UHC Midterm Exam Well Answered 100% 2024.

The work we do in the year 2023 regarding STAR measures will result in payment in what year? - Answer 2026 Star ratings is the program that CMS (centers for Medicare and Medicaid services) uses to compare Medicare advantage plans? - Answer True Quality bonus payments and rebates will only be paid to plant scoring/performing at what star rating? - Answer 4+ Improving star ratings is an enterprise wide effort, and we all play a part in improving our scores. Select all the ways that we work, to improve our scores: - Answer Engaging with members. working with providers. Providing simple, easy customer service. Accurate documentation, and supporting our providers in this effort. Star ratings are published in (blank) on the CMS () to inform consumers about plan performance. - Answer October Which of the following statements best describes Medicare advantage plans? - Answer Covers all of the services that original Medicare covers, including additional benefits, such as AWV, PE, and supplemental plan options. What are some benefits for conditions to be properly coded?(select all that apply.) - Answer Allows the health plan to obtain the appropriate resources from CMS to pay for future claims for their members. Prior authorization may be obtained sooner. Where does the data come from for a risk adjustment? - Answer Inpatient and outpatient services What provider types report for risk adjustment conditions? - Answer All of the above (MD, PA, NP)