What does lep stand for - Study guides, Class notes & Summaries

UHC Medicare Basics Test A consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage - ANSWER-the consumer will be automatically disenrolled from the standalone PDP upon in Roman in the MA plan that has integrated prescription drug coverage aside from a standalone Medicare prescription drug plan how else could a Medicare eligible consumer get Part ...

UHC Certification ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ How does the Medicare Advantage Out-of-Pocket (OOP) maximum work? - CORRECT ANSWER The OOP maximum is a feature that limits the amount of money a consumer will have to spend on Medicare-covered health care services each year. A consumer currently has Original Medicare and is enrolled in a stand-alone Prescription Drug Plan (PDP). What will happen if the consumer enrolls in...

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

CPCO prep Questions with Correct Answers Does Medicare pay for all tests ordered by Providers? - Correct Answer No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Correct Answer Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - Correct Answer To receive a denial so a claim can be submitted t...

UHC Certifications 2023/2024 Exam| Actual Questions and Verified Answers| Graded A Q: What are two options for Medicare consumers to get Part D prescription drug coverage (assuming they meet all eligibility requirements)? (Select 2) Answer: Enroll in a stand-alone Medicare Prescription Drug Plan (PDP) Enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage Q: Which of the following statements does NOT correctly define prescrip...

A list of medications covered within the benefit plan, based on CMS guidelines and developed in collaboration with physicians and pharmacists. -Correct Answer Formulary is defined as: Underwriting is required if the consumer is not in their Medicare Supplement Open Enrollment period or does not meet Guaranteed Issue criteria. -Correct Answer Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies? True -Correct Answer Th...

Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? - ANSWER His enrollment in Medicare Parts A and B is generally automatic if he 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? - ANSWER When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not autom...

CPCO PREP EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+/ VERIFIED Does Medicare pay for all tests ordered by Providers? - -No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - -Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - -To receive a denial so a claim can be submitted to a secondary p...

Does Medicare pay for all tests ordered by Providers? - ANSWER-No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - ANSWER-Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - ANSWER-To receive a denial so a claim can be submitted to a secondary payer. Which component of the OIG has a duty of o...

UHC Medicare Basics Test 2021/2022 Already Passed Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? Part A Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? The consumer must be in a valid MA election or disenrollment period. Being 65 or older, being under 65 years of age with certain disabilities for more than 24...