Four parts of medicare - Study guides, Class notes & Summaries

AHIP 2025 Exam Prep| Qs & As| 100% Correct| Grade A (Verified Answers) Q: At a minimum, an effective compliance program includes four core requirements. Answer: False Q: What are some of the consequences for non-compliance, fraudulent, or unethical behavior? Answer: All of the above Q: Correcting non-compliance________. Answer: Protects enrollees, avoids recurrence of same non-compliance, and promotes efficiency Q: What is the policy of non-retaliation...

Certified Specialist Payment Rep (CSPR) HFMA 2024/25 Review-Steps used to control costs of managed care include: - Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - HMO Conventional PPO and POS HDHP/SO plans - high...

Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? She would be disenrolled automatically from her MAPD Plan. What is Medicare Part D? A voluntary program, offered by private insurance companies that are contracted with the federal government, that provides prescription drug coverage for an additional monthly plan premium 00:24 01:42 Which of the following statements is true about eligibility requirements for stand-alone M...

PCT NHA EXAM WITH 100% CORRECT ANSWERS 2024. A patient care tech is caring for a patient who has died which of the following actions should the tech take Secure any of the patients valuables, including rings, watches, or money for delivery to the patient's family Which of the following actions should a patient care technician take when discharging a patient Escort the patient using a wheelchair A patient care tech is in the cafeteria during lunch and she's a visitor that appears to be c...

CCM EXAM PREP - ALL TOPICS WITH COMPLETE SOLUTIONS 100% 2023/2024 Case management a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet the client's health and human services needs. Case Management Characteristics characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Glagow Coma Scale Client assessment tool that measures ...

Another name for a long-term care facility is: A. Extended care facility B. Home health care facility C. Assisted living facility D. Adult day services facility - Answer-A. Extended care facility Assisted living facilities are initially for: A. People who need 24-hour, intensive care B. People who need some help with daily care C. People who will die within six months D. People who need acute care - Answer-B. People who need some help with daily care Which of the following statements i...

CISR LIFE & HEALTH Exam 52 Questions with Answer The first step in understanding the elements of a life insurance contract is being able to: A) describe the personal and specific reasons people purchase life insurance B) describe the different parties to a life insurance contract and their relationship - CORRECT ANSWER B) describe the different parties to a life insurance contract and their relationship A policy owner has the power to: A) Name one or more beneficiaries B) Change th...

Hartman's CNA Final Review (for final exam) Questions & Answers Rated 100% Correct Another name for a long-term care facility is: A. Extended care facility B. Home health care facility C. Assisted living facility D. Adult day services facility - Correct Answer-A. Extended care facility Assisted living facilities are initially for: A. People who need 24-hour, intensive care B. People who need some help with daily care C. People who will die within six months D. People who need acute c...

Another name for a long-term care facility is: A. Extended care facility B. Home health care facility C. Assisted living facility D. Adult day services facility - Answer-A. Extended care facility Assisted living facilities are initially for: A. People who need 24-hour, intensive care B. People who need some help with daily care C. People who will die within six months D. People who need acute care - Answer-B. People who need some help with daily care Which of the following statements i...

HCPCS Level II Coding Questions and Answers 100% Pass **What coding system is utilized to document services, medical equipment, and supplies not detailed in the CPT manual?** HCPCS Level II **Which section of the HCPCS Level II codebook provides a quick reference to drug names and their corresponding codes?** Table of Drugs and Biologicals **Which branch of medicine focuses on developing artificial body parts?** Prosthetics **Which HCPCS Level II modifiers indicate procedur...