Given the fact that Medicare and Medicaid cover the elderly and
the indigent and CHIP covers...
Given the fact that Medicare and Medicaid cover the elderly and
the indigent and CHIP covers children, explain why is there such
pushback to compulsory (universal) health coverage in the United
States.
Medicare is a social insurance program for elderly individuals
that covers the cost of healthcare if they fall sick. Suppose a
country decides to enact a similar program called BN-care because
it is discovered that many elderly citizen are going bankrupt after
they get sick, as the result of high medical costs.
a. What does this bankruptcy situation tell us about private
insurance markets? Why might this be the case?
b. Why are consumers willing to pay for insurance, given...
It is a fact that Medicare does not cover all procedures. It is
important that patients know this and know what they are
responsible for in terms of payment. An ABN (Advance Beneficiary
Notification) is a form that takes care of this issue.
You have a patient that would like to have Bariatric surgery for
weight loss. Obviously, the patient is over 65 and covered by
Medicare. Please research the State of Montana and CMS to see if
the Medicare...
Introduction to Healthcare Insurance Coding, Billing, and
Reimbursement
Medicare and Medicaid are federal programs that cover a large
proportion of the US population with healthcare. The two have
similar objectives in the area of providing care, but there are
significant differences in them that concern reimbursement.
Tasks:
Describe each program, Medicare and Medicaid.
Provide the major features of each program.
Discuss how these programs differ from each other.
Briefly describe the process of how to bill for each
program.
The three types of revenue sources you will cover are
the following:
Medicaid.
Medicare.
Managed Care.
For each of the revenue sources, you must do the
following:
Explain the purpose of the program.
Analyze the process of reimbursement for health care
organizations.
What steps must be taken in order to receive reimbursement for
services?
How complicated is each step?
What kind of information is required from the
organization?
How long does it take to receive reimbursement?
Explain the benefits of...
Please discuss only ONE: Medicare or Medicaid Give a brief
description of Medicaid or Medicare (no more than 2 sentences).
Then discuss 3 specific (non-age; non-financial) criteria for
services from the program, for an older adult client. Be sure to
cover service, length of time, provider types that may provide the
service, the channels through which the patient may obtain each
service.
Please discuss only ONE: Medicare or
Medicaid
Give a brief description of Medicaid or Medicare (no
more than 2 sentences). Then discuss 3 specific (non-age;
non-financial) criteria for services from the program, for an older
adult client. Be sure to cover service, length of time, provider
types that may provide the service, the channels through which the
patient may obtain each service.
Please discuss only ONE: Medicare or
Medicaid
Give a brief description of Medicaid or Medicare (no
more than 2 sentences). Then discuss 3 specific (non-age;
non-financial) criteria for services from the program, for an older
adult client. Be sure to cover service, length of time, provider
types that may provide the service, the channels through which the
patient may obtain each service.
Many people with severe mental disorders are members of
Medicare/Medicaid, which covers most medications. Some legislative
changes to Medicare (Part D) now require some patients to be
responsible for a co-pay. Should people diagnosed with severe
psychotic disorders, like schizophrenia, be responsible for co-pays
for their psychiatric medications? Why or why not? Who, if anyone,
should pay?
Many elderly people have purchased medigap insurance policies to
cover a growing Medicare copayment. These polices cover some or all
of the medical costs not covered by Medicare. use economic theory
to explain how these policies likely influence the demand for
health care by elderly people.