Healthcare Compliance & Reimbursement

Healthcare Compliance & Reimbursement

Subject: General Questions    / General General Questions   
Question

Healthcare Compliance & Reimbursement: Chapter 4 Assignment
Review Questions:
1. List each Medicare part and the type of benefits it provides. 2. What types of costs do Medigap policies cover? 3. Why is Medicaid coverage not identical in New Jersey, California, and Idaho? Activity 1:
Your uncle, John Smith, is going to turn 65 in three months. He is self-employed and has owned
his own homebuilding business for the past 40 years. He has purchased his own health insurance
plan through an independent agent for more than 20 years. Now that he will be eligible for
Medicare, he wants to know more about the program. He saw a commercial about Medicare on
TV and it suggested to the viewers that they visit www.medicare.gov.
John went to the Medicare website, but there was so much information and unfamiliar
terminology that he became frustrated and quit. He asked a few of his friends who were on
Medicare how they chose their plans, and they said they just signed up for the “simple plan”
rather than choosing something else that “might not be quite right.”
Your mother told your Uncle John that you were in a health-related major at the university, so he
called you up for some advice. Prepare a “Medicare Choices for Uncle John” grid. Your grid
should be detailed and include the following: cost, deductible(s), co-payment(s), examples of
covered services, and any other details you think are important. It is also important that you
make sure the grid is easy for Uncle John to understand. In addition, provide your uncle with a
list of websites or other services that he may want to use to help him make his decision. Application:
Medicare Part D was created by the Medicare Modernization Act of 2003. On January 1, 2006
the plan became effective. Prepare an educational session via PowerPoint for the seniors at a
nearby assisted-living complex. Visit the Medicare website at www.medicare.gov for assistance
in developing your session. Make sure your presentation includes information on the “donut
hole”.
Remember: You are creating this educational powerpoint for a non-medical audience that
has a short attention span!!