12.   Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?          A. Yes, because the patient has end-stage renal disease    B. No, because the patient resides in New Mexico    C. No, because the patient is under age 65    D. Yes, because the patient has hypertension

A 453-word research paper, formatted in APA 7 (about 2 double-spaced pages).

Updated

Type
Research Paper
Length
453 words, 2 pages
Style
APA 7

Research PaperAPA 7

12.   Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?          A. Yes, because the patient has end-stage renal disease    B. No, because the patient resides in New Mexico    C. No, because the patient is under age 65    D. Yes, because the patient has hypertension

COMPLETE CORRECT ANSWERS FOR QUESTIONS 11-20
11.   People who receive Medicare
   A. are never eligible to receive Medicaid.
   B. may be eligible to receive Medicaid if they meet the age requirement.
   C. may be eligible to receive Medicaid coverage.
   D. can combine Medicare with TRICARE.

 

12.   Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?
   A. Yes, because the patient has end-stage renal disease
   B. No, because the patient resides in New Mexico
   C. No, because the patient is under age 65
   D. Yes, because the patient has hypertension

 

13.   The first prepaid health insurance plans in the United States were
   A. TRICARE and workers’ compensation.
   B. CHAMPUS and CHAMPVA.
   C. Blue Cross and Blue Shield.
   D. Medicare and Medicaid.

 

14.   Which of the following is the largest privately underwritten health insurance contract in the world?
   A. Harless program
   B. SCHIP
   C. Federal Employee Program (FEP)
   D. CHAMPVA program

 

 

 

15.   A provider is classified as a/an
   A. biller who submits claims to insurance carriers.
   B. coder who provides medical record data.
   C. individual or group of individuals that provide a health care service.
   D. beneficiary that provides information for insurance coverage.

 

 

16.   Tom is billing an emergency room visit for a Medicaid patient who’s being seen for a wellness visit. Which one of the following statements is true as a result of the Balanced Budget Act?
   A. There are new surgical treatments available.
   B. No new applications are required for TAFT recipients.
   C. Patients have expanded preventive-care benefits.
   D. There are new standards for TRICARE.

 

17.   Dr. Singer is working within a reimbursement system in which the insurance is billed after all the treatment has been given to the patients. What is the main reason that the doctor orders more tests, exams, and procedures under this system?
   A. Fear of being sued
   B. To increase resource utilization
   C. To make a profit
   D. Because no one has to pay for it

 

18.   With a PPO, the beneficiary has the ability to
   A. choose a hospital within a 50-mile radius only.
   B. choose a physician or hospital from the designated provider list.
   C. select a dentist within a 10-mile radius.
   D. select an add-on policy for supplemental unemployment benefits

19.   Physician-hospital organizations (PHOs) are also called _______ organizations.
   A. medical staff-hospital
   B. health management
   C. individual provider
   D. preferred provider

 

20.   Mrs. Fang is a 72-year-old retired school teacher who has been hospitalized for pneumonia. What type of insurance is most likely being used to pay for her hospital stay?
   A. Medicare Part D
   B. Medicare Part B
   C. Medicare Part A
   D. Medicare Part C

About the author

Dr. Hector publishes nursing paper examples on Premium Academic Affiliates.

More papers by this author

This paper is a sample from a completed student assignment, published to help you understand structure, argument and APA formatting. Use it for inspiration and reference only, and cite it if you quote it.

Get this paper as a Word file

12-ralph-is-assigning-diagnosis-and-procedure-co.docx, with an APA title page and reference list, ready to edit in Word or Google Docs.

Need a custom paper on 12.   Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?          A. Yes, because the patient has end-stage renal disease    B. No, because the patient resides in New Mexico    C. No, because the patient is under age 65    D. Yes, because the patient has hypertension?

Get an original, plagiarism-free paper written to your rubric by a nursing expert.

Get Writing Help from $13.80 per page

Cite This Paper

Pick your style, then copy. Italics are kept when you paste into Word or Google Docs.

Reference list

Premium Academic Affiliates. (2020, May 6). 12.   Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?          A. Yes, because the patient has end-stage renal disease    B. No, because the patient resides in New Mexico    C. No, because the patient is under age 65    D. Yes, because the patient has hypertension [Research paper example]. https://premiumacademicaffiliates.com/12-ralph-is-assigning-diagnosis-and-procedure-codes-for-a-35-year-old-patient-from-new-mexico-who-has-hypertension-and-end-stage-renal-disease-would-this-patient-qualify-for-medicare/

In-text

(Premium Academic Affiliates, 2020)

Published . Updated .

Cite this paper

Get the Word file

We'll email you 12-ralph-is-assigning-diagnosis-and-procedure-co.docx, formatted in APA and ready to edit.

We use your email to send this file, and offers only if you tick the box.

Get a paper like thisFrom $13.80 per page Get a price