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UNIT 1 Medicare Basics Question 1 Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently reviewed her Medicare Summary Notice (MSN) and disagrees with a determination that partially denied one of her claims for services. What advice would you give her? a. Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she received the MSN in the mail. b.Mrs. Duarte has no right to appeal this determination since her claim has been parti...

Grade 9 out of a maximum of 10 (90%) Feedback You have completed this Knowledge Check. To proceed, please return to the training dashboard and select the next availa Question1 Marks: 1 Dr. Elizabeth Brennan does not contract with the 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? Choose one answer. a. Dr. Brennan can charge Mary no more than the cost sharing specified in the PFFS plan’...

Question1 Marks: 1 Mrs. Roberts has Original Medicare and would like to enroll in a Private Feefor-Service (PFFS) plan. All types of PFFS plans are available in her area. Which options could Mrs. Roberts consider before selecting a PFFS plan? Choose one answer. Question2 Marks: 1 Mr. Wong is a single individual. He has had a successful business career and is now able to retire with a comfortable income. Mr. Wong's taxable income is in excess of $100,000. Mr. Wong has health coverage t...

Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What could you tell him? Choose one answer. a. Part D, which covers prescription drug services, is covered under Original Medicare. Incorrect b. Part A, which covers hospital, skilled nursing facility, hospice, and home health services and Part B, which covers professional services such as those provided by a doctor are covered under Original Medicare. Correct Co...

Mrs. 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 United States. What should you tell her? Choose one answer. 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 premiu...

Mr. Ziegler is turning 65 next month and has asked you what he can do, and when he must do it, with respect to enrolling in Part D. What could you tell him? Correct Answer: He is currently in the Part D Initial Enrollment Period (IEP) and, during this time, he may make one Part D enrollment choice, including enrollment in a stand-alone Part D plan or an MA-PD plan. Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D lowincome subsidy. How does that affect his abilit...

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? Correct Answer: c. They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs. Correct Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be a c...

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? Correct Answer: b. 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 g...

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? {{Correct Ans- 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 corre...

Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is compliant for which type of products? >>>c. Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct Another agent working for your agency claims that because you are not employed by the Medicare Advantage plans that you represent, you are not subject to the same requirements as the plans themselves. How should y...

Types of Medicare Advantage Plans - PPO, HMO, MSA, Cost Plan, PFFS Medicare-Medicaid plans - Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles Medicare Cost Plan - Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coinsurances and deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx coverage if a...

Where does TSA have regulatory influences and authority within the terminal? Ans 1. Checkpoint operations 2. Airport police response to checkpoints and incidents 3. Unattended bags 4. Unattended vehicles What did the Air Commerce Act (1926) prohibit? Ans Using federal funds to build or improve airports. Works Progress Administration (WPA) Ans Provided 50% of needed funding. Built over 800 new airports. Air Commerce Act of 1926 created what? Ans Aeronautics Branch (soon known as the Civi...

The AAAE Certified Member Modules are materials airport managers can use as... - Airport regulation - Airport case Law - Final authoritative documents - A daily reference and field guide Ans A daily reference and field guide Which statement is False? - Each Airport has its own unique geography - it is impossible to accurately capture how each public-use airport in the US operates at all levels of its position - When you've seen one airport, you've seen one airport - Each airport has ...

Air Commerce Act of 1926 Ans Created a new Aeronautics Branch known as the CAA (the precursor of the FAA) Function of the Civil Aeronautics Board (CAB) Ans Make safety rules and economic regulation of the airlines Deregulation of the airlines created this airline design Ans Hub and spoke system What act created the FAA? Ans Federal Aviation Act (FAA) What act created the TSA? Ans Transportation Safety Act (TSA) Airport and Airway Development Act of 1970 Ans Created gov't subsidies progra...

What are the two major categories of pavement? Flexible and rigid What are some types of flexible pavement? Grass, dirt, gravel and asphalt Why are paved surfaces necessary at airports? To support the critical loads imposed on them; to produce a smooth, skid-resistant and safe-riding surface What is the benefit of using a rigid pavement such as Portland Cement Concrete? It is about half the lifetime cost of asphalt, with a service life of 30+ years versus 5-15 years for asphalt. Concre...

Development of Sensorimotor Integration - answerPrenatal Period Neonatal Period First 6mo 6-12mo 13-24mo 2-3yrs 3-7yrs Prenatal Period - answerResponds first to tactile stimuli Reflex Development Innate tactile, proprioceptive, and vestibular input reactions Neonatal Period - answerTactile, proprioceptive, and vestibular inputs are critical from birth onward for the eventual development of body scheme. Vestibular system, although fully developed at birth, continues to be refined and ...

What are the components of a safety operation and how does SMS fit in? Ans Risk identification Set of standards Reporting system Investigation and resolution Safety Management System What is Part 139 and which airports does it apply to? Ans Part 139 is essentially the strictest safety code It applies to Classes I - IV airports What are the 4 classes of commercial service airports? Ans Class I - Scheduled large and small and Unscheduled large Class II - Scheduled small and unscheduled l...

NPIAS - Correct answer-Federal plan for airports, addresses development and planning on projects eligible for AIP. State Aviation System Plans - Correct answer-more detailed on how airports within a state can meet states needs Metropolitan or Regional System Plans - Correct answer-more specific indexable and consider capacity, intermodal access and local travelers Airport Areas - Correct answer-Airside, Landside Landside - Correct answer-intermodal access,parking, rental cars ticketing, b...

US Government hires private contractors to carry mail by air. Represents the start of aviation. Ans Air Mail Act of 1925 (Kelly Act) The Civil Aeronautics Board (CAB) was charged with these three things: Ans "1) Making Safety rules 2) Conducting aircraft investigations 3) economic regulation of airlines" This Act split the CAA into two agencies, the CAA and the CAB. Ans Reorganization Act of 1940 What phased out CAB economic regulation of airlines? Ans "Airline Deregulation Act of 19...

Which objective is associated with creating urgency in Kotter's eight-step model? 1 To create short-term targets 2 To honor the people who helped complete a task 3 To create a culture with continuous improvement Correct4 To generate open dialogue about external and internal realities - The attribute of creating urgency is associated with generating open dialogue about external and internal realities. Short-term targets are created for creating short-term wins. Honoring the people who...