Drug coverage Study guides, Class notes & Summaries
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PTCB Pharmacy Billing and Reimbursement Practice Questions and Answers Latest 2023-2024
- Exam (elaborations) • 11 pages • 2023
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PTCB Pharmacy Billing and Reimbursement Practice Questions and Answers Latest . The cost of the coverage of an insurance policy is known as which of the following? 
A. Deductible 
B. Co-payment 
C. Coinsurance 
D. Premium 
5. Which of the following is another name for the cardholder of the insurance policy? 
A. Subscriber 
B. Dependent 
Pharmacy Billing and Reimbursement 
PTCB Practice Test Questions and 
Answers Latest Rated A+ 
C. Patient 
D. Third party 
6. When a patient picks up a prescrip...
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Ahip 2024 module 3 Practice Questions and Answers 100% Pass
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Ahip 2024 module 3 Practice 
Questions and Answers 100% Pass 
Which of the following statements about Medicare Part D are correct? - Correct Answer ️️ 
-I, II, and III only 
-I. Part D plans must enroll any eligible beneficiary who applies regardless of health 
status except in limited circumstances. 
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but 
may choose to have one. 
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only...
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AHIP Module 3 Test Score 100 - Medicare Part D Prescription Drug Coverage All Correct Test Answers
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Mr. Shapiro gets by on a very small amount of fixed income. He has heard there may be 
extra help paying for Part D prescription drugs for Medicare beneficiaries with limited 
income. He wants to know whether he might qualify. What should you tell him? 
Question 1Select one: 
a. 
The extra help is available to beneficiaries whose income and assets do not exceed 
annual limits specified by the government.
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AHIP Final Exam Test Questions and Answers (2022/2023) (Verified Answers)
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Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease 
(ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under 
Medicare. What should you tell him?correct answersHe may sign-up for Medicare at 
any time however coverage usually begins on the fourth month after dialysis treatments 
start. 
Juan Perez, who is turning age 65 next month, intends to work for several more years at 
Smallcap, Incorporated. Smallcap has a workforce of15 emplo...
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UHC certification Exam Questions & Answers 2023/2024
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UHC certification Exam Questions & Answers 2023/2024 
 
Medicare - ANSWER-Federal health insurance program 
 
Medicare is administered by whom? - ANSWER-CMS ( Centers for medicare and medicaid services) 
 
Parts A & B of medicare are - ANSWER-federal health insurance program referred to as original medicare 
 
Part A? - ANSWER-Hospital insurance 
 
Part B? - ANSWER-Medical insurance 
 
What doesnt medicare cover? - ANSWER-routine dental, eye care hearing exam,deductibles, coinsurance and copayme...
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CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 with Complete Solutions
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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...
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Fundamentals ATI Content Mastery Series Questions - Exam 1 (Answered) Verified 100% Correct!!
- Exam (elaborations) • 35 pages • 2023
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Fundamentals ATI Content Mastery Series Questions - Exam 1 (Answered) Verified 100% Correct!! 
 
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? 
 
A. Monitoring evidence-based practice for clients who have a specific diagnosis 
B. Ensuring that health care providers comply with regulations 
C. Setting quality standards for accreditation of health care faciliti...
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Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest 2023-2024 Rated A+
- Exam (elaborations) • 11 pages • 2023
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Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest Rated A+. Which government insurance plans offers 4 different parts or areas of different 
coverage? 
A. MedicareB. Medicaid 
C. TRICARE 
D. CHAMPVA 
2. DAW/DNS stand for which of the following? 
A. Dispense as written 
B. Distribute and work 
C. Distribution and working 
D. Dispense as well 
3. Which of the following third party plans requires the patient to designate a primary care 
physician (PCP)? 
A. Health ...
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SOLUTIONS PROVIDED FOR 2023 United Healthcare Medicare coverage (UHC) CERTIFICATIONS EXAM-REAL EXAM WITH SOLUTIONS 100% GUARANTEED.
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Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? 
Correct Answer: Her enrollment in Medicare Parts A and B is generally automatic if she 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? 
Correct Answer: When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not auto...
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Test Bank for Pharmacotherapeutics for Advanced Practice Nurse Prescribers Fifth Edition by Teri Moser Woo & Marylou V. Robinson ISBN 9780803669260 Chapter 1-55 | Complete Guide A+
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Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo & Robinson Test Bank UNIT I. THE FOUNDATION Chapter 1. The Role of the Nurse Practitioner as Prescriber Chapter 2. Review of the Basic Principles of Pharmacology Chapter 3. Rational Drug Selection Chapter 4. Legal and Professional Issues in Prescribing Chapter 5. Adverse Drug Reactions Chapter 6. An Introduction to Pharmacogenetics Chapter 7. Nutrition and Neutraceuticals Chapter 8. Herbal Therapies and Cannabis Chapter...
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