Author Question: A patient asks the nurse what Medicare Part A covers. Which response is correct? a. Medicare Part ... (Read 129 times)

mcmcdaniel · **on:** Jun 25, 2018

A patient asks the nurse what Medicare Part A covers. Which response is correct?

a. Medicare Part A covers inpatient hospital costs.
b. Medicare Part A covers reimbursement to the physician.
c. Medicare Part A covers outpatient hospital services.
d. Medicare Part A covers ambulance trans-portation.

Question 2

The nurse compares the characteristics of a health maintenance organization (HMO) and a preferred provider organization (PPO). Which information should the nurse include about HMOs?

a. HMOs require a set fee of each member monthly.
b. HMOs allow the member to select his health care provider.
c. HMOs permit admission to any facility the member prefers.
d. HMOs offer unlimited diagnostic tests and treatments.

nixon_s · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A
Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work, and intensive care. Medicare Part B pays the physician, ambulance transport, and outpatient services.

Answer to Question 2

A
HMOs require a set fee from each member monthly (capitation). The patient will be treated by the HMO staff in HMO-approved facilities. Excessive use of diagnostic tests and treatments is discouraged by the HMO.