Participating plan - Study guides, Class notes & Summaries

At the most basic level, the responsibility for preventing diving accidents belongs to: - Each individual diver An absolute contraindication to participation in underwater activity is: - Chronic Obstructive Pulmonary Disorders (COPD) A temporary contraindication to diving activity is one that: - Precludes someone from participating while the condition exists Which category of contraindication to diving activity recognizes that each individual person is unique, and that their respective ab...

AHIP CERTIFICATION 2024 EXAM QUESTIONS AND DETAILED ANSWERS| A+ GRADE Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? Correct Answer Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's web...

When you market Medicare Advantage and Part D plans, what may you offer as a gift to induce enrollment in a plan? You may provide gifts or prizes to all potential enrollees during an event that does not exceed $15 in retail value. By contacting plans available in your area, you have learned that the plan you represent has a significantly lower monthly premium than the others. Furthermore, you see that the plan you represent has a unique benefits package. What should you do to make sure yo...

Saunders Mental health Questions & Answers (2022) The nurse is creating a plan of care for a client in a crisis state. When developing the plan, the nurse should consider which factor? The home care nurse is visiting an older client whose spouse died 6 months ago. Which behaviors by the client indicates effective coping? Select all that apply. Neglecting personal grooming. Looking at old snapshots of family. Participating in a senior citizens program. Visiting the spouse's grave once a month De...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-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 - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Pre-Quiz On the national NP certification exam, you should expect to find specific questions on your state’s APRN practice act. False You plan to sit for the certification exam in a state where NPs have limited or no controlled substance prescribing authority. As a result, your certification exam will not contain questions about prescribing opioids. False Once an NP has achieved nationally recognized certification from a state and nationally recognized certification agency, this person ...

ATI RN LEADERSHIP EXAM 2019 -RETAKE GUIDE latest update 2023 / 2024 1. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted. b. Document the client’s refusal in the chart. c. Assess the client for urinary retention. ...

DPP1501 Assignment 2 (COMPLETE ANSWERS) 2024 (605540) - DUE 10 June 2024 ; 100% TRUSTED workings, explanations and solutions. for assistance Whats-App 0.6.7..1.7.1..1.7.3.9 ......................................... Question 1 THEME: INFUSE AFRICAN EPISTEMOLOGIES AND PHILOSOPHIES WITHIN THE PQM 1.1 Read the following scenario in order to answer the questions that follow. Various options are provided in the box below the scenario, to help you answer the questions. Please choose the relevant ans...

What is a study of real-world software security initiatives organized so companies can measure their initiatives and understand how to evolve them over time?, - CORRECT ANSWER Building Security In Maturity Model (BSIMM) What is the analysis of computer software that is performed without executing programs? - CORRECT ANSWER Static analysis Which International Organization for Standardization (ISO) standard is the benchmark for information security today? - CORRECT ANSWER ...

Dr. Elizabeth Brennan does not contract with the ABC 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? correct answersDr. Brennan can charge Mary Rogers no more than the cost sharing specified in the PFFS plan's terms and condition of payment which may include balance billing up to 15% of the Medicare rate. Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his area has an at...