Mr. Block is currently enrolled in a medicare advanced plan that includes drug coverage who found a standalone medicare prescription drug plan in this area that offers better coverage than the available through his MAPD plan and in addition has a low premium it won't cost him much more and because he has the means to do so he wishes to enroll in the standalone prescription drug plan in addition to the MAPD plan what should you tell him

Answers

Answer 1

Answer: If Mr. Block enrolls in the stand-alone Medicare Rx plan, Block will be dis-enrolled from the MA plan.

Explanation:

From the information given, Mr Block is currently enrolled in a MA plan which includes drug coverage.

Even if he eventually found a stand-alone Medicare Rx plan in his area which offers better coverage than what's available through his MA-PD plan, he should either stick to it because h can't run both at thesame time.

Therefore, if he enrolls in the stand-alone Medicare Rx plan, then he will have to be dis-enrolled from the MA plan.


Related Questions

Explain the HIPAA Transaction and Code sets standard rules.
Explain why it is important to know the differences between the code sets when submitting electronic claims.
Describe one factor, per HIPAA regulations, that you should consider when transmitting health insurance claims electronically.

Answers

Question:Explain the HIPAA Transaction and Code sets standard rules.

Answer:

The HIPAA transactions and code set standards are rules to standardize the electronic exchange of patient-identifiable, health-related information. They are based on electronic data interchange (EDI) standards, which allow the electronic exchange of information from computer to computer without human involvement.

Question: Explain why it is important to know the difference between the codes sets when submitting electronic claims.

Answer:It is important because the codes show what the patient is seen for and what the doctor does during the procedure or office visit. If the coder puts in the wrong code set, the patient could be misdiagnosed to their insurer or charged unfairly. Each visit, procedure, lab test, etc has their own code set to abide by.

Question: Describe one factor, per HIPAA regulations, that you should consider when transmitting health insurance claims electronically.

Answer: HIPPA policy has some strict rules on account of which the medical records of a patient are secured. When transmitting health insurance claims electronically, healthcare organizations should implement secure electronic access to health data and remain in compliance with privacy regulations set by HHS.

Hope it helps you!!

Dr. Winston Lewis’s patient, Annette Samuels, has come into the Inner City Health Care Clinic complaining of lower abdominal cramps and diarrhea. After discussion of her symptoms and a brief examination, Dr. Lewis’s clinical diagnosis is an intestinal parasite infection. She asks Gwen Carr, CMA (AAMA), to obtain a stool sample from the patient. The sample will be sent to an outside independent lab to see if the parasite or its eggs can be visualized. This is called an ova and parasite test or O&P. Gwen is sensitive to Ms. Samuels’s level of understanding as she gives her specific instructions on how to obtain the needed sample. She asks Ms. Samuels if she has questions and she has Annette repeat the instructions to be sure she understands them. When Ms. Samuels returns with the specimen, Gwen immediately labels it, and follows infection control protocol as she places it into a biohazard transport bag, then completes a lab requisition for the O&P test. Gwen reassures Ms. Samuels that the culture will take 24 to 48 hours, and responds honestly and diplomatically to Ms. Samuels’s needs, assuring her that the test results will accurately determine her best treatment. Gwen tells Ms. Samuels that she will contact her the next day when the initial report is received.
Answer the following questions:

Can the O&P be completed in the office? Why or why not?
Is there a specific time of day the O&P should be completed?
What are the directions you as the MA would give to Ms. Samuels?

Answers

Answer:

Hello good evening friend

6. Mr. Rodriguez has a cancerous tumor in his lower abdomen. The cancer does not involve any organs, Is encapsulated, and has not spread to other areas of the body. What treatment option will
Mr. Rodriguez's cancer specialist MOST LIKELY recommend?
A. a combination therapy of surgery followed by chemotherapy
B. chemotherapy
C. surgery
D. radiation

Answers

Answer:

A

Explanation:

for the chemo to lessen and divide the growth of the encapsulated tumor then follow with surgery to remove it?

Mr. Rodriguez's cancer specialist would most likely recommend a combination therapy of surgery followed by chemotherapy. That is option A.

Treatment of encapsulated cancerous tumors

A cancerous tumor is a the abnormal growth of cells that is capable of destroying the body tissues. The are called cancerous because they can spread from one area of the body to another.

An encapsulated cancerous tumors are are cancerous cells that are surrounded by a thin layer of tissue and that are confined to a specific area of the body as seen in the lower abdomen of Mr. Rodriguez.

The standard treatment regimen for encapsulated cancerous tumors is that it is removed by surgery and subsequent treatment with chemotherapy is used to kill the remaining cancerous cells

Therefore, Mr. Rodriguez's cancer specialist would most likely recommend a combination therapy of surgery followed by chemotherapy.

Learn more about cancer here:

https://brainly.com/question/984334

Wellness means living life fully by understanding the connections of mind, body, and spirit.
True or False

Answers

Answer:

true

Explanation:

problems pursue health, happiness, recovery, and a full and ... how we live our lives and the joy and fulfillment and ... Our roles and relationships help define who we are, what gives us a sense of ... A healthy body.

Answer:  True

Explanation:  

What role does the renal status of a patient play in their respiratory status? Explain

Answers

Answer:

Your kidneys remove wastes and extra fluid from your body. Your kidneys also remove acid that is produced by the cells of your body and maintain a healthy balance of water, salts, and minerals—such as sodium, calcium, phosphorus, and potassium—in your blood.

Explanation:

which is the best def. of anabloic steroids

Answers

Answer:

Anabolic steroid, also called anabolic-androgenic steroid, drug that mimics the male hormone testosterone in its ability to increase the growth of muscle tissue and in its promotion of male secondary sex characteristics. ... The drugs are also used in veterinary medicine (e.g., to aid recovery from starvation or injury).

Explanation:

Anabolic steroid, also called anabolic-androgenic steroid, drug that mimics the male hormone testosterone in its ability to increase the growth of muscle tissue and in its promotion of male secondary sex characteristics.

How do other senses go about adapting and becoming stronger when one sense is lost

Answers

Answer:

The brain adapts to the loss by giving itself a makeover.

Explanation:

If one sense is lost, the areas of the brain normally devoted to handling that sensory information do not go unused — they get rewired and put to work processing other senses.

The brain adapts to the loss by giving itself a makeover. If one sense is lost, the areas of the brain normally devoted to handling that sensory information do not go unused — they get rewired and put to work processing other senses.

Can a man ejaculate by massaging the prostate gland manually? Does this result in an erection/orgasm?

Answers

Answer:

They do not enhance libido and typically fail to work in the absence of sexual stimulation. Some men are able to enhance both an erection and orgasm with digital prostate massage. This is a technique in which a finger is inserted into the rectum prior to and/or during sex to manually stimulate the prostate gland.

Explanation:

i hope i helped.

The nurse is responsible for performing a psychosocial assessment of an older adult living in the community. Which of the following statements best captures the nature of psychosocial assessment?
A) It is a formalized psychological test of the individual's condition and needs.
B) It aids in identifying and analyzing personality traits of the individual.
C) It helps to identify the individual's need for psychiatric care.
D) It is a component of holistic nursing care of older adults.

Answers

B. It aids in identifying and analyzing personality traits of the individual.

It aids in identifying and analyzing personality traits of the individual. is responsible for psychosocial assessment of an older adult living in the community.

What is physiological assessment?

Assessments conducted at the beginning of a client's program are an excellent approach to monitor development and boost enthusiasm. Four categories have been established for these evaluations.

It has anthropometric measurements (body size or body composition), cardiovascular evaluations, muscular fitness evaluations, and sport-skills evaluations.

It is critical to recognize when a cardiovascular assessment is necessary. We don't want to overburden someone who is new to fitness with assessments.

Therefore, It aids in identifying and analyzing personality traits of the individual. is responsible for psychosocial assessment of an older adult living in the community.

To learn more about personality traits, refer to the link:

https://brainly.com/question/13346581

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what is a sign that a person may need help for a mental disorder?
A. Spending more time listening to music
B. Becoming dark or moody
C. becoming interested in different activities at school
D. Experiencing sudden changes in interests or hobbies​

Answers

Answer:

B. Becoming dark or moody.

Explanation:

Hope this helps

Answer:

B

Explanation:

if a food has 130 calories and 11 grams of fat what is the percentage of fat ​

Answers

Answer:

76%

Explanation:

There are three different types of macronutrients that provide calories (i.e., energy) to sustain life: fats, proteins and carbohydrates. All fats contain 9 calories per gram, whereas carbohydrates and proteins each contain 4 calories per gram. In this case, 11 grams of fats are equal to 99 calories, and therefore >>

130 calories ___ 100% calories

99 calories_____ X = (99 x 100) / 130 = 76.15% calories

Which of these is an achievable goal that would best help someone eat more
healthfully?

A. Reducing portion size

B. Skipping meals frequently

C. Replacing food with
supplements

D. Drinking diet soda to reduce hunger

Answers

Answer:

A. reducing portion size

Explanation:

:)

The answer is A hope this helps!!!

cuantas estrofas tiene el poema el vuelo de las garzas plz ayuda ​

Answers

Explanation:

El poema contiene siete estrofas, cada una de las cuales tiene cuatro líneas. Cada línea es bastante similar en longitud al resto.

what do you tell someone when she feels unappreciated​

Answers

Explanation:

I wanted to let you know that I heard you. I never wanted you to feel unappreciated, and I’m sorry that you do. I want to work together to make sure you don't feel that way again.

Ms. Henderson believes that she will qualify for Medicare Coverage when she turns 65, without paying any premiums, because she has been working for 40 years and paying Medicare taxes. What should you tell her?

Answers

Answer:

Following are the response to the given question:

Explanation:

In the given question, Ms. Henderson is convinced because, once she reaches 65 years old, she is entitled to insurance without payment of fees, as she worked over 40 years and pays Medicare payments. Experts claim she should pay a standard monthly fee, albeit it is greater for people of higher earnings, in her to get Part B insurance.

She should be told that in order to obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals with higher incomes.

What is Medicare?

This is a type of health insurance which caters for elderly people between 65 years and above or those with disabilities etc.

The monthly premium paid is directly proportional to the income of the individual in this scenario.

Read more about Medicare here https://brainly.com/question/1960701

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What did you expect in Intensive practicum in Nursing Administration?

Answers

Answer:

The intensive nursing practicum further refines nursing competencies to ensure achievement of the BSN program outcomes required of an entry level nurse to help individuals, families, groups and communities cope with current and potential threats to health.

Describle different working in care setting?​

Answers

There are working relationships between:
Care staff and service users (including service users' family)
Care staff and their co-workers.
Care staff and managers.
Care staff and other professionals.

3. Which choice below correctly identifies the weight of a fetus at each trimester of pregnancy?
A. first trimester: 1 oz; second trimester: 1 lb; third trimester: 6.5-10 lbs
B. first trimester: 1 oz; second trimester: 3 lbs; third trimester: 6.5-10 lbs
C. first trimester: 1 g; second trimester: 1 oz; third trimester: 6.5-10 lbs
D. first trimester: 1 lb; second trimester: 2 lbs; third trimester: 6.5-10 lbs

Answers

The correct answer for your question would be, C

A period of three months, especially as a division of the duration of pregnancy is known as the trimester.

What is the trimester of pregnancy?In the 1st trimester,  the baby will grow from an embryo into a moving fetus with eyes, ears, and working organs.

In the 2nd trimester, the baby's features develop and may be able to feel baby movements.

In the 3rd trimester, your baby will grow rapidly to get ready for birth.

Thus, we can conclude that the correct option is C.

first trimester: 1 g; second trimester: 1 oz; third trimester: 6.5-10 lbs.

You can learn more about the trimester here:

https://brainly.com/question/726396

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The previous idea that the majority of receptors are in the brain and gut would indicate that the cause of the majority of disease lies in damage to the gut. With that said, it can be assumed that if we fix the gut, we fix the rest of us. Do you believe this theory is an exaggeration or potentially true?

Answers

Answer:

Yes.

Explanation:

Yes, I believe the theory that if we fix the gut, we fix the rest of us because gut is the main part of the body that starts from mouth and ended with anus. If there is any problem in the gut of the body, there are many diseases a person  can have. So for become healthy and disease free, our gut has to be healthy. Problem in the gut causes serious problems which leads to various diseases in our body so the believe is right.

Josh works at a fast food restaurant. On his first day, he accidently dropped a customer's order. The shift
manager keeps making fun of this accident, which makes Josh uncomfortable.
What should Josh do?
be careful not to drop anything in the future
O respond by making fun of the manager in return
O kindly ask the manager to stop ridiculing him
O react verbally by arguing with the manager

Answers

Answer:

kindly ask the manager to stop ridiculing him

Explanation:

why? he might get fired + what you did turns back to you too

the answer is to kindly ask the manager to stop ridiculing him.

Words such as warning and danger are part of the hazard statement on a chemical level

Answers

Answer:

Words like "warning" and "danger: are part of the Hazard Statement on a chemical label. False; they are signal words on a hazard level.

How would you describe the connection between eustress and perception?
There is no connection.
O Perception can determine what is eustress for someone.
Perception can cause distress which can lead to eustress.
O Eustress situations can affect an individuals perception.

Answers

Answer:

O Perception can determine what is eustress for someone.

Paulette and Devon are getting ready to go to practice at the community lake. Their coach has them work a lot on developing muscular endurance and strength especially in their back, forearm and wrist muscles. From the choices below, select the racing sport Paulette and Devon are training for in their local community:

Cross-country
Motocross
Rowing
Speed skating

Answers

Answer: D Motocross

Explanation:

Motocross

I would say Rowing because you use those muscles during that sport.

HELP ASAP

Rats and mice will _____.


leave a strong oily smell

leave gnawed material, nesting material and holes

leaves droppings that look like grains of black pepper

not be found in a clean facility

Answers

Answer:

The most correct answer is C) leave gnawed material, nesting material, and holes

Explanation:

Rats and Mice are rodents. They feed off kind of things and will eat their way through anyting except metal. In some cases, they also leave droppings.

In some parlance, these are mere rodents to be extinguished. In other climes, they pass for pets and a license must be obtained in other to keep them.

Cheers

Which behaviors show healthy boundaries in a romantic relationship?
Select all that apply.
O expecting others to take responsibility for their own actions
O making time for other friends and independent interests
expecting respect from a romantic partner
she
trying to change a romantic partner to fit your desires

Answers

Making time for other friends and independent interests - yea I think that’s the only one

Ms. Morris will turn 65 on June 10th. She has never previously qualified for Medicare. she is entitled to Medicare part a and intends to enroll in Part B. she wants to know if she is eligible to enroll in a Medicare Advantage plan that includes prescription drug coverage. What do you tell her?

Answers

Answer: There are certain terms and conditions which are required to be fulfilled to get the eligibility to Medicare part B.

Explanation:

For free premium of the Medicare Part B one should meet the following requirements:

1. The person must be 65 years or older in age.

2. The person must be citizen of U.S.

3. The person should be the permanent resident of U.S for atleast 5 years.

According to the given situation Ms. Morris is eligible for getting Medicare part B when she will turn 65 years of age. She can avail drug coverage at this age.

Why do I feel like a burden to my family like I feel that I can't do anything right please tell me why?

Answers

It could be depression making you think you are a burden on your family because depression can make people think that when it's not true you should seek help or seek someone to talk to about it before it worsen I would try to look for an helping hand to talk to someone you can trust or anyone in ur family who u can always talk to

Answer:

Often, our feelings of inadequacy stem from our childhoods.

Often, our feelings of inadequacy stem from our childhoods.This doesn’t necessarily mean that you come from a broken family. Even children who come from good parents and good families can end up feeling this way because of expectations place on them or emotions that weren’t communicated effectively.

How can we prepare your balanced diet from the foods available in our locality.​

Answers

Answer:

we should eat fruits and vegetable and exercise everyday. We should also go to gym every sunday. And do not eat too much. Eat in the same time. Sleep in the same time too. Prefer fresh foods , fresh milk. also drink milk everytime.

Which of the following is an example of a healthy personal boundary?
O disregarding other people's opinions
O avoiding asking other people's opinions
boy
O giving value to one's own opinions
O depending on other people's opinions

Answers

Third Option: giving value to one’s own opinions :)

Many people enjoy watching movies, sporting events, and music performances in crowded theaters and arenas more than they like watching them at home alone.

Which theory of emotions might help explain this? How?

Answers

Maybe the fear of being alone? Lonliness, i know people personally willing to go out more then alone for the fact the more people the more fun, Maybe they cant handle being alone and want to be with a lot of people to feel included.
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