Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. However, when he received the bill, he was surprised to see large charges in excess of his maximum out-of-pocket limit that included some services and items he thought would be fully covered. He called you to ask what he could do? What could you tell him?

Answers

Answer 1

Answer:

You can offer to review the plans appeal process to help him ask the plan to review the coverage decision.

Explanation:


Related Questions

prior to a medical assistant applying oxygen to a patient, what must a medical assistant get from the provider?

Answers

a physical and a check up

The medical assistant should get a recent laboratory results from the provider before oxygen is applied to a patient by the medical assistant.

It is necessary for the medical assistant to be aware of the laboratory results in order to know the health of the person and the information regarding the test done.

The laboratory test is also useful in knowing how well functioning the lungs of the patient is. The medical assistant has to be well satisfied with the result before oxygen will be given to the patient.

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Basophils are granulocytes O a) involved in the process of manufacturing hemoglobin. b) involved in the process of allergic reactions. O c) that fight infections by microorganisms. d) that fight infections by parasites.

Answers

Hi,

Basophils are granulocytes :

b) involved in the process of allergic reactions.

You received an order to administer 400 mL of D10W at a rate of 30 ml/h. How long it will take to finish the IV. Calculate your answer in hours and minutes
if required.
O a. 13 hours and 33 minutes
b. 13 Hours exactly
C 12 Hours and 50 minutes
O d. 13 Hours and 20 minutes

Answers

A would be the answer

What are the Bacterial cell Envelope?

Answers

Answer:

The bacteria cell envelope is a complex multilayered structure that serves to protect these organisms from their unpredictable and often hostile environment. The cell envelopes of most bacteria fall into one of two major groups

Explanation:

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plasma is a component of edema​

Answers

Answer:

Edema occurs when an excessive volume of fluid accumulates in the tissues, either within cells (cellular edema) or within the collagen-mucopolysaccharide matrix distributed in the interstitial spaces (interstitial edema)

Explanation:

The definition of edema is a swelling due to the expansion of interstitial fluid volume in tissues or an organ. Several clinical conditions present with edema, making it a critical clinical feature for diagnostic medicine. Edema can present in numerous forms including unilateral, bilateral, localized, or generalized edema. Therefore, it is vital to assess the unique presentation and mechanism of edema to understand how it relates to disease pathophysiology, clinical presentation, and treatment. This review will present an overview of the general and cellular characteristics of edema, the mechanism, and pathophysiology of edema, and how edema relates to a specific disease presentation and development.

It is sometimes difficult to distinguish children who are developing normally from those who’s development is a typical

Answers

Explanation:

Because of difference in their immune system and also Blood group also count

A patient prescribed a metered dose inhaler will find it
A. works for lower (not upper) respiratory diseases only.
B. should be filled with medication in aerosol form only.
C. is filled with medication used to administer a fixed amount of medication per inhalation through the mouth.
D. should be filled with medication in powder form only.

Answers

I believe the answer would be C

Which of the following is an argument? If you don't water your plants, they will wilt. If you water them, they will be healthy. If you fertilize them, they will be healthier. I got eight hours of sleep and ate a healthy breakfast. Therefore, I am going to have a great day. Donuts are the best breakfast food. I had one this morning. Every time your phone rings, your brain releases a chemical called dopamine.

Answers

Answer: I got eight hours of sleep and ate a healthy breakfast. Therefore, I am going to have a great day.

Explanation:

An argument refers to a series of statements which are referred to as the premises which is used in determining the truth of the conclusion.

An argument is a set of statements, such that some of the statements provide support for another statement. With regards to the question, the argument is "I got eight hours of sleep and ate a healthy breakfast. Therefore, I am going to have a great day".

TASK TIME A. Greet/register the patient 3 minutes/patient B. Optometrist conducts eye exam 20 minutes/patient C. Frame/lenses selection 24 minutes/patient D. Glasses made (process can run 6 pairs of glasses at the same time) 66 minutes/patient E. Final fitting 5 minutes/patient

Answers

[tex]\huge\bold\pink{ANSWER} [/tex]

===========================================

Solution - Answer (a): The current maximum output would depend on slowest operations and that is B. Optometrist conducting eye exam (25min per patient) Hence total time available for task(B)= 10 hours * 60 min - (2 minute for first patient to greet + frame selection 20 min + glasses made 60 min + final fitting 5 min) = 600 -87 = 513 minutes. Hence, maximum capacity = 513/25 = 20.52 ~ 20 patients Answer (b): Since, the slowest process is B. Optometrist conducting eye test, if a person were to be added it must be there. The added capacity at no other place would increase total capacity of the patients processed in a day. Answer (c): In the mentioned model, the process of D and E, totaling to 65 minutes would be eliminated. And hence, in day...

tsurezure children

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Consider the primary functions of the muscular system. How are these functions critical to survival?

Answers

Answer:Mobility. The muscular system's main function is to allow movement.

Stability. Muscle tendons stretch over joints and contribute to joint stability.

Posture.

Circulation.

Respiration.

Digestion.

Urination.

Childbirth.

Explanation:

The muscular system is critical to survival as it helps in the maintenance of posture and the circulation of blood in the body.

Some of the functions of the muscular system include:

Maintaining the posture of the human body.It ensures that the joints in the body are firm.It helps in the movement of the body.It helps in the circulation of blood

The muscular system refers to the system that's made up of the skeletal muscles, cardiac muscles, and smooth muscles.

In conclusion, it should be noted that muscles are the only tissue that can contract and this ensures movement. This is vital for the survival of human beings.

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Which of the following statements about Medicare Part D are correct?

Answers

I. Medicare Part D must enroll all eligible beneficiaries who apply to be part of the program regardless of their health status.

II. Private fee for service plans are not required to use a pharmacy network but may choose to have use of one.

III. Beneficiaries enrolled in a MA medical savings account plan may only obtain part D benefits through a standalone PDP.

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The correct reporting for stage 4 chronic kidney disease associated with diabetes Mel lotus, type 2?

Answers

you need to stop cheating on your collage classes because you really need to know this stuff when you have to save someone’s life. the answer is a

which of the following antidiarrheal agents has only one mild side effects such as gas or bloating

Answers

Karen is listen to college

Identify the bulge located at the anterior, superior edge of the iliac crest.

Answers

Answer:

anterior superior iliac spine

Explanation:

What are the advantages and disadvantages of early and late maturation in males and females?

Answers

Answer:

males

Explanation:

They found that girls who matured earlier than their peers had increased rates of depression that persisted over the course of the study. Among adolescent girls, early puberty is associated with more depressive disorders, substance use disorders, eating disorders and disruptive behavior disorders. Make me the brainliest and give me a heart ❤️ thank you

A patient received a severe steam burn to his hand and wrist. You should

Answers

APPLY MOIST STERILE DRESSING


Blair's ability to label her experience as "being stressed out" demonstrates the
aspects of emotional experiences.

Answers

It demonstrates cognitive aspect of emotion.

Emotion simply means the feeling, behavioral and the physiological changes seen in an individual.

According to the cognitive theory, the mental activities of a person and their thoughts play a role in the emotions that are formed.  

Cognitive theory of emotion explains an individual's ability to be able to label her experience such as sadness, joyful, pity, stressed out etc.

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Which procedure is performed to affix sagging breasts in a more elevated position

Answers

Answer:

Mastopexy is a surgical procedure to affix sagging breasts in a more elevated position. menarche menarche Menarche is the beginning of the menstrual function during. . menometrorrhagia menometrorrhagia.

Explanation:

What is the term for the fire protection method in which townspeople formed two lines to pass containers filled with water toward the fire and empty containers away from it?

Water brigade

Bucket brigade

Hose brigade

Fire brigade

Answers

Answer:

bucket brigade

Explanation:

1. In which of the following situations may 10 access be used?
O An extremity with signs of infection
O An extremity with signs of a crush injury
O An extremity with a previous unsuccessful 10 attempt
O An extremity with slow cap refill time

Answers

Answer:

O An extremity with slow cap refill time

Explanation:

Intraosseous access can be used in patients, children inclusive, to gain vascular access when they are in shock due to sickness or injury. IO cannulation rapidly delivers drugs and fluid to a marrow venous plexus that is noncollapsible. This is especially important if the patient is in shock and is to be resuscitated fast. Slow or prolonged capillary refill time is an indication of shock.

This option is used when other measures of delivering drugs, for example, the intravenous route are unavailable. The distal femur, the proximal tibia under the growth plate, the distal tibia above the medial malleolus are common sites where intraosseous access can be administered.


How long should a tourniquet be left on a
patient arm?

30sec

45 sec

60sec

90sec

Answers

Answer:

should be 60 sec

Explanation:

I hope this help

Answer:

90 seconds

Explanation:

When the procedure takes longer than that,the tourniquet should be partially deflated for 2 to 3 minutes.

A 31-year-old male with celiac sprue has been noncompliant with his diet and has suffered a 15-pound weight loss since his last check 4 months ago. He reports easy bruising but denies gum bleeding. What lab test can you perform to quickly evaluate his vitamin K status

Answers

Answer:

Prothrombin time [PT/INR]

Explanation:

Vitamin K level test are rarely offered in laboratories. This test is very rare and only few laboratories offer this test. The bleeding level of the body is regulated by Vitamin K therefore its deficiency can cause excess bleeding. There is Prothrombin time test used to evaluate vitamin K status in the human body.

Question 15 of 20:
Select the best answer for the question
15. What type of pharmacy would you go to in order to purchase a medication if you are not in an inpatient facility?
O A. Hospital pharmacy
O B. Community pharmacy
C. Mail order pharmacy
OD. Nuclear pharmacy

Answers

Answer:

The answer would be B: Community pharmacy

Explanation:

To me it would be the most logical answer.

Answer:

I think mail other pharmacy

 Bạn hãy bình luận về phát biểu sau: “Thu hoạch Đại Hoàng vào mùa Thu là tốt nhất”

Answers

Answer:

Sorry I can't understand anything

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The vast majority of adults in the United States who are receiving care receive it: from professionals in a nursing facility. from professionals at an adult day center. at home from family caregivers. at home from professional caregivers.

Answers

Answer:

C. At home from family caregivers.

A facility with 40 beds needs the following aide coverage:

Answers

Answer:

10A NCAC 13F .0206       CAPACITY

(a)  The licensed capacity of adult care homes licensed pursuant to this Subchapter is seven or more residents.

(b)  The total number of residents shall not exceed the number shown on the license.

(c)  A facility shall be licensed for no more beds than the number for which the required physical space and other required facilities in the building are available.

(d)  The bed capacity and services shall be in compliance with G.S. 131E, Article 9, regarding the certificate of need.

 

History Note:        Authority G.S. 131D-2.4; 131D-2.16; 143B-165;

Eff. January 1, 1977;

Readopted Eff. October 31, 1977;

Amended Eff. April 1, 1984;

Temporary Amendment Eff. July 1, 2003;

Amended Eff. June 1, 2004;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 6, 2018.

Explanation:

What is medicine and who created it

Answers

Answer:

Medicine is the science or practice of the diagnosis, treatment, and prevention of disease or a compound or preparation used for the treatment or prevention of disease, especially a drug or drugs taken by mouth. And I'm pretty sure it is Hippocrates

Explanation:

Just search it up on G00gle

Where was the first recognized firefighting force, known as the Familia Publica, organized?

Rome

London

New York

Philadelphia

Answers

Answer:Who were the Familia Publica? The first recognized firefighting force organized in ancient Rome.

Explanation:

Which of the following statements describes mental disorders? A.Mental disorders are usually only found in individuals with low mental capabilities. B.Mental disorders are best managed without assistance .C.Mental disorders are illnesses that affect a person's emotions, behavior, and thoughts. D.Mental disorders are not true diseases.

Answers

the correct answer seems to be “ c . mental disorders are illnesses that affect a person’s emotions , behaviors , and thoughts . ‘

Dr Sabooh, a faculty member in a medical college, showed no inclination towards academic growth and progression and often showed temper outbursts, criticized others and was resistant to any innovations. Now after 15 years, he remains a lecturer whereas his juniors have been promoted to senior posts. In his opinion, there was only a meagre difference between his salary and other postgraduates. The Dean denounced contract renewal of fcaulty members who showed no professional advancement in last 10 years. Sabooh was now worried, on the advice of his friends he joined an MS program. Now after 3 years, he held an MS degree, became an author of few publications and finally got promoted! His self-esteem took a boost and there was a noticeable pleasant change in his personality. Apply learning theories on Sabooh's progression.

Answers

Answer:

Behaviorism, Cognitivism and 21st Century skills.

Explanation:

Behaviorism, Cognitivism and 21st Century skills are the learning theories which is apply on Sabooh's progression because the behaviour is changed due to fulfilling the course. Dr. Sabooh learns the skills of 21st Century which is used for the teaching of students at school. These skills are important for the career of the students as well as provide easiness, more explanation and description to  the question.

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