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AHIP fraud waste

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Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? Deportation A person comes into your pharmacy to drop off a prescription for a beneficiary who is a regular customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally receives a quantity of 60, not 160. Y...

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  • uploaded  29-01-2024
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AHA PALS

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AHA PALS Practice exam already passed 1. A 5-year-old child presents with lethargy, increased work of breathing, and pale color. The primary assessment reveals that the airway is open and the respiratory rate is 30/min, with crackles heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min. On the basis of this information, which of the following provides the best interpretati...

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  • uploaded  29-01-2024
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AHA CPR

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what is the age range of a child? 1 to puberty what is the hand position for child chest compressions? one or two hands heel of the hand on the center of the chest lower half of the breast bone. how far do you compress for child cpr? 4-5 cm at what rate do you do compressions? 100 bpm what is the name of the method used to open the airway? head tilt- chin lift how do you know the breath's went into the victims lungs? the chest will rise

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AHA ACLS Written

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You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Start chest compressions of at least 100 per min. You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? Obtaining a 12 lead ECG. What is the preferred method of access for epi ...

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  • uploaded  29-01-2024
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Aetna Individual Core

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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 C) Be lice...

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  • uploaded  27-01-2024
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Aetna Individual Core

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What report(s) are available on Aetna Producer World? All of the above You will need to successfully complete which requirements to be Ready to Sell (RTS) with Aetna Medicare? All of the above Any voluntary disenrollment occurring within three (3) months of the membership effective date is considered a rapid disenrollment and will result in a chargeback of the full commission paid. True

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Aetna

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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 the requested premi...

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Aetna 2023

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What report(s) are available on Aetna Producer World Commission Reports How long are you required to maintain Scope of Appointment (SOA) documentation? 2 Years. When obtaining a Scope of Appointment, you may NOT: Market non-health care products, such as annuities or life insurance (cross selling) Annual Election Period is from: October 1 - December 7 What are the requirements you need to complete in order to be ready to sell? Current producers need to maintain their licenses and meet our ...

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Advent Health EKG

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Afib The impulse originates in the Atria • The Atrial rate is > 300 and unable to measure [N/A] • No discernable P waves - PRI & Atrial rhythm cannot be measured [N/A] • The Ventricular rhythm is irregular • QRS within normal limits • If the Ventricular rate is <100 the rhythm is controlled A-fib; if the Ventricular rate is > 100 the rhythm is uncontrolled A-fib • This is a chronic rhythm for some patients Treatment: controlled patients: anticoagulants and antiarryt...

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