AHLT235 Chapter 9

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Across
  1. 1. Insurance plan offered by a private insurance carrier to supplement Medicare Original Plan coverage.
  2. 3. Managed care health plans offered to Medicare beneficiaries under the Medicare Advantage program.
  3. 4. Prescription drug reimbursement plans offered to Medicare beneficiaries.
  4. 7. participating physician’s agreement to accept the allowed charge as payment in full.
  5. 9. The part of the Medicare program that pays for hospitalization, care in a skilled nursing facility, home healthcare, and hospice care.
  6. 10. Medicare Physician Fee Schedule
  7. 11. Does not end until sixty days after discharge from the hospital or the skilled nursing facility.
  8. 12. The part of the Medicare program that pays for physician services, outpatient hospital services, durable medical equipment, and other services and supplies.
  9. 13. requires medical treatments to be clinically appropriate and provided in accordance with generally accepted standards of medical practice.
Down
  1. 1. Medicare plans other than the Original Medicare Plan.
  2. 2. Type of remittance advice from Medicare to beneficiaries to explain how benefits were determined
  3. 5. Medicare form used to inform a patient that a service to be provided is not likely to be reimbursed by the program
  4. 6. coverage gap is the phase of Part D coverage after your initial coverage period.
  5. 8. Authorization by a policyholder that allows a health plan to pay benefits directly to a provider.