NC Medicare/LTC Practice Exam with Answers (100 Solved Questions)

NC Medicare/LTC Practice Exam with Answers provides key insights into previous exams to help you prepare better.

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NCMedicare/LTCexamquestions100% VERIFIEDCORRECT SOLUTIONSALREADY PASSEDLTC policies may not includethe right to refuse to renew upon age or deterioration of health.Medicare Supplement policies must maintain minimum loss ratios(75% Group, and 65% Individual) through annual audited reports to DOI.If inadequate loss ratiosrefunds or premium credits are required to be made.LTC must provide benefits for a minimum of12 months and cannot provide skilled care only.LTC insurers must provide ____ days advance notice of cancellation to bothinsured and alternate-named person.30LTC Outline of coverage must be delivered no later thanat policy delivery.After admission to a custodial facility most LTC policies have a ______

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Elimination Period ("Time Deductible")Medicare enrollment is done atlocal Social Security offices.Medicare Supplement policies are designed primarily to cover the"cost-sharing" features of Medicare.Home Health benefits cover DME's ____%.80Medicare in-patient Psychiatric benefits are limited to190 days lifetime.Medicare SNF benefits are structured how?100 days per benefit period. Days 1-20 with no copayment; Days 21-100 are 1/8 of thePart A Deductible.13) The Medicare Part A benefit period (spell of illness) for hospital and SNF ends60 days after discharge.14) Medicare provides Days 1-90 on anon-exhaustible basis for each benefit period.15) The exhaustible Reserve Day percentage is50%.16) Medicare Part A Hospital is the only one with an exhaustible benefit(60 days lifetime after Days 1-90).

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17) MedicarePart A SNF benefit requires 3 days in the hospital before admission;the patient must go within 30 days of discharge, and a doctor must certify need daily.18) _________ monitors the quality of health care in CMS approved facilitiesThe state funded QIO (or PRO), made up of doctors and other health care professionals.19) The Medicare Administrative Contractor (Part B) issues the MSN, itdeterminesapproved charges, and pays 80% of approved charges to the provider, but does notseek refunds of overchargesfrom providers.20) Providers must submit claims to the MAC withinone year or face a reduction in payment.21) The "Free-look" for both Medicare Supplement and LTC is30 days.22) If the insurer wishes to reduce benefits on an existing policy, writtenagreement by the owner/insured is required.23) If a Medicare beneficiary elects to stay in an Employer Group Plan (EGP),the plan will be primary payer and Medicare will be secondary payer.24) Medicare Part A Home Health benefits must be provided on anintermittent basis, i.e., no more than an 8-hour shift for no more than 21 consecutivedays.25) Medicare Part A Home Health does not providehomemaker services.

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NC Medicare/LTC Practice Exam with Answers (100 Solved Questions)

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