A medicare beneficiary - Study guides, Class notes & Summaries

How should Humana agents respond to Medicare beneficiaries who want to know their new Medicare ID number? - Advise the beneficiary that any questions regarding their new Meidcare ID number must be directed to Medicare. Under which circumstances is it acceptable for an agent to complete an Agent Online Application (AOA) application on behalf of their client? - It is never acceptable under any circumstance for an agent to complete the AOA Application on behalf of their client, even if they re...

1-day payment window rule - Answer a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule - Answer a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided ...

Xcel solutions final exam Maryland Life and health questions and answers 100% pass What is normally the consequence for NOT obtaining preadmission certification prior to receiving inpatient medical care? A reduction in benefits A group-owned insurance company that is formed to assume and spread the liability risks of its members is known as a Risk retention group During the application process, a statement made by an applicant that becomes part of the contract is considered to be a(n) Warrant...

Florida 2-15 Insurance License Exam-Actual Exam Questions and Answers, 100% Verified-Updated 2023/2024 Florida 2-15 Insurance License Exam-Actual Exam Questions and Answers, 100% Verified-Updated 2023/2024 Accumulation units are converted into annuity units: at the time of annuity payout. A group life insurance plan in which the employer pays the entire premium is known as a ________________ plan. noncontributory If a disabled worker covered under Social Security disability benefits ...

A signed Medicare enrollment application must reach us within two (2) calendar days of when you receive it from the beneficiary. - True Aetna Medicare enrollment options include mail, e-mail, over the phone, or through the online Ascend Virtual Sales Office app. - True Annual Election Period is from: - October 15 - December 7 Any voluntary disenrollment occurring within three (3) months of the membership effective date is considered a rapid disenrollment and will result in a chargeback of ...

Life, accident and health insurance state exam- OH Already Passed A person who is a nonsmoker, of average weight and in excellent health would most likely be in which risk classification? preferred Preferred risk policies with reduced premiums are issued by insurance companies bc the insured has better than average mortality The waiver of premium does NOT include which provision? Al future premiums are waived if the insured recovers from the disability An advertisement for an insurance produ...

CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED What are collection agency fees based on? - CORRECT ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - CORRECT ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - CORRECT ANSWER-Case rates What customer service improvements might improve the patie...

What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday 00:13 01:24 In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates What customer service improvements might improve the patient accounts department? Holding staff accountable for customer service d...

Which of the following laws requires an insurer to notify an applicant in writing that an investigative consumer report may be made on the applicant? -Uniform Provisions Law. -Freedom of Information Act. -Medical Information Bureau Disclosure Act -Fair Credit Reporting Act (Insurance Information and Privacy Protection Act) Correct Answer: Fair Credit Reporting Act (Insurance Information and Privacy Protection Act) Group health insurance specifies that what percentage of eligible individu...

AHIP 2024 Exam 3 | A++ Exam with All New Qs & As - Guaranteed Pass! 1. Mr.Wells is trying to understand the difference between Original Medicareand Medicare Advantage. What would be the correct description? Answer: Medicare Advantage is a way of covering all the Original Medicare benefits through private health insurance companies. 2. Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through...