Identify and discuss ways that you, as a health insurance

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Question: You're training a new assistant at the Mid-Prairie Health Clinic. He asks you to further explain the rationale of the CLIA program and what services it provides. Answer his question. 3. Doris Westerly, a patient new to Medicare, is referred to your office and states, "The girl at the front desk said I would have to pay today's charges, but that I shouldn't pay just yet. I'm very confused. Now that I'm on Medicare, I thought they would pay for my healthcare. She said I have to pay for my medical bills until I reach a certain limit. What is this limit and how do I meet it?" Answer her question. 4. Medicaid fraud is a problem and a considerable waste of taxpayer dollars. The Affordable Care Act of 2010 required states and US territories to establish Medicaid Recovery Audit Contractor (RAC) programs. Medicaid RACs have the responsibility of identifying and recovering misspent Medicaid funds. Identify and discuss ways that you, as a health insurance professional, can learn more about and help combat Medicaid fraud.

Reference no: EM133396541

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