AHIP FWA 2024 REAL EXAM WITH 150 QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) 2024 AHIP FRAUD, WASTE AND ABUSE EXAM BRAND NEW!!
AHIP FWA 2024 REAL EXAM WITH 150 QUESTIONS AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS) 2024 AHIP FRAUD, WASTE AND ABUSE EXAM BRAND NEW!!
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is
being successfully treated for that condition. However, she and her physicians feel
that after her lengthy hospital stay she will need a month or two of nursing and
rehabilitative care. What should you tell them about Original Medicare's coverage
of care in a skilled nursing facility? - ANSWER-Medicare will cover Mrs. Shield's
skilled nursing services provided during the first 20 days of her stay, after which
she would have a copay until she has been in the facility for 100 days.
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently
reviewed her Medicare Summary Notice (MSN) and disagrees with a
determination that partially denied one of her claims for services. What advice
would you give her? - ANSWER-Mrs. Duarte should file an appeal of this initial
determination within 120 days of the date she received the MSN in the mail.
Mr. Rainey is experiencing paranoid delusions and his physician feels that he
should be hospitalized. What should you tell Mr. Rainey (or his representative)
about the length of an inpatient psychiatric hospital stay that Medicare will cover?
- ANSWER-Medicare will cover a total of 190 days of inpatient psychiatric care
during Mr. Rainey's entire lifetime.
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
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