NR 412

1. Mr. Lopez, who is fairly well-off financially, would like to enroll in a Medicare prescription drug plan you represent and simply give you a check to cover his premiums for the entire year. What should you tell him? - He will need to mail in his payment with his enrollment form. 2. Mrs. Chou likes a Private Fee-for-Service (PFFS) plan available in her area that does not include drug coverage. She wants to enroll in the plan and enroll in a stand-alone prescription drug plan. What should...

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8 pages

Written in 2024/2025

Grade A+

shadow251

What type of profession, other than coding, might skilled coders enter? Consultants, educators, medical auditors What is the difference between outpatient and inpatient coding? Outpatient coding focuses on physician services. Outpatient coders focus on assigning CPT, HCPCS Level II, and ICD-10-CM codes. They work in provider offices, outpatient clinics and facility outpatient departments. Outpatient facility coders also work with ambulatory payment classifications (APCs). Inpatient hospital ...

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10 pages

Written in 2024/2025

Grade A+

Lilian28

ATI Nutrition Proctored Exam Rated A+ 2025 A patient who has celiac disease should increase intake of what Correct Answer: Simple carbohydrates What is an example of an incomplete protein? Correct Answer: Plant proteins such as beans Lutein slows the progression of macular degeneration and is found in foods such as Correct Answer: Kale, spinach, collard and mustard greens If a bag of TPN runs out what should be infused until another bag becomes available? Correct Answer: 10% dextrose in wate...

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18 pages

Written in 2024/2025

Grade A+

shadow251

The Centers for Medicare and Medicaid Services (CMS) administer what two major public insurance programs? Correct Answer: Medicaid and Medicare How is Medicaid funded? Correct Answer: by both federal and state tax dollars Who is eligible for Medicaid? Correct Answer: Low-income children Low-income pregnant women Elderly and disabled individuals who qualify for the Supplemental Security Income Program How is Medicare funded? Correct Answer: by federal tax dollars Who is eligible for Medic...

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47 pages

Written in 2024/2025

Grade A+

avagrace2

which drug is associated with increased lipoprotein levels? 1. furosemide (Lasix) 2. Hydroclorothiazide (HCTZ) 3. Spironolactone (Aladactone) 4. Triamterene - hydrochlorothiazide (HCTZ) what is the main reason for giving a progestational medication to perimenopausal women who use estrogen? 1. preventing hot flashes 2. preventing osteoporosis 3. promoting growth of uterine lining 4. decrease the risk of endometrial hyperplasia - 4. decrease the risk of endometrial hyperplasia The FNP ...

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23 pages

Written in 2024/2025

Grade A+

avagrace2

Hydrochlorothiazide (HCTZ) - Which drug is associated with increased lipoprotein levels? Furosemide (Lasix). Hydrochlorothiazide (HCTZ). Spironolactone (Aldactone). Triamterene (Dyrenium). cerebellar functioning - The family nurse practitioner asks a patient to perform rapid, alternating movements of the hands to evaluate: cerebellar functioning. cognitive functioning. reflex arc functioning. stereognostic functioning. hepatitis B. - A 38-year-old patient who is Vietnamese tells the ...

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25 pages

Written in 2024/2025

Grade A+

avagrace2

Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is concerned about whether or not Medicare will cover these items and services. What should you tell her? - Medicare does not cover acupuncture, or, in general, glasses or dentures. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining help...

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8 pages

Written in 2024/2025

Grade A+

avagrace2

Mr. Kelly has substantial financial means. He enrolled in Original Medicare and purchased a Medigap policy many years ago that offered prescription drug coverage. - He will incur a late enrollment penalty Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap plan to pick up costs not covered by that plan. What should you tell him? - It is illegal for you to sell What impact, if any will the medicare access and CHIP reauthorization act of 2015 - The Part B... Yo...

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9 pages

Written in 2024/2025

Grade A+

avagrace2

1. Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medicare and does not want to sign up for an MA product, but he also wants prescription drug coverage. What should you tell him? - Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan through a private company that has contracted with the government to...

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11 pages

Written in 2024/2025

Grade A+

avagrace2

Mr. Garcia was told he qualifies for a Special Enrolment Period (SEP), but he lost the paper that explains what he could do during the SEP. What can you tell him? If the SEP is for MA coverage, he will generally have one opportunity to change his MA coverage. Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she wants to enrol in a Medi...

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17 pages

Written in 2024/2025

Grade A+

avagrace2

CHEN will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under Part A because she was not born in the US. - (Medicare Entitlement Part A) - Most individuals who are citizens and over age 65 are covered under Part A by virtue of having paid Medicare taxes while working, though some may be covered as a result of paying monthly premiums. BAUER is 49 years old, but e...

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35 pages

Written in 2024/2025

Grade A+

avagrace2

Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through message therapy. She is concerned about whether or not Medicare will cover these items and services. What should you tell her? - Medicare does not cover message therapy, or, in general, glasses or dentures. Mrs. Chen will be 65 soon, has been a citizen for 12 years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage...

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5 pages

Written in 2024/2025

Grade A+

avagrace2

Medicare Advantage - -Cover all Part A and Part B benefits; -Provide plan cost-sharing actuarially equivalent to cost sharing under Medicare Parts A and B, but may be different for specific services; and -Include an annual maximum out-of-pocket (MOOP) limit on total enrollee cost sharing (deductibles, coinsurance, and copayments) for Part A and Part B services. -Cover the following services even when provided by non-network providers: emergency services: out-of-area urgently needed services...

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37 pages

Written in 2024/2025

Grade A+

Lilian28

Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one of three plans operated by the same organization in Mr. Lombardi's area. The MA PPO plan does not include drug coverage, but the other two plans do. Mr. Lombardi likes the PPO plan that does not include drug coverage and intends to obtain his drug coverage through a stand-alone Medicare prescription drug plan. What should you tell him about this situation? He could enroll either in one of the ...

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7 pages

Written in 2024/2025

Grade A+

Lilian28

Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's disease so she will be eligible for Medicare. Mr. Davis is 52 years old and ...

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65 pages

Written in 2024/2025

Grade A+

Lilian28

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? - 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 several more years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and of...

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42 pages

Written in 2024/2025

Grade A+

Lilian28

Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? - They are Medicare health plans such as HMOs, PPOs, PFFS, SNPs, and MSAs (W) Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be a correct descr...

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32 pages

Written in 2024/2025

Grade A+

Lilian28

Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she has been automatically enrolled in Medicare Part B. She wants to understand what this means. What should you tell Mrs. Quinn? - Part B primarily covers physician services. She will be paying a monthly premium and, with the exception of many preventive and screening tests, generally will have 20% coinsurance fo...

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21 pages

Written in 2024/2025

Grade A+

Lilian28

Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? - They are Medicare health plans such as HMOs, PPOs, PFFS, SNPs, and MSAs (W) Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be a correct descr...

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32 pages

Written in 2024/2025

Grade A+

Lilian28

Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she has been automatically enrolled in Medicare Part B. She wants to understand what this means. What should you tell Mrs. Quinn? - Part B primarily covers physician services. She will be paying a monthly premium and, with the exception of many preventive and screening tests, generally will have 20% coinsurance fo...

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26 pages

Written in 2024/2025

Grade A+

Lilian28

1. Mr. Kelly has substantial financial means. He enrolled in Original Medicare and purchased a Medigap policy many years ago that offered prescription drug coverage. - He will incur a late enrollment penalty 2. Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap plan to pick up costs not covered by that plan. What should you tell him? - It is illegal for you to sell 3. What impact, if any will the medicare access and CHIP reauthorization act of 2015 - The P...

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15 pages

Written in 2024/2025

Grade A+

Lilian28

Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D lowincome subsidy. How does that affect his ability to enroll or disenroll in a Part D plan? a.He can enroll in a different plan or disenroll from his current plan during the next Annual Election Period. b.He qualifies for a special election period and can enroll in or disenroll from a Part D plan once during that period. c.He can only enroll in or disenroll from an MA-PD plan. d.He can apply the subsidy amount ...

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14 pages

Written in 2024/2025

Grade A+

Lilian28