Enrollment - Study guides, Class notes & Summaries

AHIP 2025 Final Exam Questions and Answers (2024 / 2025) (Verified Answers).1. PPO, HMO, MSA, Cost Plan, PFFS ANS Types of Medicare Advantage Plans 2. Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles ANS Medicare-Medicaid plans 3. Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coin- surances and deuctibles. Different enr...

Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease(ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him?correct answersHe may sign- up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for several more years atSmallcap, Incorporated. Smallcap has a workforce of15 employees...

HCCA - CHC EXAM STUDY PACK 2024 –ACTUAL EXAM QUESTIONS WITH 100% VERIFIED SOLUTIONS-LATEST UPDATE /A+ GRADE True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) 1.Protect our programs 2. Protect your patients 3. ...

CAPSTONE B 2023/2024 PROCTORED A nurse on an inpatient unit is assisting with the discharge plan for a client who has schizophrenia. Which of the following resources should the nurse include in the plan? Contact information for enrollment in a 12-step program Contact information for a community mental health center A referral for respite care services A list of primary prevention activities - ANSWER ...

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...

Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False - Correct Answer True Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the investigation. d. All of the above - Co...

AHIP Final Exam Test Questions and Answers (2023/2024) GRADED A+ Answers Correct/Verified Mr., Moy’s, wife ,has ,a ,Medicare ,Advantage ,plan, ,but ,he ,wants ,to ,understand ,what coverage ,Medicare ,Supplemental ,Insurance ,provides ,since ,his ,health ,care ,needs ,are,different ,from ,his ,wife's ,needs. ,What ,could ,you ,tell ,Mr. ,Moy?correct ,answersMedicare,Supplemental ,Insurance ,would ,help ,cover ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,F...

AHIP 2024 final exam | Questions and Verified Answers | Mrs. Park | Latest Version Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park that might be of assistance? -----Correct Answer---- -She should contact her state Medicaid agency to see if she qualifies forprograms that can help with Medicare costs for which she is responsible. Madeline Martinez was widowed several years ago. Her husband worked for many years and contributed into the Medica...

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...

North Carolina Medicare Supplement and Long-Term Care Certification Exam || Questions & 100% Correct AnswersNorth Carolina Medicare Supplement and Long-Term Care Certification Exam || Questions & 100% Correct AnswersNorth Carolina Medicare Supplement and Long-Term Care Certification Exam || Questions & 100% Correct AnswersNorth Carolina Medicare Supplement and Long-Term Care Certification Exam || Questions & 100% Correct Answers An individual who is not eligible for premium-free Medicare Part...