Answer the following statements true (T) or false (F)
1. Programs of All-Inclusive Care for the Elderly (PACE) providers agree to make all services available to beneficiaries without any cost-sharing requirements.
2.States determine the amount and duration of Medicaid services and can set limits based on medical diagnoses or conditions.
3. Hospitals are NOT permitted to submit interim claims for Medicaid patients while they are still hospitalized.
4. If a claim is denied by Medicaid because prior authorization was NOT obtained, the physician can bill the patient for the services.
5. Providers participating in Medicaid must accept the Medicaid payment rate as payment in full and cannot balance-bill the patient.
1.TRUE
2. FALSE
3. FALSE
4. FALSE
5. TRUE
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In denervation hypersensitivity:
a. Denervated cells have receptors all over their cell membranes b. Denervated cells have receptors only at synapses c. Denervated cells cannot respond to binding of neurotransmitters d. Denervated cells overreact to binding of neurotransmitters
Medicare is a secondary payer when the patient is also covered by a working spouse's insurance
Indicate whether the statement is true or false