Medicare beneficiaries - Study guides, Class notes & Summaries
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AHIP - Final Examination (Latest Update 2022)
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AHIP - Final Examination (Latest Update 2022) 
Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only 
the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? - Mr. 
Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain 
the standardized request form on the plan's website, fill it out, and submit it to his ...
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AHIP 2021 Bundle 55 pages overall. Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare beneficiaries
- Exam (elaborations) • 10 pages • 2024
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AHIP 2021 Bundle 55 pages overall. 
Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare beneficiaries? 
a. Medicare Part B generally provides prescription drug coverage. 
b. Beneficiaries under Original Medicare have no cost-sharing for most preventive services which include immunizations such as annual flu shots. 
c. Medicare Part A generally...
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HCCA CHC Exam Prep | 750+ Questions and Verified Answers| 2023/ 2024
- Exam (elaborations) • 222 pages • 2023
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HCCA CHC Exam Prep | 750+ Questions and Verified Answers| 2023/ 2024 
 
Q: True of False: 
A self-audit is an examination or inspection for providers in reducing non-compliance. Self-audits can lower chances of an external audit and create a robust culture of compliance 
 
 
Answer: 
True 
 
Source: CHC Exam Secrets Study Guide 
 
 
 
Q: CMS released areas of high-risk fraud, some of those include: 
A. Sudden changes in billing and billing inappropriate specialties 
B. Billing of inappropriate d...
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CSPR – Questions and Answers based on full course
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What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 
 
ACA - ANSWER-Affordable Care Act 
 
HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. 
 
Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...
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Texas Life And Health Insurance Exam Questions With Correct Answers | Latest 2023/2024 (Graded A+)
- Exam (elaborations) • 23 pages • 2023
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Texas Life And Health Insurance Exam Questions With Correct Answers | Latest 2023/2024 (Graded A+). Which of the following actions is NOT possible with a Universal Life policy? - Correct 
Answer-Premiums may be applied as a credit against income tax 
Which of the following will a Long Term Care plan typically provide benefits for? - 
Correct Answer-home health care 
Which health policy clause stipulates that an insurance company must attach a copy of 
the application to the policy to ensure that...
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AHIP FINAL EXAM TEST QUESTION AND ANSWERS 2024/2025
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Mrs. Paterson is concerned about the deductibles and co-payments associated with Original Medicare. What can you tell her about Medigap as an option to address this concern? - CORRECT ANSWERS-Medigap plans help beneficiaries cover Original Medicare benefits, but they coordinate with Original Medicare coverage. 
 
Anita Magri will turn age 65 in Aug
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CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED 2023-2024
- Exam (elaborations) • 63 pages • 2023
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CRCR EXAM WITH CORRECT CHOICES, 
CERTIFIED AND VERRIFIED 
What are collection agency fees based on? - CORRECT ANSWER-A percentage of 
dollars collected 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or 
what other rule? - CORRECT ANSWER-Birthday 
In what type of payment methodology is a lump sum or bundled payment negotiated 
between the payer and some or all providers? - CORRECT ANSWER-Case rates 
What customer service improvements might improve the patie...
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CISR LIFE & HEALTH Exam 52 Questions with Answer,100% CORRECT
- Exam (elaborations) • 12 pages • 2023
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CISR LIFE & HEALTH Exam 52 Questions with Answer 
 
The first step in understanding the elements of a life insurance contract is being able to: 
 
A) describe the personal and specific reasons people purchase life insurance 
B) describe the different parties to a life insurance contract and their relationship - CORRECT ANSWER B) describe the different parties to a life insurance contract and their relationship 
 
A policy owner has the power to: 
A) Name one or more beneficiaries 
B) Change th...
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Accident and Health Insurance Final Exam questions 100% correct answers
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Your license will be considered to be inactive when you: - correct answer No longer have any appointments 
 
On a "participating" health insurance policy issued by a mutual insurance company, dividends paid to policy holders are: - correct answer Not taxable since the IRS treats them as a refund of a portion of the premium paid 
 
All of the following are true regarding a non-contributory employer group medical expense insurance policy EXCEPT: - correct answer Premiums must be paid entirely...
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health and accident exam psi Questions And Answers 2023
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What is the maximum amount of time an insurer has to provide the claimant the forms for filing proof of loss? 
1. 7 days 
2. 15 days 
3. 30 days 
4. 90 days - Answer- 2. 15 days 
 
Which of the following is the most common method to supplement Medicare coverage? 
1. Medicaid 
2. Group health insurance 
3. Employer Health Insurance 
4. Coverage offered by private insurers - Answer- 4. Coverage offered by private insurers 
 
In which of the following must a beneficiary change request be filed in w...
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