Beststudymaterials

As a single mother on a very tight budget, Ciara is tempted to skimp on her insurance. However, her friend Mehmet tells her not to skimp on insurance, because it will help manage her cash flows. Which one of the following examples best illustrates Mehmet's point? A. Ciara needs her car to get to her job, and she needs her job to make car payments and pay for her car insurance. B. When her car's windshield breaks, Ciara has to pay only $100 of the $600 cost of replacing it. C. When her ca...

Risk quadrants are different from risk classifications. Risk quadrants focus on what? - The source of the risk itself and what part of the organization has managed it in the past. An enterprise risk management approach is categorizing risks into quadrants. What are hazard risks? - Normally managed by risk management professionals. What are the four risks in the enterprise risk management model? - Hazard, operational, financial, and hazard. What risk quadrant is the change of stocks or bond...

Which of the following documents is utilized for correspondence between the A/E or Owner and the Contractor? A. Job Diary B. Memorandum C. Construction Report D. Formal Business Letter - d Which of the following documents is used for correspondence between the home office and the job site? A. Job Diary B. Memorandum C. Construction Report D. Formal Business Letter - b What is the best time to distribute the Working Agenda to the Participants? A. As a follow-up to the meeting B. At ...

As methods of communication evolve, it's important for claims professionals to remember that any written claims communication may be a. Replaced with verbal communication b. Misinterpreted c. Edited later d. Subpoenaed - d. Subpoenaed Soft fraud occurs when a claim is exaggerated and is also referred to as a. Opportunity fraud b. Financial fraud c. Reimbursement fraud d. Victimless fraud - a. Opportunity fraud In which one of the following scenarios is the right of subrogation most l...

When accounting for accident-year losses for year 20X6, which one of the following would be included? - A reserve change in 20X7 for a loss that occurred in 20X6 Correct. When accounting for accident-year losses for year 20X6, a reserve change in 20X7 for a loss that occurred in 20X6 would be included. An accident-year method aggregates incurred losses for a given period (such as twelve months) using all incurred losses for insured events that occurred during that period. Any losses that oc...

Doctor's Order: Tylenol supp 1 g pr q 6 hr prn temp >101 Available: Tylenol supp 325mg (scored) How many supp will you administer? - 3 supp Doctor's order: Nafcillin 500mg po pc Available: Nafcillin 1 gm tab (scored) How many will you administer per day? - 1.5 tab Doctor's order: Synthroid 75 mcg po daily Available: Synthroid 0.15 mg tab (scored) How many tab will you administer? - 0.5 tab Doctor's order: Diuril 1.8mg/kg po tid Available: Diuril 12.5 mg caps How many cap will y...

Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? - Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's website, fill it out, and submit it to his plan. Mr. Polanski likes the cost of an HMO p...

Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medicare and does not want to sign up for an MA product, but he also wants prescription drug coverage. What should you tell him? - Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan through a private company that has contracted with the government to provi...

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? - He 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 at Smallcap, Incorporated. Smallcap has a workforce of15 employees and offers e...

Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is concerned about whether or not Medicare will cover these items and services. What should you tell her? - Medicare does not cover acupuncture, or, in general, glasses or dentures. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining h...