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APM Final exam Questions and Answers Fully Solved
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Exam of 9 pages for the course SAFe APM at SAFe APM (APM Final exam)
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APM Final examMedicare Part B is administered by the __________ government and is __________.
a. Federal, competitive
b. State, competitive
c. Federal, non-competitive
d. State, non-competitive - answerc. Federal, non-competitive
Medical supplies and equipment are usually covered under Medicare Part ______ -
answerB
what do DME and HME stand for? - answerDurable Medical Equipment
Home Medical Equipment
What term(s) refer to any items that a patient uses for aid in their daily life including,
Ambulatory aids (such as wheelchairs, walkers), Hospital Beds, Bathroom Safety, and
Compression Stockings.
a. DME
b. HME
c. A and B
d. Neither - answerc. A and B
Medicare Part A covers what? - answerInpatient Hospitalization, Hospice, Nursing
home
Medicare Advantage is also known as? - answerMedicare Part C
T or F:
Medicare Part D has a strict Uniform Fee Schedule - answerFalse
- Part B does
T or F:
Medicare Part B can bill online through your pharmacy system. - answerFalse- Part D
can
Part B Must bill claim on paper or FTP
, T or F
T or F....Most patients over the age of 65 have Medicare
T or F....Most patients who need DME are over 65
T or F....All patients who have Medicare want to use it for the DME products they need
T or F....Medicare is a single payer system - answer1.) F --> ALL have it
2.) T
3.) T
4.) T
What is the Average profit margin for DME/HME supplies? - answer80-150%
Competitive Bidding was mandated by Congress through which Act? - answerMedicare
Prescription Drug, Improvement, and Modernization Act of 2003 (MMA)
Competitive Bidding Product categories include..... - answerWalkers, wheel chairs,
hospital beds, mail order test strips
T or F
Competitive Bidding expands patient access to DME products. - answerFalse!-->
restricts access
T or F
Competitive Bidding in reality shows limited cost savings for Medicare patients. -
answerTrue
-thought to be a large cost savings to Medicare patients
-In reality, it has shown limited cost savings
Negative effects associated with Competitive Bidding - answer1. Limit patient's
access!!!!
(Patients will not able to go anywhere for these services, they will only be able to go to a
few certain companies)
2. Product Quality will decrease
(Product manufacturers already are coming out with "Competitive Bid" lines of products
that are cheaper, but lack quality of their other products)
3. Reduces competition of companies to whoever to charge the lowest
(Companies do not compete on customer satisfaction or quality but solely on price)
T or F
As part of the deal to avert the "Fiscal Cliff" congress and the president passed a law
which required Medicare to pay all providers of test strips (both retail and mail order) the
same low rate that the mail order companies bid during the Competitive bidding. -
answerTrue
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