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The ABCs of Managed Care: A Glossary

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1.  Allowable charge is the same as: Negotiated Rate Eligible Expense Fee schedule amount All of the above

2.  Beneficiary is the same as the: Insured or member Medicare Monthly Medicare Advantage None of the above

3.  Medicare Part C is also more commonly known as: Managed Medicare Medicare Monthly Medicare Advantage None of the above

4.  Billed charges should be the same as the: Allowable Negotiated rate Usual and customary fee Eligible expense

5.  Patients are typically financially responsible for: Unmet deductibles Co-insurance Non-covered services All of the above

6.  Date of Service is: Date appointment is scheduled Date of hearing aid order Date service is performed or item is dispensed Date of hearing aid acceptance

7.  Non-covered services are the same as: Allowed services Excluded services Contracted services None of the above

8.  EMR means Employee medical record Electronic medical response Electronic medical record Electronic Medicare record

9.  An order is: A request from a patient to his or her insurance company to pay for an item or service. A request from a patient to a healthcare provider to perform a specific procedure. A request from one healthcare provider to another healthcare provider requesting that they perform a specific item or service to a given patient. A request from an insurance company to a healthcare provider to perform a specific service.

10.  Which part of Medicare covers inpatient hospitalization, skilled nursing and hospice care? Medicare Part A Medicare Part B Medicare Part C Medicare Part D