Pubh 6012 exam - Study guides, Class notes & Summaries

PUBH 6012 Exam 3 Questions and Answers All Correct Medicare Eligibility - Answer-Over 65 years of age & qualify for social security benefits Disability Income for at least 24 months End stage renal disease or ALS AND receiving SSDI Must be US citizen or permanent legal resident Four Parts of Medicare - Answer-1. Part A: Hospitals/Inpatient Services 2. Part B: Physicians/Outpatient Services 3. Part C: Managed Care Plans 4. Part D: Prescription Drug Plans Medicare Part A Bene...

PUBH 6012 Exam 2 Questions with Answers All Correct prescription drug doughnut hole - Answer-gap in prescription drug coverage between a limit for coverage and catastrophic coverage T/F Medicare Advantage offers less choice in provider than traditional medicare - Answer-true because medicare advantage is similar to managed care-- there is a preferred or required network of providers where you can receive care, traditional medicare is fee-for-service from any medicare provider prospectiv...

PUBH 6012 Exam 2 with All Correct Answers Pathways for Medicare eligibility - Answer-1) over 65 years and qualify for social security benefits, 2) qualify for social security disability income and have been collecting benefits for 24 months, 3) diagnosis of end-stage renal disease or Lou Gehrig's disease and receiving SSDI payments Medicare eligibility gets you... - Answer-Entitlement to part A and eligibility to enroll in parts B, C, and D How many enrolled in Medicare - Answer-60 mi...

prescription drug doughnut hole - Correct gap in prescription drug coverage between a limit for coverage and catastrophic coverage T/F Medicare Advantage offers less choice in provider than traditional medicare - Correct true because medicare advantage is similar to managed care-- there is a preferred or required network of providers where you can receive care, traditional medicare is fee-for-service from any medicare provider prospective payment - Correct A method of reimbursement based o...

PUBH 6012 Exam 2 with correct Answers Already Graded A+ prescription drug doughnut hole - Correct gap in prescription drug coverage between a limit for coverage and catastrophic coverage T/F Medicare Advantage offers less choice in provider than traditional medicare - Correct true because medicare advantage is similar to managed care-- there is a preferred or required network of providers where you can receive care, traditional medicare is fee-for-service from any medicare provider prospe...

PUBH 6012 Exam 1 with Complete Solutions Executive branch - Answer--Enforces laws -Comprised of President, White House staff, and administrative agencies (HHS, CMS, NIH) -Administrative Procedures Act governs rulemaking process Legislative branch - Answer--Congress (House and Senate) -Enacts necessary and proper laws -Must stay within enumerated powers (taxing, spending, regulating interstate commerce) -Bill --> Law --> Statute Main powers of the federal government - Answer-...

prescription drug doughnut hole - Correct gap in prescription drug coverage between a limit for coverage and catastrophic coverage T/F Medicare Advantage offers less choice in provider than traditional medicare - Correct true because medicare advantage is similar to managed care-- there is a preferred or required network of providers where you can receive care, traditional medicare is fee-for-service from any medicare provider prospective payment - Correct A method of reimbursement based o...

pubh 6012 exam 2 questions and answers

Pubh 6012 Exam Questions and Answers

PUBH 6012 Exam 2 with correct Answers Already Graded A+ prescription drug doughnut hole - Correct gap in prescription drug coverage between a limit for coverage and catastrophic coverage T/F Medicare Advantage offers less choice in provider than traditional medicare - Correct true because medicare advantage is similar to managed care-- there is a preferred or required network of providers where you can receive care, traditional medicare is fee-for-service from any medicare provider prospe...