Question

Which of the following are false?

Question 1 options:

	A hospital in NY City will get paid more than one in Macon for the same operation.
	Medicare is a service type plan
	Medicare uses experience ratings to determine its fee structure.
	Medicaid uses community ratings to determine its fee structure
	A doctor in NYC can get paid a different fee as one in Macon for the same operation.

Question 2 (10 points)

A state must cover holders of a green card under its Medicaid system.ust

Question 2 options:

	True
	False

Question 3 (10 points)

States must provide payment for pharmaceuticals to beneficiaries under Medicare

Question 3 options:

	True
	False

Question 4 (10 points)

Medicare Part A is free to the beneficiary

Question 4 options:

	True
	False

Question 5

Which of the following is true?

Question 5 options:

	Under Medicare the federal gov't sets the rules and the state oversees that they are carried out.
	Under Medicaid the federal gov't sets the rules and the state oversees that they are carried out.
	both of the above are true
	neither of theabove are true Under Medcaid, flu payment reimbursement is $3,000 and pneumonia is $5,000. Macon Hospital bills everyone coming in with the flu as having pneumonia to receive the higher fee. This an example of Question 7 options: kickback upcoding RVS-type allowance DRG Question 8 (10 points) Which law prohibits kickbacks? Question 8 options: Stark laws Medicaid review laws DRG Payor Power Question 9 (10 points) Saved Federal law says most hospitals cannot turn away a patient in the Emergency Room before diagnosis and stabilizing them. This is an example of .. Question 9 options: Payor Power Medicare Police Power Performance payment system Question 10 (10 points) The U.S. has a social insurance health care payment system Question 10 options: True False Question 11 (10 points) Saved Under Medicaid, physicians get paid on a perspective payment system Question 11 options: True False

Answer 1

Question A

Medicare is a service type plan ( false)

In every Medicare service government is paid for their every service

Another options are true their fee will be varied by their hospitals.community rating is used for their fee structure by their age or any health issues

Question 2

True _(every immigrants can cover the Medicare insurance if they have worked there or over age 60)

Question 3

True _ The the state must paid for the pharmaceuticals under the Medicare they should paid by their services

Question 4

False_ they should paid monthly premium to federal government and receives coverage for the part A

Question 5_

Neither the above are true that the federal governmen oversee and carried out

Question 6

Upcoding -where the false payment will be charge for minor medical care

Question 7

Starklaw- where the patients who receive more fee for their treatments

Question 8

Payor power

Question 9

False-

U.S don't provide any social insurance health care system and they have expensive fee for the treatment

Question 10

True

DRG

It is paid by their services