Medicare advantage Samenvattingen, Notities en Examens
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AHIP FINAL EXAM TEST QUESTIONS AND ANSWERS 2023-2024 WITH VERIFIED ANSWERS
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AHIP FINAL EXAM TEST QUESTIONS AND ANSWERS 2023-2024 WITH VERIFIED 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?correct answersHe 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 severa...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 
Steps used to control costs of managed care include: 
Bundled codes 
Capitation 
Payer and Provider to agree on reasonable payment 
 
 
 
DRG is used to classify 
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 
HMO 
Conventional 
PPO and POS 
H...
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UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans)
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UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans)
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UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) Test With Verified Answers
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UHC 2024 AHIP - Medicare Basics Assessment (Medicare Advantage [non-SNP], Prescription Drug and Medicare Supplement Plans) Test With Verified Answers
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AHIP 2024 final exam | Questions and Verified Answers | Mrs. Park | Latest Version
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AHIP 2024 final exam | Questions and Verified Answers | Mrs. Park | Latest 
Version 
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What 
could you tell Mrs. Park that might be of assistance? -----Correct Answer---- 
-She should contact her state Medicaid agency to see if she qualifies 
forprograms that can help with Medicare costs for which she is responsible. 
Madeline Martinez was widowed several years ago. Her husband worked 
for many years and contributed into the Medica...
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HFMA CRCR exam 2023 with 100% correct answers
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Through what document does a hospital establish compliance standards? 
code of conduct 
 
 
 
What is the purpose OIG work plant? 
Identify Acceptable compliance programs in various provider setting 
 
 
 
If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? 
Non-diagnostic service provided on Tuesday through Friday 
 
 
 
What does a modifier allow a provider to do? 
Report a specific circumstance that affected a procedure or service without chan...
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UNITED HEALTHCARE (UHC) – ETHICS AND COMPLIANCE LATEST 2023-2024 EXAM| ACTUAL QUESTIONS AND VERIFIED ANSWERS |A+ GRADE
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UNITED HEALTHCARE (UHC) – ETHICS AND COMPLIANCE LATEST 2023-2024 EXAM| ACTUAL QUESTIONS AND VERIFIED ANSWERS |A+ GRADE 
 
Q: Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized legal representative for her father. What must Jacob explain to Emily when completing an Enrollment Application for her father? 
 
 
Answer: 
Jacob must explain that Emily will sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indic...
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AHIP Final Exam Test Questions and Answers (2023/2024) GRADED A+ Answers Correct/Verified
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AHIP Final Exam Test Questions and Answers (2023/2024) GRADED A+ Answers Correct/Verified 
 
Mr., Moy’s, wife ,has ,a ,Medicare ,Advantage ,plan, ,but ,he ,wants ,to 
,understand ,what coverage ,Medicare ,Supplemental ,Insurance ,provides ,since 
,his ,health ,care ,needs ,are,different ,from ,his ,wife's ,needs. ,What ,could ,you 
,tell ,Mr. ,Moy?correct ,answersMedicare,Supplemental ,Insurance ,would ,help 
,cover ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,F...
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2023/2024 AHIP Module 1, 2, 3, 4, 5 (ACTUAL TEST ) Questions and Answers GRADED A ALL COREECT
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2023/2024 AHIP Module 1, 2, 3, 4, 5 (ACTUAL TEST ) Questions and Answers GRADED A ALL COREECT 
 
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr. Moy? Medicare Supplemental Insurance would help cover his Part A and Part B deductibles or coinsurance in Original Fee-for-Service (FFS) Medicare as well as possibly some services tha...
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UNITED HEALTHCARE (UHC) – ETHICS AND COMPLIANCE LATEST 2023-2024 EXAM| ACTUAL QUESTIONS AND VERIFIED ANSWERS Version 2 |A+ GRADE
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UNITED HEALTHCARE (UHC) – ETHICS AND COMPLIANCE LATEST 2023-2024 EXAM| ACTUAL QUESTIONS AND VERIFIED ANSWERS Version 2 |A+ GRADE 
 
 
Q: John has Power of Attorney to act on behalf of his mother. What does that mean when it comes to his mother enrolling in a Medicare Advantage Plan? 
 
 
Answer: 
John may sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indicates his authority under state law to enroll his mother. 
 
 
 
Q: In which of the...
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Medical Billing and Coding Practice Test Exam Verified Answers 2023
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National Coverage Determination (NCD) - Which of the following Medicare 
policies determines if a particular item or service is covered by Medicare? 
Adjudication - Which of the following is considered the final determination of the 
issues involving settlement of an insurance claim? 
Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees 
and copayment information 
Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which 
of the following hospi...
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