AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 – Final attempt 1 Q&A new update
0 view 0 purchase
Course
AHIP
Institution
AHIP
Question1
Marks: 1
Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
Choose one answer.
a. Dr. Brennan can charge Mary no more than the cos...
AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2024 Rated A+
Grade 9 out of a maximum of 10 (90%)
Feedback You have completed this Knowledge Check. To proceed, please return to the
training dashboard and select the next availa
Question1
Marks: 1
Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms
and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may
Dr. Brennan charge?
Choose one answer.
a. Dr. Brennan can charge Mary no more than the cost
sharing specified in the PFFS plan’s terms and conditions
of payment which may include balance billing up to 25
percent of the Medicare rate.
b. Dr. Brennan can charge the beneficiary the same
costsharing as Original Medicare as long as she sends the
claim to Medicare and not the plan.
,AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2024 Rated A+
c. Dr. Brennan can charge Mary Rodgers more than the
cost sharing specified in the PFFS plan’s terms and
conditions as long as she treats all beneficiaries the same.
d. Dr. Brennan can charge Mary Rogers no more than the
cost sharing specified in the PFFS plan’s terms and
condition of payment which may include balance billing up
to 15 percent of the Medicare rate.
Correct
Marks for this submission: 1/1.
Question2
Marks: 1
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her
doctor recently confirmed a diagnosis of end-stage renal disease (ESRD). What options
does Mrs. Davenport have in regard to her MA plan during the next open enrollment
season?
Choose one answer.
,AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2024 Rated A+
a. She must immediately drop her ABC MA plan and enroll in
a Special Needs Plan (SNP) for individuals suffering from
ESRD if one is available in her area.
b. She may remain in her ABC MA plan or enroll in a Special
Needs Plan (SNP) for individuals suffering from ESRD if one is
available in her area.
c. She must remain enrolled in her ABC MA plan unless the
plan terminates.
d. She must immediately drop her ABC MA plan and enroll in
Original Medicare.
Correct
Marks for this submission: 1/1.
Question3
Marks: 1
Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own
home. She is attracted by the idea of maintaining control over a Medical Savings Account
(MSA) but is not sure if the plan associated with the account will fit her
needs. What specific piece of information about a Medicare MSA plan would it be important
for her to know, prior to enrolling in such a plan?
a. All MSAs cover Part A and Part B benefits, but not Part D
prescription drug benefits, which could be obtained by also
enrolling in a separate prescription drug plan.
b. For enrollees in an MSA, after the annual deductible is
met, the MSA plan generally pays 75% of covered services.
c. MSA enrollees may only receive covered health care
services from a limited panel of network providers because
otherwise some providers may charge more than Original
Medicare rates.
d. All beneficiaries enrolled in an MSA pay a plan
premium in addition to their Part B premium.
Incorrect
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller THEEXCELLENCELIBRARY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $33.99. You're not tied to anything after your purchase.
