AHIP 2024 Study guides, Class notes & Summaries

QUESTIONS AND ANSWERS

AHIP Module Questions & Answers Mr. Buck has several family members who died from different cancers. He wants to know if Medicare covers cancer screening. What should you tell him? (1) - answer-Medicare covers the periodic performance of a range of screening tests that are meant to provide early detection of disease. Mr. Buck will need to check specific tests before obtaining them to see if they will be covered. Mr. Bauer is 49 years old, but eighteen months ago he was declared disabl...

private health plan - answer-individuals must receive their Medicare part d through a _____ even if they get their coverage through original Medicare fee for service program - answer-Medicare began as a _____ under which beneficiaries could receive their health care from any Medicare provider and have the provider paid directly by the government managed care plans, network providers - answer-Medicare evolved to give beneficiaries the option to receive their benefits throu...

Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park that might be of assistance? - answer-She should contact her state Medicaid agency to see if she qualifies for one of several programs that can help with Medicare costs for which she is responsible. Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What could you tell him? - answer-Part A, which covers hospita...

You are performing a regular inventory of the controlled substances in the pharmacy. You discover a minor inventory discrepancy. What should you do? - answer-Follow your pharmacy's procedures. Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As part of this job, you use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnos...

Waste includes any misuse of resources, such as the overuse of services or other practices that directly or indirectly result in unnecessary costs to the Medicare Program. - answer-True Once a corrective action plan is started, the corrective action plan must be monitored annually to ensure they are effective. - answer-False These are examples of issues that should be reported to a Compliance Department: suspected fraud, waste, and abuse (FWA); potential health privacy violat...

2024 AHIP Exam Questions & Answers

AHIP Final Exam Test Questions & Answers

AHIP 2024 FINAL EXAM Questions & Answers

Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park that might be of assistance? - 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 Medicare system. He also left a substantial estate which provides Madeline with an annual income of app...

Edward IP suffered from serious kidney disease. As a result. Edward became eligible for Medicare coverage due to end-stage renal disease (ESRD). A close relative donated their kidney and Edward successfully underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if his Medicare coverage will continue, what should you say? - ANSWERS Individuals eligible for Medicare based on ESRD generally lose eligibility 36 months after the month in which the individual receives ...