Medicare beneficiaries - Study guides, Class notes & Summaries

HFMA: Healthcare Financial Management Association Exam (2024 / 2025) Questions and Verified Answers 1. Which of the following options is an alternative to valid long-term payment plans? ~ Answer: Bank loans 2. What type of plan restricts benefits for nonemergency care to approved providers only? ~ Answer: A PPO (preferred provider organization) plan 3. What does scheduling allow provider staff to do? ~ Answer: Review the appropriateness of the service requested 4. When an adult patient is covere...

CVS does not currently bill Medicare part b for? - ANSWER--Continuous glucose monitors -nebulizers Medicare part B claims are adjudicated in a/an manner - ANSWER-Non-real time Beneficiaries are responsible for _____ of prescription costs after their yearly deductible has been met. - ANSWER-20% when is a supplier standards form required to be provided to thee beneficiary? - ANSWER--When requested by the beneficiary on their authorized representative -upon the fist fill (i.e, fill 00) ...

CPCO MOCK EXAM 2024/ LATEST UPDATE EXM WITH CORRECT VERIFIED ANSWERS/ GRADED A+ A History of Healthcare Compliance in the U.S. Question 1 Dr. X hires a nurse without looking to see if she was on the OIG’s Exclusion List. The nurse was previously convicted of committing fraud and was excluded. Dr. X receives payments from Medicare for services rendered to Medicare beneficiaries. Is it ok for Dr. X to have this nurse on staff? Yes, as long as the nurse pays a CMP. No, Dr. X ...

Edward IP suffered from serious kidney disease. As a result. Edward became eligible for Medicare coverage due to end-stage renal disease (ESRD). A close relative donated their kidney and Edward successfully underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if his Medicare coverage will continue, what should you say? Individuals eligible for Medicare based on ESRD generally lose eligibility 36 months after the month in which the individual receives a kidney trans...

ICD-10-CM Questions and Answers Already Passed What edition of the Federal Register would hospital facilities be especially interested in? A. July B. November or December C. October D. January C. October What edition of the Federal Register would outpatient facilities be especially interested in? A. November or December B. October C. January D. July A. November or December What is the largest third-party payer? A. American government B. Department of Health and Human ...

2023 Cigna Medicare Product and Benefits Exam fully solved Which of the following describes the Part D Senior Savings Model (SSM) - correct answer Helps Medicare beneficiaries save on insulin Which description(s) are accurate about the Caregiver Support program? - correct answer Both A and C What are Cigna's guiding principles? - correct answer All of these Which of our products offer choice, flexibility, open-access network, out of network/travel access and no referrals? - correct ans...

NC Medicare supplement questions and answers 100% Verified Solutions Medicare - CORRECT ANSWER-A federal program of health insurance for persons 65 years of age and older Medicare is run by - CORRECT ANSWER-Centers for Medicare and Medicaid services of the department of health and human services Medicare parts A & B are - CORRECT ANSWER-Referred to as original Medicare Medicare Part A(Inpatient) is funded - CORRECT ANSWER-By the hospital insurance portion of the FICA payroll tax coll...

Mr. Shapiro gets by on a very small amount of fixed income. He has heard there may be extra help paying for Part D prescription drugs for Medicare beneficiaries with limited income. He wants to know whether he might qualify. What should you tell him? Question 1Select one: a. The extra help is available to beneficiaries whose income and assets do not exceed annual limits specified by the government.

Beneficence The obligation to help the patient. Remove harm, prevent harm, promote good. ("do no harm"). Acting in the patient's best interest. Compassionate patient care. B. a publicly supported health insurance program for elderly persons and younger persons with permanent disabilities. 14. Medicare is best defined as: A. an entitlement program to provide healthcare coveage for low income elderly persons. B. a publicly supported health insurance program for elderly persons and yo...

Abuse - Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment - Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable - The amount owed to a business for services or goods provided. Accounts Receivable Aging Report - Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients. Accounts Receivable Management -...