Module 2 – Final Q&A
Grade 9 out of a maximum of 10 (90%)
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Question1
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AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
,AHIP HEALTHCARE 101 Section Questions 2025/2026 Medicare Course
Module 2 – Final Q&A
Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions
for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
Choose one answer.
a. Dr. Brennan can charge Mary no more than the cost sharing
specified in the PFFS plan’s terms and conditions of payment
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
,AHIP HEALTHCARE 101 Section Questions 2025/2026 Medicare Course
Module 2 – Final Q&A
which may include balance billing up to 25 percent of the Medicare
rate.
b. Dr. Brennan can charge the beneficiary the same costsharing as
Original Medicare as long as she sends the claim to Medicare and
not the plan.
c. Dr. Brennan can charge Mary Rodgers more than the cost
sharing specified in the PFFS plan’s terms and conditions as long
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
, AHIP HEALTHCARE 101 Section Questions 2025/2026 Medicare Course
Module 2 – Final Q&A
as she treats all beneficiaries the same.
d. Dr. Brennan can charge Mary Rogers no more than the cost
sharing specified in the PFFS plan’s terms and condition of payment
which may include balance billing up to 15 percent of the Medicare
rate.
Correct
Marks for this submission: 1/1.
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+