claims on behalf of the federal government
2) A notice provided to inform beneficiaries that services may NOT be covered by Medicare due to lack of medical necessity
3) The portion of Medicare that provides for coverage of medical services
4) The use of Medicare funds to pay for items or services when the provider is NOT legally entitled to this payment but has NOT deliberately committed fraud
5) The type of claim submitted to Medicare when Medicare is NOT the primary payer
6) Organization hired by Medicare to provide information on eligibility and benefits entitlement for situations in which beneficiaries are covered by Medicare and other coverage
7) Notice sent to a provider when a claim is filed that needs additional documentation
8) Supplementary health insurance policy that covers portions of the costs NOT paid for by Medicare
9) The portion of Medicare that provides for inpatient hospital coverage
10) The portion of Medicare that provides prescription drug coverage

Answer 1

1) E) Medicare contractor
2 G) Advance Beneficiary Notice (ABN)
3) D) Medicare Part B
4) C) Medicare abuse
5) F) Medicare secondary payer
6) B) coordination of benefits contractor
7) A) Medicare Development Letter
8) H) Medigap
9) J) Medicare Part A
10) I) Medicare Part D