Dr. Elizabeth Brennan does not have a contract with the ABC PFFS program but accepts the program’s payment terms and conditions. Mary Rogers goes to Dr. Brennan for treatment. How much does Dr. Brennan charge?
“Dr. Elizabeth Brennan does not have a contract with the ABC PFFS plan but accepts the plan’s payment terms and conditions. Mary Rodgers sees Dr. Brennan. How much might Dr. Brennan charge?” The answer to the question is as follows.
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Answer – Dr. Brennan may not charge Mary Rogers more than the cost-sharing specified in the PFFS plan payment terms and conditions, which may include balance billing up to 15% of the Medicare rate.
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Hopefully everyone knows the answer to “Dr. Elizabeth Brennan does not have a contract with the ABC PFFS plan but accepts the plan’s payment terms and conditions. Mary Rodgers sees Dr. Brennan. How much may Dr. Brennan charge?” ? ” AHIP issues.
Advanced Health Promotion Program
AHIP (America’s Health Insurance Plans) certification testing is a key requirement for almost all Medicare carriers. This is critical for agents who expect to sell most Medicare Advantage (MA) and Prescription Drug Plans (PDPs) each calendar year.
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On average, agents should allocate approximately 10-15 hours to test preparation to ensure they are competent enough to successfully pass certification.
Training is critical for agents to stay current on CMS regulations and the rules governing the sale of Medicare Advantage and Part D plans.
To ensure that agents are well prepared and knowledgeable, insurance companies mandate that they undergo this type of training. By becoming AHIP certified, agents can demonstrate proficiency in AHIP’s Medicare and FWA training, demonstrating a thorough understanding of all CMS guidelines for selling Medicare Advantage and Part D plans.
Disclaimer: The above information is for general information purposes only. All information on this website is provided in good faith, but we make no representations or warranties, express or implied, as to the accuracy, adequacy, validity, reliability, availability or completeness of any information on this website.
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