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Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific UnitedHealthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three types of events John plans to conduct, which need t

According to HHS-OIG - what are three important reasons for proper documentation in Compliance? 1.Protect our ___________________ 2.Protect your ___________________ 3.Protect the ___________________ 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the appeal decision by the Office of Medicare Hearings and Appeals (OMHA)? a. first level of appeal b. second level of appeal c. third level of ...

The purpose of the Federal Register is to Multiple select question. inform citizens of their rights and obligations. provide a forum for public participation in the democratic process. inform healthcare providers of upcoming coding audits. document the actions of federal agencies. - correct answer inform citizens of their rights and obligations. provide a forum for public participation in the democratic process. document the actions of federal agencies. What is the highest law in the U...

Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - correct answer Her enrollment in Medicare Parts A and B is generally automatic if she meets all eligibility requirements. Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? - correct answer When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automa...

In terms of events, which of the following is true? A) Agents must report formal marketing/sales events only to UHC B) Agents must report informal marketing/sales events only to UHC C) Agents must report all marketing/sales and educational events to UHC D) Agents must report formal and informal marketing/sales events only to UHC - correct answer Not A Whose email address may the agent enter into the LEAN enrollment application? A) The consumer's or another individual's provided by the ...

Agent Kim is conducting an event that has been advertised as educational. Which activities are permitted at an educational event? - Displaying and distributing business cards and lead cards, scheduling one-on-one marketing appointments, and obtaining scope of appointment forms. An individual with Power of Attorney is an example of what authority? - Legal authority under state law to act on behalf of another individual. Who has the authority to sign an Enrollment Application? - The consumer...

reporting all events (marketing/sales and educational) to united health care is required so that the company can: - correct answer Comply with CMS and medicaid services event reporting You have a scheduled appointment with a consumer to discuss DSNP. They have the SOA form. 2 days before the appointment they call and request to discuss PDP, which you are certified to sell. What do you tell them? - correct answer tell the consumer to sign a new SOA before the appointment which election peri...

What type of events must an agent report to United Healthcare? -Informal marketing,/sales events only -Formal and informal marketing/sales events -Formal marketing/sa[es events only -Marketing/sales events (formal and informal) and educational events - correct answer Formal and informal marketing/sales events When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email addres...

Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He calls in February the month before his 65th birthday and is unhappy with his current plan. On the date of the call, what can Gene do about his coverage? - correct answer On the day he called, he can enroll in a different Medicare Advantage plan with an effective date of March 1. Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? - co...

What is the definition of Abuse? - correct answer Abuse includes any practice that results in the provision of services that are not medically necesary An agent should only enroll a consumer in a product: - correct answer That is suitable for the consumer's needs, goals and financial resources. When marketing UnitedHealthcare Medicare Advantage plans to consumers, which of the following must an agent do? - correct answer Provide current marketing materials that have been approved by CMS a...

In terms of events, which of the following is true? Agents must only report formal marketing/sales events United Healthcare. Agents must only report informal marketing/sales events to United Healthcare. Agents must only report formal and informal marketing/sales events to United Healthcare. - correct answer ... When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? The...

Agent John is planning to conduct a series of events. Some will be strictly educational, others will be formal presentations of specific United Healthcare plans, and others will be informal marketing events where he can generate leads and schedule future in-home marketing appointments. Of the three types of events John plans to conduct, which need to be reported to United Healthcare? - correct answer ******* When completing an enrollment application in LEAN, why is an agent prohibited from en...

According to FAR 15.4, which of the following is one of the two most preferred price analysis techniques? - correct answer Comparison of proposed prices received in response to the solicitation * How may you request an audit? - correct answer All of these are correct A "questioned cost" is one that has not yet been evaluated. - correct answer False * True or False: "Direct labor positions" share the same titles and pay levels. - correct answer False * For which of the following p...

A nurse is admitting a client who has pulmonary tuberculosis which of the following transmission based precautions should the nurse initiate - correct answer Airborne A nurse in a mental health facility is preparing an educational program for a group of staff nurses about the proper use of restraints which of the following information should the nurse plan to include - correct answer An adult client may be in mechanical restraint for up to four hours A nurse is teaching sleep hygiene to a ...

Anatomical Position - correct answer Standard positioning of the body as standing; feet together; arms to the side; with head, eyes, and palms of hands forward Cells - correct answer The basic structural unit of an organism from which living things are created Cellular Functions - correct answer Processes that include growth, metabolism, replication, protein synthesis, and movement Body Cavities - correct answer spaces within the body that contain and protect internal organs Organ Sy...

What is the name of the structure that prevents food from entering the airway? - correct answer Epiglottis Which substance makes up the pads that provide support between the vertebrae? - correct answer Cartilage The two criteria for classifying epithelial tissue are cell layers and ______ - correct answer Cell shape Where is the parathyroid gland located? - correct answer Neck How many organ systems are in the human body? - correct answer 11 Which element within the respiratory sy...

Which of the following antihypertensive medications would you avoid prescribing for an elderly white female with the comorbid diagnosis of osteoporosis? a. Beta blockers b. Calcium channel blockers c. Ace inhibitors d. Diuretics - correct answer Calcium channel blockers Which of the following class of drugs is preferred treatment for a diabetic with stage II hypertension? a. Calcium channel blockers b. Alpha blockers c. Angiotensin converting enzyme inhibitor d. Loop diuretics...

The most cost-effective screening test for determining HIV status is which of the following? Western blot Enzyme-linked immunosorbent assay Venereal Disease Research Laboratory test Viral load - correct answer Enzyme-linked immunosorbent assay Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? Erythrocyte sedimentation rate White blood cell count Polymorphonuclear cells C-reactive protein (CRP) - correct an...

When examining a patient's mouth, the nurse notes white curd-like lesions surrounded by erythematous mucosa. Which condition does the nurse suspect? a) Cheilitis b) Glossitis c) Candidiasis d) Leukoplakia - correct answer c) Candidiasis Candidiasis manifests as white curd-like lesions that are surrounded by erythematous lesions in the mouth. Cheilitis is inflammation of the lips with fissuring, scaling, and crusting. Glossitis manifests as a reddened, ulcerated, swollen tongue. Leukopl...

When examining a patient's mouth, the nurse notes white curd-like lesions surrounded by erythematous mucosa. Which condition does the nurse suspect? a) Cheilitis b) Glossitis c) Candidiasis d) Leukoplakia - correct answer c) Candidiasis Candidiasis manifests as white curd-like lesions that are surrounded by erythematous lesions in the mouth. Cheilitis is inflammation of the lips with fissuring, scaling, and crusting. Glossitis manifests as a reddened, ulcerated, swollen tongue. Leukopl...