Medicare cost plan Study guides, Class notes & Summaries

the drive for regulating health stems from controlling: correct answers quality, access, cost; they always have a trade off what was the first form of health insurance? correct answers Baylor Hospitals developed a plan for unlimited access by school teachers in return for prepayment in the form of a set monthly sum blue cross insurance correct answers first nonprofit insurance company that covered inpatient expenses; formed in 1939 the impact of WWII on health insurance? correct answers...

Edward IP suffered from serious kidney disease. As a result. Edward became eligible for Medicare coverage due to end-stage renal disease (ESRD). A close relative donated their kidney and Edward successfully underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if his Medicare coverage will continue, what should you say? - ANSWER Individuals eligible for Medicare based on ESRD generally lose eligibility 36 months after the month in which the individual receives a kidney tr...

Barbara's policy includes a rider which allows her to purchase additional insurance at specific dates or events without evidence of insurability. This rider is called a(n) Answers>>Guaranteed insurability rider A guaranteed insurability rider allows for the insured to purchase additional insurance at specific dates or events without evidence of insurability. Disability Income plans which require that the insurer can NEVER change or alter premium rates are usually considered Answers&...

AHIP - Final Examination (Latest Update 2022) 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? - 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 website, fill it out, and submit it to his ...

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 Can...

1. 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? -He can only sign up for Medicare Parts A and/or B at his local Social Security office. -He can sign up for Medicare Parts A and/or B with any licensed insurance agent. -His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements -He must enroll in Medicare Parts A and B through his current...

NSG 526 Exam 1 Question and answers 100% correct NSG 526: Exam 1 DSM-5 TR: How is it utilized? - correct answer Utilized in diagnostic assessment process only, DSM-5 TR: What does it not suggest? - correct answer Treatment strategy. Accurate Documentation: Why is it significant? - correct answer Significant for legal protection, regulatory standards compliance, reimbursement, liability reduction, consistency in therapeutic intervention, and assistance with utilization review. Jo...

Final Exam: NURS 6540/ NURS6540 Test Bank | Advanced Practice Care of Frail Elders| More than 200 Questions and Answers with Rationales | Complete Guide| Verified 2023/2024 1. Mrs. Keating is a 70-year-old woman suffering from arthritis. She is seeing the nurse practitioner for her regular checkup. For a person with chronic degenerative conditions, which of the following should the nurse suggest for health promotion? 1. Take herbal supplements. 2. Increase physical activity. 3. Take ...

A medical expense policy that establishes the amount of benefit paid based upon the prevailing charges which fall within the standard range of fees normally charged for a specific procedure by a doctor of similar training and experience in that geographic area is known as Usual, customary and reasonable What provision would prevent an insurance company from paying a reimbursement claim to someone other than the policyowner? Payment of Claims All of the following are true about gr...

PTCB Pharmacy Billing and Reimbursement Practice Test Questions and Answers Latest Rated 100%. 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 maintenance organization (HMO) B. Preferred provider organization (PPO) C. Medicare Part D D. TRICARE 4. The cost of the coverage of an i...