Which term means service eligible for payment under Medicare?

• A. Reimbursable Service
• B. Conditions of Participation
• C. Patient Safety
• D. Functional Items

Answer: (A)

Medicare payment hinges on whether a service is reimbursable, meaning Medicare will cover it if it’s medically necessary, properly documented, and provided by an eligible provider. Reimbursable service is the term that specifically conveys payment eligibility for a given service.

Conditions of Participation refer to the standards providers must meet to participate in Medicare and to bill for services, not to whether a particular service is payable. Patient Safety relates to quality and safety goals, not payment status. Functional Items isn’t the recognized term for payment eligibility.