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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. You review the prescription and have concerns about the possible forgery. What is your next step? - Answer-Call the prescriber to verify the quantity Which of the following is not potentially a penalty for violation of the law or regulation prohibiting frau...

Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting him at severe risk for pneumonia. Otherwise, he has no problems functioning. Which type of SNP is likely to be most appropriate for him? - C-SNP Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge? - Dr. Brennan can charge Mary Rogers no more than the cost sharing s...

A client wants to give you an enrollment application on October 1 before the beginning of the Annual Election Period because he is leaving on vacation for two weeks and does not want to forget about turning it in. What should you tell him? - You must tell him you are not permitted to take the form. If he sends the form directly to the plan, the plan will process the enrollment on the day the Annual Election Period begins. Edna, Felix, George, and Harriet are Medicare beneficiaries. Edna liv...

A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Before engaging in such a discussion, what should you do? - Answer-You must have her sign a scope of appointment form, indicating which products she wishes to discuss. You may then proceed with the discussion. Agent Harriet Walker has recently begun marketing Medicare Advantage and related products aimed at meeting the needs of senior citi...

All plans must cover at least the standard Part D coverage or its actuarial equivalent. Which of the following statements best describes some of the costs a beneficiary would incur for prescription drugs under the standard coverage? - Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day. Mr. Vaughn takes a prescription for helping to regrow his hair. They are anxious to have their Medicare prescription drug plan cover these drug needs. What should you tell them? - ...

Mr. Alonso receives some help paying for his two generic prescription drugs from his employer's retiree coverage, but he wants to compare it to a Part D prescription drug plan. He asks you what costs he would generally expect to encounter when enrolling into a standard Medicare Part D prescription drug plan. What should you tell him? - Answer-b. He generally would pay a monthly premium, annual deductible, and per-prescription cost sharing. Correct Mr. Bauer is 49 years old, but eighteen mo...

Charles McCarthy is a Medicare beneficiary who suffers from diabetes. Mr. McCarthy is considering enrollment in a MA-PD plan that you represent. He asks you whether his insulin costs will be covered. What should you say? - Mr. McCarthy's insulin costs for a one-month supply cannot be more than $35 in any coverage phase under the prescription drug plan beginning in 2023. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug prog...

At a minimum, an effective compliance program includes four core requirements - False Compliance is the responsibility of the compliance officer, compliance committee and upper management only - False Correcting non-compliance - Protects enrollees, avoids recurrence of the same non-compliance, and promotes efficiency Medicare parts c and d plan sponsors are not required to have a compliance program - False Once a corrective action plan begins addressing non compliance or fraud, waste and a...

(W) Mr. Alonso receives some help paying for his two generic prescription drugs from his employer's retiree coverage, but he wants to compare it to a Part D prescription drug plan. He asks you what costs he would generally expect to encounter when enrolling into a standard Medicare Part D prescription drug plan. What should you tell him? - He generally would pay a monthly premium, annual deductible, and per-prescription cost sharing (W) Mr. Bauer is 49 years old, but eighteen months ago he...

ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' protected health information to market non-health related products such as life insurance and annuities. To do so it must obtain authorization from the enrollees. Which statement best describes the authorization process? - ️️Authorization may be obtained by directing a beneficiary to a website to provide consent Agent Harriet Walker has recently begun marketing Medicare Advantage and related products ai...

Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement (Medigap) plan which he has had for several years. However, the plan does not provide drug benefits. How would you advise Agent John Miller to proceed? - d. Tell prospect Jerry Smith that he should consider adding a standalone Part D prescription drug coverage policy to his present coverage. Anthony Boniface turned 65 in 2023. H...

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12 Hour Rule - If a 2nd or subsequent call regarding DV is made for the same two parties, at least one of the parties MUST be arrested 14th Amendment - Establishes primacy of federal government over state government. U.S. citizen first. 4th Amendment - Citizens are protected against unreasonable searches and seizures against their person, property, and papers. 5th Amendment - Protection against self-incrimination and double jeopardy. Can not hold a person without presentment or indictment...

A diamond shaped traffic sign indicates - Answer-a warning sign. A driver may use a handicapped parking space - Answer-if a physically handicapped person is being dropped off or picked up and the vehicle displays a handicapped license plate A fully loaded tractor-trailer traveling at 55 mph could take up to _________ feet to come to a complete stop. - Answer-400 feet A red triangle sign means - Answer-yield A solid yellow line on the pavement to your left means: - Answer-the traffic on the...

a branch office must be overseen by what - broer salesperson broker parner or borker officer/associate a broker the chosses a fictitious name must - rester with sec of state and send copy to mrc. a inactice person license is held by who - the mrc. a none license selling realestate is what - class b misdemeanor a none licenseing is practincing real estate what can mrec do - do a restraining order a none licenses practincg real estate is gulty of what - calld b misdemeanor a real estate can...

A "No Right On Red" sign means: a: Even if the traffic signal is red, you may turn right. b: If the traffic signal is red, you cannot turn right. c: The intersection has a high number of accidents. d: Even if the traffic signal is red, you do not have to come to a stop. - Answer-b: If the traffic signal is red, you cannot turn right. A driver may use a handicapped parking space: a: If a physically handicapped person is in the motor vehicle when it is parked. b: If a physically handicap...

"idle speed" or "slow, no wake speed" - The slowest speed at which it is still possible to maintain steering. A Boat's Compass - Boat's compass can be invaluable in bad weather and at night. Make sure you know how to use it. About the PWC Steering and running into boats - PWC operators need to beware of passing too closely behind another vessel. The vessel will block your view of oncoming vessels, as well as the oncoming vessel's view of the PWC. About the PWC: - The most important...

A class I violation means a violation of what type? - Imminent Jeopardy to resident health or safety A copy of Missouri's Guide to Home an Community Based services must be provided to the resident when? - Prior to or upon admission A designated physical therapy area must be no less than? - 200 sq ft A facility shall conspicuously and unmistakably identify each room with what? - Room number or room name A fire extinguisher must be provided for each floor with a travel distance of no more ...

A ____ report should be made to the resident or his designee - quarterly A bond that is how many times the average monthly balance is required when caring for resident funds? - 1 1/2 A licensed nurse must work ____ per every ____ residents per ______ in a facility which administers medications - 8 hours 30 week A living room can be combined with what - activity area A new nurse assistant must be enrolled in the certified nurse aide course within _____. - 90 days Administrator may not le...

A "No Right On Red" sign means? - Answer-if the traffic signal is red, you cannot turn right A driver may use a handicapped parking space? - Answer-if a physically handicapped person is in the motor vehicle when it is parked, when the person is being delivered or picked up AND when the vehicle displays a handicapped person placard or license plates A flashing red light on a traffic signal means? - Answer-the same thing as a stop sign A fully loaded tractor-trailer traveling 55 mph could t...