Four parts of medicare - Study guides, Class notes & Summaries

Next Generation NCLEX Rn Exam 1. Which of the following clients is at a higher risk of developing oral health problems? a. A pregnant client b. A client with diabetes c. A client receiving chemotherapy d. Both b and c 2. Which nursing intervention is most appropriate to reduce environmental stimuli that may cause discomfort for a client? a. Loosen pressure dressings on wounds b. Use assistance to pull a client up in bed c. Check temperature of water used in a sponge bath ...

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 HDHP/SO plans - high-deductible health plans with a savings option; Private - Includ...

Chapter 1 Workbook [Hartmann Nursing Assistant Care the Basics (4th Edition)] Nursing Assistant in Long-Term Care Already Passed Another name for a long-term care facility is: A. Extended care facility B. Home health care facility C. Assisted living facility D. Adult day services facility A. Extended care facility Assisted living facilities are initially for: A. People who need 24-hour, intensive care B. People who need some help with daily care C. People who will die within six months D...

Hartman's CNA Final Review|Complete Questions with 100% Correct Answers .Graded A+ Another name for a long-term care facility is: A. Extended care facility B. Home health care facility C. Assisted living facility D. Adult day services facility A. Extended care facility Assisted living facilities are initially for: A. People who need 24-hour, intensive care B. People who need some help with daily care C. People who will die within six months D. People who need acute care B. People wh...

PUBH 6012 Exam 3 Questions with Correct Answers What is Medicare? - Answer-- Health insurance program for individuals over 65 years old and individuals with certain terminal illnesses - Enacted under Lyndon B. Johnson in 1965 in the social security act - Administered by the centers for medicare and medicaid services (federal agency) - Broken into four parts, Part A, B, C, & D Eligibility requirements for Medicare (Entitlement to Part A and eligibility to enroll in parts B, C, and D) -...

PUBH 6012 Exam 2 with All Correct Answers Pathways for Medicare eligibility - Answer-1) over 65 years and qualify for social security benefits, 2) qualify for social security disability income and have been collecting benefits for 24 months, 3) diagnosis of end-stage renal disease or Lou Gehrig's disease and receiving SSDI payments Medicare eligibility gets you... - Answer-Entitlement to part A and eligibility to enroll in parts B, C, and D How many enrolled in Medicare - Answer-60 mi...

PUBH 6012 Exam 3 Questions and Answers All Correct Medicare Eligibility - Answer-Over 65 years of age & qualify for social security benefits Disability Income for at least 24 months End stage renal disease or ALS AND receiving SSDI Must be US citizen or permanent legal resident Four Parts of Medicare - Answer-1. Part A: Hospitals/Inpatient Services 2. Part B: Physicians/Outpatient Services 3. Part C: Managed Care Plans 4. Part D: Prescription Drug Plans Medicare Part A Bene...

HCPCS Level 2 ch. 13 Latest Update Graded A+ **DMERC** A designated entity responsible for managing Medicare claims related to durable medical equipment (DME) within specific regions or states. **Parenteral** The administration of substances through routes other than the digestive tract, such as intravenous, intramuscular, or subcutaneous. **Not Otherwise Specified (NOS)** Indicates that specific details are unavailable from the physician's documentation. **Orthotic** Devic...

CSPR - Certified Specialist Payment Rep (HFMA) Exam 2024 With Correct Solutions 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 Conve...

UHC Medicare Basics Test 2021/2022 Already Passed 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. Being 65 or older, being under 65 years of age with certain disabilities for more than 24...