Medicare Patient Coverage and Responsibilities

What document should be issued to notify a Medicare patient about their potential responsibility for payment?

A) Exemption letter

B) Invoice

C) Explanation of Benefits (EOB)

D) Refund check

Final answer:

Option C. When certain services are not covered, a Medicare patient should be issued an Explanation of Benefits (EOB) to notify them that they may be responsible for payment.

Explanation:

Option C. When certain services are not covered by Medicare, a patient should be issued an Explanation of Benefits (EOB) to notify them that they may be responsible for payment. An EOB is a document provided by Medicare or a private insurance company that details the services rendered, the amount billed, the amount covered, and the amount the patient may owe. It helps the patient understand what services were covered, what was not covered, and what their financial responsibility may be.

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