UM Home Care

B

100

• How many initial homecare auths do we process on an average day? 

0000

200

• How many concurrent homecare auths do we process in an average day? 

00000

300

  What is the average amount of PT visits that members/providers request vs approved?

000

400

 Approx how many expedited authorizations were processed by Homecare Team in 2022? (including void)

oo

500

What is it that no man ever saw, which never was, but always will be?

Tomorrow.

R

100

• What is the most common homecare dx

wc

200

• What is the description of “home bound”
• A- YOU CANNOT GO TO 
• B-
• C-

mcg

300

• What is considered a skilled need? 

st ot pt sn

400

Is it True or False that there is an “Archcare” Initiativeit. starting Jan 2023

 ft

500

What question can you never answer yes to?

Are you asleep yet?

A

100

What is the difference between a home health aid and a PCA (which our team does not process?) Key: HHA Provided by CHHA and is short term. Must have skilled need for a HHA. 

bbbb

200

CHP Has a benefit limit of homecare visits per year. What is that quantity limit? 

 000

300

When a member has a sensitive dx, do we have to make a member notification call on concurrent request?

bbb

400

• Is it True or False that (HHAx) visits for CHHA must be validated before provider can bill to cut down on Fraud, waste, abuse. 

ft

500

What can you break, even if you never pick it up or touch it?

A promise

I

100

11.    Do we review initial evaluations for INN providers for medical necessity? 

No, we approve per P&P 

dd

200

• Approx how many expedited authorizations were processed by Homecare Team in 2022? (including void) 

000

300

What LOB has ATC

mcd

400

True or False, Home Health Aid is currently being reviewed outside of MCG, will it be added to MCG during 2023?

ft

500

What is always in front of you but can’t be seen?

The future

N

100

What gets bigger when more is taken away?

A hole

200

What kind of band never plays music?

A rubber band

300

What spends all the time on the floor but never gets dirty?

Your shadow.

400

What’s the coolest letter in the alphabet?

The letter B. It’s surrounded by AC.

500

The more you take, the more you leave behind. What are they?

 Footsteps