This week you will reflect upon the Medicare and Medicaid programs to answer the following questions:How does Medicare effect medical billing? Briefly define the qualifications for Medicare and Medic

********* ******** ******* ******* ************** OF ******** *** ******** *** *** ****** ** *** AFFORDABLE **** *** ** *** MEDICAL ************** ********** ************** *************** ************************************** ** * ********** ****** ****** *** by taxes *** which ***** over the ******** ** ***** healthcare ******* ** * ****** ****** system *** *** ********* ** *** United ****** It ***** ** 1966 *** ********* it is ******* ** *** ******* *** ******** *** ******** ******** ******** ** *** ** ******* ************************** ** Medicare *** ******** *********** **** ******* result of * ****** ********* is ** safeguard its beneficiaries ******* *** **** of ********** *** ********** ******* ************ **** *** crucial specifically *** *** ******* **** commonly ******** to ** *** senior ******** of *** ****** ****** who *** ***** ** **************** ******* ******** *** who ***** ****** half ** ******** ******* ******** ********** and ****** 2004)MedicareFor **** reason the Medicare ******** *** ******* *** **** ******* *** paid **** *** ****** ******** *** system throughout ***** ** ***** ********** *** *** specifically aged ******* above ** ***** ** younger ******* *** are incapacitated *********** ** persons with ********* ***** diseases ** **** ** *********** ******* sclerosisMedicaidSharing *** same **** ** ******** * ****** ******* *** ***** ********** that assists **** ******* expenses *** old *********** **** little earnings *** ***** **** *** inadequate in jointly ****** **** of themselves ***** needs ** well ** ******* ***** *********** Medicaid ******** ********** *** ******** extended ** ******** **** ** ******* **** **** and ******** care servicesDual *********** *** ******** and *********** ****** of ****** *** *** dually eligible ************* ******* ** many *** ******* subgroups: *** ********** ******** ****** of ** advanced age ****** *** cognitively ******** *** *** so weak *********** individuals *** are disabled **** ****** or no ****** *** *** provided with ********** ****** ******* * ******* ******* *** *** qualify *** ******** after * ******** ******* period *** **** **** *** ******* ******** ************* **** ************* ******** ******* ******** *** ******* the elderly low-income ************* *** *** not ********** weakHow ******** effects ******* ********** ** *** **** **** ******** ***** ** to the **** as * ************ ****** **** ****** *** **** obligation is ** **** payment ** ********* ********* ** a ************** ** *** ****** ********** ********** in *** ******* ******* ******** ******** ** *** ******* ******* for Medicare *** ******** ******** Thereafter medical ******* ********* ******* *** forward *** ****** ** *** ******** ******* ************** Contractors ** action ** **** ***** a ******* *** been ***** treatment ***** ***** ******** ******** plan ************ * medical ******* ********** ***** data ******* ** a ************ ********* **** a ************ ******* billing ******** **** **** **** ** loaded * ******** ***** form ******** ** ******* *** ********* *** ************ ***** are **** ******** benefit plans **** **** *** own ******* ************* ********* ** the ******* ******** ************* Plan AMedicare **** * extends its **** through ********* and ********* care services at ** additional ***** *** ****** *** *** ********* necessary ******** *** billing ****** ** ******* assigned to * ******* ******* ********** ******* **** ******* ************ ******* as well ** ***** ********** ** ****** **** ******** **** ******* ********* **** *** ********** **** file ****** *** *** ********* benefit ********* *** ********* ********** ******** claim form *** billing *********** providers ***** as the ***** ******* ***** **** *** ****** ** ******* takes **** ** the ********* ******** ** ***** care ******** ********** under the ********* *********** ******* system *** the **** *** ***** ********* **** ********** ***** ****** ** a ****** ******* ****** ******* * specified ****** ** *** ***** *** **** ******** **** ** ******** ** ***** **** per ********* or the ***************** ***** ***** ***** are ****** ** *** income ***** *** ************* ***** such ** room and board **** demands **** **** ******** cautiously takes ****** of ***** *********** ****** needs ** order ** **** **** **** they don’t surpass *** *** ******* limits for * condition The **** ***** care of 80% of *** ******** services ***** the ********* *** ** taken care ** ** *** *************** Plan **** ******* ****** ** ******* ******** ** * ******* ******* ********** working *** an ********** ********** ******** *** ****** *** *** Preventive care ******* the standard claim **** ***** ** the ********** ********* **** CMS-1500 ** **** ** **** ******** ******** Eligible ************* are ************* ********** ***** ****** * ******* ******** ******* The plan ***** **** ** *** ** the ******** ******** ***** the ********* *** * ***** **** ** ** *** *************** **** * *** ***** ****** ****** ***** medical services The ******* for Medicare *** Medicaid ******** ************ *********** ** this plan ** profit-oriented payers **** ** the private ******** *** ***** ***** **** for ******** as an acceptable **** ***** ******** **** * *** they **** an arrangement **** ******** to ** ***** a ******* *** ** money from ***** member *** ***** ***** ******** *** Part * which may **** ****** depending ** the person receiving **** ** *** ****** care ******** ** entirely ********* on *** ***** involvedBasic ********* *** process *** ********** service ********** level ** quality *** ********** ******* in the ****** ****** can only ** achieved through ******** billing processes ****** ******* *** ***** ********* ***** ** include the ******* ** *** service ******** *********** ****** ********** ****** ****** – ***** ***** the ****** ** to *** it was **** or the diagnosis itself ************** ************** ** Disease 10th ******** *** ****** code) *** ******** *** *** ** (national ******** ********** – *** ******* before *** final ***** whereby *** ***** *** ******* submitted for *** ********** ****** that *** has ** Medicare *** Medicaid ************* Affordable **** *** * comprehensive ****** **** reform *** ****** in ***** **** ** an ********** to ***** *** existing health ********* ******** *** comprises ** *********** ** ******* Medicare advantages ****** ******* ****** free ******** for ** *********** ****** of preventive rewards *** ******* *** ****** *** **************** ********** care which ** ***** ********* Likewise *** ********** **** Act seeks ** enhance Medicaid ** ********** enrollment *** expanding **** ** ******* ********* ** adults ******* very *** ****** Affordable **** Act has ******* ******** *** existing ******** *** ******** plans ******* *** implementation ** very ******* *********** programs such as ******** ******** ***** ** earned *** unearned ****** *** ********* earners which ************ ****** Medicaid to ******** *** ****** of insured ******* *** *********** ******** *** ***** ** ****** *** ***** of ***** risk ********* ******* ***** ** the increase of the ******* *********** *** However *** success *** ************** ** *** ****** ***** ** *** ********** *** ** limited ** ********* ** **** ***** ****** ** *** ****** States **** ** ***** ******* *** ******** *** ***** **** *** ******* **** of ********* individuals even ****** ****** ******** reports have ********* a ********* in *** ****** ** ********* ** an ******* ** * to 9 ******* ****** ***** *** ********** **** Act *************************** *** ****************** B Warner ** (2004) *** ******** ************ of health care ***** ****** **** *** **** Jun; ***************** * * & ******* * * (1998) ******** ******* Dually ******** ******** *** Medicaid Beneficiaries Challenges and ******************* **** ********* *********** 1-10Lee * M ******** * * ****** * ******* * ***** Linn * ***** * ***** * ******** * * ******* * Horan T ******** * … Jha A ****** ********* ****** of *** ******** ****** to ****** ******* *** ********************* ****************** journal ** ********* ************ 314-9Barcellos * * & Jacobson * (2015) *** ******* ** Medicare on ******* Expenditure Risk *** ********* StrainAmerican ******** ******* Economic ********** *****


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Assignment – Health and Medical Answer.docx







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