Eligibility for medicare - Study guides, Class notes & Summaries

PACS Question Bank And Answers (Verified And Updated) _______ processes are layers of testing that must be done before others. - answerstep What is documented in the patient medical records? - answer• Laboratory and other studies are ordered as appropriate • Working diagnoses that are consistent with findings • Treatment plans that are consistent with diagnosis True or False: Biologics can be tiered to a lower tier that also contains other biologic products. - answerTrue What staf...

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...

WebCE: Long-Term Care: Programs, Policies, and Partnerships 100% Pass What is the Primary Goal of Long Term Care To maintain functionality Which of the following most precisely defines the fundamentals of self-care and the basic tasks of life? Activities of daily living Long Term Care occurs only in nursing facilities. False On what basis are benefits payable under a long term care insurance policy typically triggered? the inability to perform defined ADLs A long-term care ombudsman represen...

Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? Part A Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? The consumer must be in a valid MA election or disenrollment period. 00:46 01:08 Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and bein...

NP Role Final Exam 159 Questions with Verified Answers In which specialty are most nurse practitioners educated? Peds Primary care Family Adult gerontology - CORRECT ANSWER primary care Which factor represents a potential barrier to Nurse Practitioner's practice in a primary care setting? Cost effectiveness Professional growth Aging baby boomers Collaboration agreements - CORRECT ANSWER Collaboration agreements Distinguish among the advanced practice registered nursing (APRN...

The three types of Special Needs Plans are: - Dual, Chronic Condition and Institutional/InstitutionalEquivalent. When does the Special Election Period for Dual/LIS Change in Status begin for DSNP members that lose Medicaid eligibility? - The month after they are notified by the plan of the loss of Medicaid eligibility A DSNP might be in the best interest of which of these consumers? - Joe, whose low income qualifies him for full Medicaid coverage Which program is available to support the un...

2023 Medicare Basics Test Questions with Correct Answers In which two parts of Medicare is enrollment generally automatic for eligible consumers who are receiving social security benefits, unless they choose to delay their coverage? - Correct Answer Parts A and B Which statement is true about a member of a Medicare Advantage 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 automati...

The value proposition for the AARP brand is seen in what kinds of benefits for the members? (Select 3) Quality of products offered. Efforts to improve the lives of members. Security and reputation of the AARP name. Which of the following must you ensure a consumer who is making a plan change understands? (Select 2) I must make sure the consumer understands the benefits, costs, and limitations of the new plan I must make sure the consumer understands what they are giving up by...

Broad view of Employee Benefits - Answer- This view sees employee benefits as virtually any form of compensation other than direct wages. Components of the Broad view of Employee Benefits - Answer- 1. Employer's share of legally required payments (Social Security and Medicare, unemployment insurance, and worker's compensation benefits) 2. Payments for time not worked (e.g. paid rest periods, paid sick leave, paid vacations, holidays, parental leave, etc). 3. Employer's share of medical ...

AHIP 2025 Updated Final Exam | Qs & As| 100% Correct| Grade A (Verified Answers) Q: Mrs. Velasquez cares for her frail elderly mother, Maria, who lives in North Carolina. She is worried that without additional support, her mother will need to go into a nursing home. Mrs. Velasquez asks you if there is any Medicare plan that might allow her mother to remain in the community rather than going into a nursing home. How should you advise Mrs. Velasquez? Answer: There are Programs of All-Incl...