Apply Your Knowledge

Select the correct answer for each of the 19 questions below. (Scroll down as needed.) Then select the Submit button at the bottom of the screen to receive feedback.

Question #1

If a beneficiary thinks the hospital is discharging her too soon, she should contact the:

Question #2

The acronym IRE stands for:

Question #3

Medicare guarantees beneficiaries the right to all of the following EXCEPT:

Question #4

When the SNF staff thinks a beneficiary in the Original Medicare Plan no longer qualifies for Medicare coverage, they must provide him or the person acting in his behalf with a:

Question #5

The BEST contact for additional information about discrimination is:

Question #6

QIOs are groups of practicing doctors and other health care experts who are paid by the Federal Government to:

Question #7

If a beneficiary thinks he is being discharged from the hospital too soon, he should call his State Quality Improvement Organization.

Question #8

Medicare is required to tell the beneficiary why information is being collected.

Question #9

A beneficiary has the right to file an appeal if she thinks Medicare should have paid more for a service.

Question #10

A beneficiary in a managed care plan has the right to request a demand bill.

Question #11

Once a beneficiary is released from the hospital, he has a guaranteed right to follow-up care.

Question #12

A beneficiary follows the same steps to file an appeal regardless of whether she is enrolled in the Original Medicare Plan, a managed care plan, or a Private Fee-for-Service plan.

Question #13

Beneficiaries in a Medicare Advantage plan can refer to their membership materials for details about their Medicare appeal rights.

Question #14

A beneficiary in a managed care plan who files an appeal must work through a lawyer to obtain his medical information and any other information regarding his appeal.

Question #15

Medicare beneficiaries must have permission from the organization offering their health plan to obtain emergency care.

Question #16

Emergency care covers medical emergencies that may be life threatening.

Question #17

If a beneficiary is out of her health plan's service area for a short time and cannot wait until she returns home to receive urgently needed care, the organization offering the plan must pay for urgently needed care.

Question #18

Urgently needed care is given when a beneficiary has a sudden illness or injury that needs immediate medical care but is not life threatening.

Question #19

A beneficiary has the right to appeal if the home health care agency changes his plan of care without the doctor's approval.