Aetna exam 2023 Study guides, Class notes & Summaries

AETNA COMPLIANCE 2023 LATEST QUESTIONS AND ANSWERS PRACTICE EXAM MATERIAL Which of the following is essential in the response to a compliance issue that has been identified? Which of the following is not an issue that must be reported to a compliance department? What is the policy of non-retaliation? Which of the following describes the correct way to report a compliance issue Which is a possible consequence for non-compliance, fraudulent, or unethical behavior? What top...

What reports are available on Aetna's Producer World? A) Your Medicare book of business B) Month/YTD/Prior year commission report C) Licensing reports D) A and B E) All of the above E) All of the above You will need to successfully complete which requirements to have "ready-to-sell" status with Aetna Medicare? A) The Aetna Individual Medicare certification process for the products you intend to sell B) Have an active contract through the Medicare Producer Contracting site ...

A beneficiary who currently eligible for Medicare Part A who enrolls into Part B, is __________________ Not granted an additional IEP to enroll into a Part D plan. Once submitted, who can cancel an enrollment application before the effective date? Both A and C If submitted after the first month of eligibility, the effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month the enrollment is submitted. True If th...

AAPC CPB Exam C QUESTIONS AND ANSWERS 2022/2023| GRADED A A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. Correct Answer: A. Mother's insurance...

AAPC CPB Exam C QUESTIONS AND ANSWERS 2022/2023| GRADED A A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. Correct Answer: A. Mother's insurance...

AETNA MA/MAPD/DSNP EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|AGRADE

NURSING 412 AAPC CPB Exam QUESTIONS AND ANSWERS 2022/2023| GRADED A A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. Correct Answer: A. Mother's insur...

Aetna offers a variety of Aetna and Coventry Medicare Advantage plan types. Which plan type requires a person to use only network providers? (excluding emergency or urgently needed services) HMO plan Which plan type allows members to see preferred doctors out of network and does not require referrals to a specialist? PPO Plan 00:25 01:22 Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. True ...

A beneficiary who currently eligible for Medicare Part A who enrolls into Part B, is __________________ Not granted an additional IEP to enroll into a Part D plan. Once submitted, who can cancel an enrollment application before the effective date? Both A and C If submitted after the first month of eligibility, the effective date for enrollments in the Initial Enrollment Period (IEP) must be the first of the month following the month the enrollment is submitted. True If th...