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