What is medicare - Study guides, Class notes & Summaries
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UNITED HEALTHCARE (UHC) – ETHICS AND COMPLIANCE LATEST 2023-2024 EXAM| ACTUAL QUESTIONS AND VERIFIED ANSWERS |A+ GRADE
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UNITED HEALTHCARE (UHC) – ETHICS AND COMPLIANCE LATEST 2023-2024 EXAM| ACTUAL QUESTIONS AND VERIFIED ANSWERS |A+ GRADE 
 
Q: Agent Jacob learns that Emily, the consumer with whom he is meeting, is the authorized legal representative for her father. What must Jacob explain to Emily when completing an Enrollment Application for her father? 
 
 
Answer: 
Jacob must explain that Emily will sign the Enrollment Application and must be able to provide documentation upon request by the Plan that indic...
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NUR 243 Hondros Final Exam Answered Correctly – Expert Verified | Latest Version 2024/2025
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A clinical intratumor is reviewing the primary sources that patient has to pay for healthcare services with 
her clinical group. The students demonstrate understanding when making which statements? (SATA) - 
Medicare is funded by the federal government 
Medicare is for client who has end stage renal disease 
A new graduate nurse is working who has been out of school for 10 years. The seasoned nurse states "I 
don't see the difference between clinical reasoning and the nursing process". Which ...
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Maryland life and health insurance exam questions and answers already passed
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Maryland life and health insurance exam questions and answers already passed 
Which of the following regulates the quality of care provided by a health maintenance organization (HMO)? Secretary of the department of health and mental hygiene. 
A marketing system, which utilizes mass media advertising and mail, instead of a producer, is called an blank, blank marketing system. Direct response 
An insurer is life insurance premium rate must be the same for all individuals In the same risk class wit...
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2025 AHIP Final Exam Questions and Answers 100% Verified
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A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss 
her options under the Medicare Advantage program. Before engaging in such a discussion, what should 
you do? - Answer-You must have her sign a scope of appointment form, indicating which products she 
wishes to discuss. You may then proceed with the discussion. 
Agent Harriet Walker has recently begun marketing Medicare Advantage and related products aimed at 
meeting the needs of senior citi...
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Certified Revenue Cycle Representative CRCR Test | Questions with 100% Correct Answers | Verified | Latest Update 2024
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Which of the following statements are true of HFMA's Financial Communications Best Practices - The 
best practices were developed specifically to help patients understand the cost of services, their 
individual insurance benefits, and their responsibility for balances after insurance, if any. 
The patient experience includes all of the following except: - The average number of positive 
mentions received by the health system or practice and the public comments refuting unfriendly posts 
on soci...
Too much month left at the end of the money?
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 
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 
H...
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UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade
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UHC Certification 2023/2024 Exam| Actual Questions and Verified Answers| A Grade 
 
Q: A government program, offered only through a private insurance company or other private company approved by Medicare, that provides prescription drug coverage describes which of the following: 
 
 
Answer: 
Medicare Parts A and B 
 
 
 
Q: Which of the following statements is true about eligibility requirements for Medicare Prescription Drug Plans? 
 
 
Answer: 
A consumer must be entitled to Medicare Part A ...
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HFMA CRCR EXAM LATEST 2023-2024 EXAM 170+ QUESTIONS AND CORRECT ANSWERS(100% VERIFIED ANSWERS)
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HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(100% VERIFIED ANSWERS) 
HFMA CRCR EXAM LATEST EXAM 170+ QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS) 
 
IF outpatient diagnostic services are provided within three days of the admission of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what must happen to these charges - ANSWER- They must be billed separately to the part B Carrier what is a recurring or series registration? - ANSWER- One registr...
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LA Life, Health & Accident Insurance Series 103 Practice Exam Questions and Answers Already Passed
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LA Life, Health & Accident Insurance Series 103 Practice Exam Questions and Answers Already Passed 
Under which situation must insurable interest exist between the applicant and insured at the time of application? When a third-party applicant names themselves beneficiary. 
Which of the following is true about a decreasing term life policy? The face amount reaches zero at policy expiration. 
Which of the following occurs immediately after the application is submitted and the initial premium paid?...
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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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