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SMP JEOPARDY! The Administration on Aging Community’s Favorite Quiz Show.

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Presentation on theme: "SMP JEOPARDY! The Administration on Aging Community’s Favorite Quiz Show."— Presentation transcript:

1 SMP JEOPARDY! The Administration on Aging Community’s Favorite Quiz Show

2 $400 $600 $800 $1000 $200 $400 $600 $800 $1000 $200 $400 $600 $800 $1000 $200 $400 $600 $800 $1000 $200 $400 $600 $800 $1000 $200 About SMPs MedicareOverviewMedicareProgramsFraudandAbuse Miscellaneous Miscellaneous

3 According to a Senate report, these make up the best front line defense against loss from health care fraud and abuse. Return to Board See Question $200

4 Question: Return to Board What are What are senior citizens? $200

5 Return to Board See Question The acronym AoA stands for this agency, which funds the SMP program. $400

6 Question: Return to Board What is the Administration on Aging? What is the Administration on Aging? (an agency of the U.S. Department of Health and Human Services) $400

7 Return to Board See Question These are the two agencies to which SMPs report their performance data. $600

8 Return to Board Question: What are What are 1.The Administration on Aging (AoA), and 2.The Office of the Inspector General (OIG)? What are What are 1.The Administration on Aging (AoA), and 2.The Office of the Inspector General (OIG)? $600

9 Return to Board See Question SMPs enter data into this computer database, which then is reviewed by AoA and the OIG. $800

10 Return to Board Question: What is SMART FACTS? What is SMART FACTS? $800

11 These are three of the five AoA SMP strategic program objectives. Return to Board See Question $1000

12 Return to Board $1000 Question: What are What are 1.Foster national and statewide program coverage; 2.Improve beneficiary education and inquiry resolution; 3.Foster national program visibility and consistency; 4.Improve the efficiency of the SMP program while increasing results; and 5.Target training and education to isolated and hard-to-reach populations?

13 Return to Board See Question Medicare, a federally funded program, was created by Congress in this year. $200

14 Return to Board Question: What is 1965? $200

15 Return to Board See Question $400 Individuals who are eligible for both Medicare and Medicaid are called this.

16 Return to Board Question: $400 What are dual-eligibles?

17 Return to Board See Question This is a Web site that SMP volunteers should encourage beneficiaries to sign up for and use. $600

18 Question: What is What iswww.MyMedicare.gov? $600 Return to Board

19 See Question This is the full name of the agency responsible for administering the Medicare program. $800

20 Return to Board Question: What is the Centers for Medicare & Medicaid Services (CMS)? $800

21 Return to Board See Question This type of Medicare enrollment is for individuals who have been receiving Social Security benefits or Disability benefits prior to age 65. $1000

22 Return to Board Question: What is What is Automatic Enrollment? $1000

23 Return to Board See Question These are the four main areas covered by Medicare parts A, B, C, and D. $200

24 Question: Return to Board What are A.Hospital Insurance, B.Medical Insurance, C.Medicare Advantage, and D.Prescription Drugs? $200

25 These are Medicare plans run by private insurance companies that may cover services such as vision or dental. Return to Board See Question $400

26 What are What are Medicare Advantage Plans (Part C)? Return to Board Question: $400

27 Return to Board See Question Beneficiaries who do not enroll in Medicare Part B when they first become eligible may have to pay this. $600

28 What is a 10-percent penalty for each year that enrollment is delayed? What is a 10-percent penalty for each year that enrollment is delayed? Question: $600 Return to Board

29 See Question This is the percentage of the bill paid by Medicare when a doctor accepts assignment. $800

30 Return to Board What is 80 percent? What is 80 percent? Question: $800

31 Return to Board See Question Many individuals who receive Medicare Part A do not have to pay this for hospital services, but they do have to pay this for each benefit period in which they receive hospital services. $1000

32 Return to Board What are What are a premium a premium and a deductible? Question: $1000

33 Return to Board See Question Consumers with billing questions or problems should review one or both of these documents and compare these with their personal health care journals or calendars. $200

34 Question: Return to Board What are the Medicare Summary Notice (MSN) and/or Explanation of Benefits (EOB)? What are the Medicare Summary Notice (MSN) and/or Explanation of Benefits (EOB)? $200

35 Return to Board See Question This number is part of a beneficiary’s Medicare number. $400

36 Return to Board Question: What is a Social Security Number? What is a Social Security Number? $400

37 Return to Board See Question Billing for services or equipment not provided is potentially either of these. $600

38 Return to Board Question: What is fraud What is fraud or error? $600

39 Return to Board See Question Intentionally billing twice for the same service or item is this. $800

40 Return to Board Question: What is fraud? What is fraud? $800

41 Return to Board See Question Home health services are often a target of fraud because consumers receiving these services do not have to pay either this or this. $1000

42 Return to Board Question: What are co-pays or deductibles? $1000

43 Return to Board See Question The acronym MSN stands for this. $200

44 Question: Return to Board What is Medicare Summary Notice (MSN)? What is Medicare Summary Notice (MSN)? $200

45 Return to Board See Question $400 This is as important and valuable to thieves as a credit card.

46 Return to Board Question: What is a beneficiary’s Medicare number? What is a beneficiary’s Medicare number? $400

47 Return to Board See Question This state and federally funded program helps pay medical costs for some individuals with limited income and resources. $600

48 Return to Board Question: What is What isMedicaid? $600

49 Return to Board See Question $800 Billing social activities as psychotherapy is an example of this.

50 Question: What is fraud? $800 Return to Board

51 See Question These CMS plans are not required to provide MSNs to clients. $1000

52 Return to Board Question: What are Medicare Advantage, Part C, or Managed Care Plans? $1000


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