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

NCCT Practice Test 2 Billing and Coding Real Exam 2024 Already Passed. CPT codes are - ANSWER ==5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an - ANSWER ==HMO TBSA refers to: - ANSWER ==Total body surface area There are two types of CPT codes, stand alone and: - ANSWER ==Indented Codes Services in which opinions of specialists are requested, are called: - ANSWER ==Consultations Examples of HCPCS Level II code...

AAPC CPB Chapter 1 ReviewFCA - correct answer False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the government -over-representing the amount of a delivered product ....or.... -under-stating an obligation to the government Minimum Necessary Standard. What should be sent if records are being requested?? - correct answer The ? req...

AHIP FINAL EXAM QUESTIONS AND DETAILED ANSWERS MARCH 2024 LATEST GRADED A+. 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? Correct Ans - 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 seve...

Medicare Federal health insurance program Medicare is administered by whom? CMS ( Centers for medicare and medicaid services) Parts A & B of medicare are federal health insurance program referred to as original medicare Part A? Hospital insurance Part B? Medical insurance What doesnt medicare cover? routine dental, eye care hearing exam,deductibles, coinsurance and copayments Part C? Medicare Advantage Plans MA covers? Part A &B coverage, ...

NCCT Practice Test 2 Billing and Coding Exam Questions and Answers 2024 CPT codes are A. 2 digits B. 5 digits C. 3 digits D. 4 digits - Answer-5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an A. Individual Contract B. HMO C. Conversion Privilege D. Exclusive Provider Organization - Answer-HMO TBSA refers to: A. Relative Blood Value B. Tuberculosis Test C. Total Blood & serum analysis D. Total Body Sur...

A list of medications covered within the benefit plan, based on CMS guidelines and developed in collaboration with physicians and pharmacists. -Correct Answer Formulary is defined as: Underwriting is required if the consumer is not in their Medicare Supplement Open Enrollment period or does not meet Guaranteed Issue criteria. -Correct Answer Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies? True -Correct Answer Th...

UHC Certification All Answers Correct Medicare ️Federal health insurance program Medicare is administered by whom? ️CMS ( Centers for medicare and medicaid services) Parts A & B of medicare are ️federal health insurance program referred to as original medicare Part A? ️Hospital insurance Part B? ️Medical insurance What doesnt medicare cover? ️routine dental, eye care hearing exam,deductibles, coinsurance and copayments Part C? ️Medicare Advantage Plans MA covers? ...

UHC Certifications 2023/2024 Exam| Actual Questions and Verified Answers| Graded A Q: What are two options for Medicare consumers to get Part D prescription drug coverage (assuming they meet all eligibility requirements)? (Select 2) Answer: Enroll in a stand-alone Medicare Prescription Drug Plan (PDP) Enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage Q: Which of the following statements does NOT correctly define prescrip...

AHIP FINAL EXAM QUESTIONS AND DETAILED ANSWERS MARCH 2024 LATEST GRADED A+. 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? Correct Ans - 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 seve...

NCCT Practice Test 2 Billing and Coding Real Exam 2024 Already Passed. CPT codes are - ANSWER ==5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an - ANSWER ==HMO TBSA refers to: - ANSWER ==Total body surface area There are two types of CPT codes, stand alone and: - ANSWER ==Indented Codes Services in which opinions of specialists are requested, are called: - ANSWER ==Consultations Examples of HCPCS Level II code...