Question

Which of the following is true regarding Medicare Advantage?

1) All Medicare Advantage Plans follow the Medicare OP therapy cap rules
2) The POC does not have to be co-signed by a physician or NPP
3) A progress note must be completed a minimum of every 10th visit
4) There is only one type of plan offered

Answer 1

The correct statement about Medicare Advantage is that a progress note must be completed every 10th visit. These plans can differ from Original Medicare and offer additional benefits, including prescription drug coverage, which was a significant gap in Medicare before the introduction of Part D.

Step-by-step explanation:

The statement regarding Medicare Advantage that is true is: A progress note must be completed a minimum of every 10th visit. Medicare Advantage plans, also known as Part C, are an alternative to Original Medicare (Part A and B) and often include additional benefits such as prescription drug coverage, which addresses the previously identified gap in prescription drug benefits for the elderly and disabled. This type of plan can vary greatly and is not subject to the Medicare outpatient therapy cap rules, and it may require POC physician or non-physician practitioner (NPP) co-signature requirements depending on the specifics of the plan. As a component in the larger framework of healthcare coverage, Medicare Advantage plans are also influenced by regulatory changes brought about by the Patient Protection and Affordable Care Act (PPACA).