Medicare advantage plans Study guides, Class notes & Summaries
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UHC Ethics And Compliance Assessment 2024 Questions And Answers.
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UHC Ethics And Compliance Assessment 2024 Questions And Answers. 
 
 
 
On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? 
 
-He can use the Annual Election Period that runs from October 15 to December 7 and select November 1 as his plan effective date. 
 
-There are no rules governing how often he can change plans during the year. 
 
-He may be able to use a Special Election Pe...
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AHIP Final Exam Test Questions 2020-2024 FINAL EXAM 250 Q/A TEST BANK America's Health Insurance Plans (AHIP) Exam Study Guide Questions & Answers
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AHIP Final Exam Test Questions 2020-2024 
FINAL EXAM 
250 Q/A TEST BANK 
America's Health Insurance Plans (AHIP) Exam Study Guide Questions & Answers 
 
 
 
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? - ANSWER He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialy...
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2024 AHIP QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS
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Edward IP suffered from serious kidney disease. As a result. Edward became eligible for Medicare coverage due to end-stage renal disease (ESRD). A close relative donated their kidney and Edward successfully underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if his Medicare coverage will continue, what should you say? - ANSWER Individuals eligible for Medicare based on ESRD generally lose eligibility 36 months after the month in which the individual receives a kidney tr...
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CSPR - Certified Specialist Payment Rep (HFMA) Exam (Latest 2024) Questions & Verified Answers 100% Guaranteed Grade A+
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CSPR - Certified Specialist Payment Rep (HFMA) Exam (Latest 2024) Questions & Verified Answers 100% Guaranteed Grade A+ 
 
Example Question & Answer: 
 
Identify the various types of government‐sponsored health coverage: - Answer - Medicare - Government; Beneficiaries enrolled in such plans, but, participation in these 
plans is voluntary. 
Medicaid 
Medicaid Managed Care - Medicaid beneficiaries are required to select and enroll in a managed care plan. 
Medicare Managed Care (a.k.a. Medicare ...
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AHIP 2024 FINAL EXAM 100% VERIFIED ANSWERS 2023/2024 GUARANTEED PASS
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Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it provides no drug coverage. She would like to keep the coverage she has but replace her existing Medigap plan with one that provides drug coverage. What should you tell her? 
correct answersMrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in a Part D prescription drug plan. 
 
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has bee...
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CRCR Exam Prep questions and answers 2023/2024
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CRCR Exam Prep 
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 patient accounts department? - correct answer Ho...
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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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CSPR - Certified Specialist Payment Rep (HFMA) with A+ Verified Solutions.
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Steps used to control costs of managed care include: correct answers Bundled codes 
Capitation 
Payer and Provider to agree on reasonable payment 
 
DRG is used to classify correct answers Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred 
 
Identify the various types of private health plan coverage correct answers HMO 
Conventional 
PPO and POS 
HDHP/SO plans - high-deductible health...
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The Payroll Source CPP Practice Exam 100 Questions with Verified Answers,100% CORRECT
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The Payroll Source CPP Practice Exam 100 Questions with Verified Answers 
 
Which of the following is LEAST likely to be considered when looking at the security of a new payroll system? 
A. regular data back-up and storage 
B. protection against computer viruses 
C. limited system access 
D. system edits - CORRECT ANSWER D. system edits 
 
Company deadlines for payroll data input documents are essential for: 
A. timely processing of the payroll 
B. accurate entry of data 
C. guaranteeing that al...
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UHC Medicare Basics Test 2023/2024 With 100% Correct Answers
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UHC Medicare Basics Test 
 
A consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage - ANSWER-the consumer will be automatically disenrolled from the standalone PDP upon in Roman in the MA plan that has integrated prescription drug coverage 
 
aside from a standalone Medicare prescription drug plan how else could a Medicare eligible consumer get Part ...
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