What does lep stand for - Study guides, Class notes & Summaries

CPCO Exam Review Questions and Answers | Latest Update | Graded A+. Which component of the OIG has a duty of conducting audits, which results in reducing waste, abuse and mismanagement? - Answer Office of Audit Services According to Inspector General Daniel Levinson, what can help reduce enforcement on a provider from a CIA to a CCA? - Answer Have a robust and effective compliance program A majority of the OIG's resources goes to oversight of which programs? - Answer Medicare and Medicai...

Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? - He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and offers e...

NEW AHIP FINAL EXAM TEST WITH COMPLETE SOLUTIONS QUESTIONS AND ANSWERS ALL VERIFIED 2024 Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr. Moy? correct answers Medicare Supplemental Insurance coinsurance in Original Fee- for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover. Mrs. Peňa is ...

2023 UHC Certifications Questions With Answers Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - ANSWER- Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? - ANSWER- When a consumer enrolls in a Medicare Suppl...

CPCO Exam Practice Questions With Correct Answers | Latest Update | Graded A+. Which component of the OIG has a duty of operating the OIG hotline? - Answer Office of Investigations What year did the GAO identify Medicare claims to be at high risk for fraud and abuse which resulted in the OIG initiating an audit of HCFA (CMS) payment system? - Answer 1992 Which department of the OIG is responsible for providing mission and administrative support to the OIG? - Answer Office of Management an...

Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? She would be disenrolled automatically from her MAPD Plan. What is Medicare Part D? A voluntary program, offered by private insurance companies that are contracted with the federal government, that provides prescription drug coverage for an additional monthly plan premium Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15...

UHC Certification Rated A Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? Part A The consumer must be in a valid MA election or disenrollment period. Which of the following consumers would be eligible for Medicare? Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more than 24 months and consumers of all ages with ESRD or ALS Which of the foll...

UHC Exam 2023 Questions and Answers (Verified Answers) Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know what counts toward the Out-of-Pocket Maximum. Which of the following is accurate? A. All Out-of-Pocket costs she pays toward her health care and prescription drug expenses would count toward the Out-of-Pocket Maximum. B. Jennifer's costs for prescription drugs and any benefits not covered by Original Medicare will count toward the Out-of-Pocket Maximum. C....

2023 UHC certifications QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - ANSWER- Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplem...

Which of the following is a correct statement about in-network provider services? HMO Plans cover only in-network services. In most cases, members pay the full cost of any out-of-network services received, with a few important exceptions. Which of the following are eligibility requirements for enrollment in a Medicare Advantage (MA) Plan? (Select 3) Resides in the plan's service area Is enrolled in Medicare Part B Is entitled to Medicare Part A Brainpower Read More Pre...