In the cms star - Study guides, Class notes & Summaries

UHC Certification 2024 Exam Questions and Answers 100% Pass Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 30 June 1 through July 31 - Answer- Not July 1 - Dec 30 - WRONG April 1 through October 31 - CORRECT Annual Election Period (AEP) is a...

Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 30 June 1 through July 31 Correct Answer Not July 1 - Dec 30 - WRONG April 1 through October 31 - CORRECT Annual Election Period (AEP) is a time when. . . Consumers can only disenroll from thei...

UHC Certification 2024 Exam Questions With Verified Answers. Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on July 1. Using her Initial Election Period (IEP), when can she submit an application for a Medicare Advantage or Prescription Drug plan? March 1 through July 31 April 1 through October 31 July 1 through December 30 June 1 through July 31 - answerNot July 1 - Dec 30 - WRONG April 1 through October 31 - CORRECT Annual Election Period (AEP) is a ...

PREDICTIVE MODELING - is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic - Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors - * Known/Expected clinical...

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? Correct Answer: Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan through a private company that has contracted with the ...

UHC ethics and compliance section for certification ACTUAL EXAM 174 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ What is a servicing agent? - ANSWER- an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass medicare basics and ethics ...

UCH Ethnic test 100% Solved 2024 In which situation may the Medicare Advantage (MA) organization decide to disenroll a member from an MA plan? - Answer- The member calls CMS at 1-800-MEDICARE (Wrong) On October 20, Aries decides to switch his PDP to a Medicare Advantage plan. Aries would like this change to be effective November 1. Which statement is true for Aries? - Answer- He may be able to use a Special Election Period to change plans if he qualifies for one. Janine, currently enroll...

AHIP Practice Exam Questions and Answers 100% Pass 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? - Correct Answer ️️ -Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug pla...

UHC ethics and compliance section for certification ACTUAL EXAM 174 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ What is a servicing agent? - ANSWER- an inactive, nonemployee who has signed a servicing agreement in order to receive renewal commisions on medicare advantage and prescription drug plan enrollments on or after 1-1-2014. the agent must maintain an active resident license and appointment and pass medicare basics and ethics ...

United HealthCare Insurance Questions and Answers Rated A+ When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? The consumer/member would not receive plan related correspondence intended for him/her By agreeing to the Statement of Understanding, the consumer: Acknowledges that they clearly understand they are enrolling in a plan, combined with knowing the specific plan in...