NR 412

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 th...

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5 pages

Written in 2024/2025

Grade A+

Lilian28

Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an inpatient psychiatric hospital stay that Medicare will cover? - Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire lifetime. Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently reviewed her Medicare Summary Notice (MSN) and disagrees wit...

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6 pages

Written in 2024/2025

Grade A+

Lilian28

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? - Medigap plans help beneficiaries cover Original Medicare benefits, but they coordinate with Original Medicare coverage. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare Part A and Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older n...

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7 pages

Written in 2024/2025

Grade A+

Lilian28

This year you have decided to focus your efforts on marketing to employer group plans. One employer provides you with a list of their retirees and asks you to contact them to explain the characteristics of the plan they have selected. What should you do? - You may go ahead and call them. Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to learn...

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5 pages

Written in 2024/2025

Grade A+

Lilian28

Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B because he has coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan, what will he have to do? - He will have to enroll in Part B. Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she be aware of when considering enrollment in a Medicare Advantage (MA) plan? - She cannot enroll in an MA Medical Savings Account (MSA) plan. ...

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5 pages

Written in 2024/2025

Grade A+

Lilian28

Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B because he has coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan, what will he have to do? Correct Answer: He will have to enroll in Part B. Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she be aware of when considering enrollment in a Medicare Advantage (MA) plan? Correct Answer: She cannot enroll in an MA Medical S...

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20 pages

Written in 2024/2025

Grade A+

Lilian28

Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health plan, but does not want to be limited in terms of where he obtains his care. What should you tell him about how a Medicare Cost Plan might fit his needs? - a. Cost plan enrollees can choose to receive Medicare covered services under the plan's benefits by going to plan network providers and paying plan cost sharing, or may receive services from non-network providers and pay cost-sharing due under Original ...

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29 pages

Written in 2024/2025

Grade A+

Lilian28

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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10 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

Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? A) PDP plan B) HMO plan C) PPO plan D) ESRD plan - B) HMO Which plan type allows members to see preferred doctors in network, doctors out of network and does not require referrals to a specialist? A) PDP plan B) Cost plan C) PPO plan D) HMO plan - C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called M...

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5 pages

Written in 2024/2025

Grade A+

Lilian28

Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding emergency or urgently needed services) a. PDP plan b. HMO plan c. PPO plan d. ESRD plan - b. HMO plan What is a Special Needs Plan (SNP)? a.A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. b.An MA plan that tailors benefits, provider choices, ...

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4 pages

Written in 2024/2025

Grade A+

Lilian28

Which of the following is true for Low Income Subsidy? - All of the above What is a Special Needs Plan (SNP)? - All of the above or A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding emergency or urgently needed services) - HMO Which are attributes of t...

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2 pages

Written in 2024/2025

Grade A+

Lilian28

A patient is in refractory ventricular fibrillation and has received multiple appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV. The patient is intubated. Which best describe the recommended second does of amiodarone for this patient? 150 mg IV amiodarone A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been e...

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17 pages

Written in 2024/2025

Grade A

Lilian28

A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first? Epinephrine 1mg IV/IO A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate administration? Use of a phosphodiesterase inhibitor in the last 24 hours A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoret...

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11 pages

Written in 2024/2025

Grade A+

Lilian28

A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first? Epinephrine 1mg IV/IO A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate administration? Use of a phosphodiesterase inhibitor in the last 24 hours A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoret...

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11 pages

Written in 2024/2025

Grade A

Lilian28

You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT was normal with no sign of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment is best? a. start fibrinolytic therapy ASAP b. hold fibrinolytic therapy for 24 hours c. order an echo before fibrinolytic administration d. wait for MRI result - a. start fibrinolytic therapy ASAP For STEMI pt, maximum goal time for ED door-to-balloon-inflation time f...

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9 pages

Written in 2024/2025

Grade A+

Lilian28

What is the priority intervention for a patient with a narrow-complex tachycardia (160 BPM) and a blood pressure of 72/48 mmHg? A. Perform immediate synchronized cardio version B. Administer amiodarone, 150 mg IV over 10 minutes C. Perform carotid massage D. Administer adenosine, 6 mg via rapid IV push - A. Perform immediate synchronized cardio version Recommended for a aptient with signs of hemodynamic compromise and a superventricualr tachycardia. A vagal maneuver, such as carotid massage...

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19 pages

Written in 2024/2025

Grade A+

Lilian28

1. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? A. Monitor the patients PETCO2 B. Obtain a 12-lead ECG C. Check the patients pulse D. Obtain a chest X-Ray Answer: A. Monitor the patients PETCO2 2. Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field? A. Comprehensive stroke care unit B. Acute rehabilitation care unit C. Acute ...

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16 pages

Written in 2024/2025

Grade A+

Lilian28

BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES! - LakrRQDKOkTZj This is a good starting point for Jose (big Mega code at end): to get closer and closer to passing! In which situation does bradycardia require treatment? - Hypotension Which intervention is most appropriate for the treatment of a patient in asystole? - Epinephrine You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised "no shock indicated." A rhythm check ...

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35 pages

Written in 2024/2025

Grade A+

Lilian28

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 hospita...

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2 pages

Written in 2024/2025

Grade A+

Lilian28