The medicare program - Study guides, Class notes & Summaries

Test Bank for Primary Care: Interprofessional Collaborative Practice 6th Edition by Buttaro. All Chapters 1- 228 Questions And Answers in 260 Pages. All Answers Are Correct. Primary Care : A Collaborative Practice, 6th Edition Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne Sandberg-Cook Chapter 1: The Evolving Landscape of Collaborative Practice Test Bank Multiple Choice 1. Which assessments of care providers are performed as part of the Value Based Purchasing initiative? Select a...

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...

AHIP Practice Exam Updated Questions and Answers (2024 / 2025) (Verified Answers). 1. 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 ANS Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription...

1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designatedas a Level 1 ACO. What is part of this designation? a. Bonuses based on achievement of benchmarks b. Care coordination for chronic diseases c. Standards for minimum cash reserves d. Strict requirements for financial reporting ANS: A A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings bonuses based on achievement of benchmarks for quality measures and ...

North Carolina Medicare Supplement and Long-Term Care Certification Exam || Questions & 100% Correct Answers North Carolina Medicare Supplement and Long-Term Care Certification Exam || Questions & 100% Correct Answers An individual who is not eligible for premium-free Medicare Part A coverage may apply for coverage during which of the following enrollment periods? A. All of the above B. Initial enrollment period C. General enrollment period D. Special enrollment period - ANSWER - A. Al...

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...

UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade Q: A government program, offered only through a private insurance company or other private company approved by Medicare, that provides prescription drug coverage describes which of the following: Answer: Medicare Parts A and B Q: Which of the following statements is true about eligibility requirements for Medicare Prescription Drug Plans? Answer: A consumer must be entitled to Medicare Part A ...

True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - Answer True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer 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...

Midterm Exam: NRNP 6675/ NRNP6675 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Midterm Exam | More than 200 Questions and Verified Answers| 2023/ 2024 Newly Updated QUESTION Which of the following are keys to distinguishing OCD from psychosis?- Answer: Patients with OCD can almost always acknowledge the unreasonable nature of their symptoms QUESTION A federal program administered nationally and locally which covers enrolled individuals 65+ who pays ...

Naham Exam Latest Update with Verified Solutions AIDET acknowledge, introduce, duration, explanation, thank you Press Ganey provides patient service satisfaction surveys, used for both public relations & performance improvement KPI Key Performance Indicator KPI Example Preregistration percentage, wait times, accuracy rate, pos collections, productivity HEAT Hear them out, empathize with the customer, apologize, take responsibility for actions PPE personal protective equip...