MedCompass
Where can you find the HRA due date in MedCompass?
On the DSNP Program Card
The HIPAA Disclaimer must be completed how often?
Once at the start of the program
If a Member refuses to complete an HRA, is he/she still eligible for DSNP benefits?
Yes
If the Member’s spouse has a POA for Healthcare, where should he/she send it for Aetna to record?
HIPAA Member Rights Team
Where in MedCompass should you look to determine the current call sequencing for the Member?
Contact Log
How often must you complete the HIPAA Validation?
Every time you speak with a member, TPA, or POA.
When you have completed the HRA with a member, before ending the call you should be sure to select _______ & _______ to be certain you have all information prior to ending the call.
Save & Complete
When is a UTR Letter automatically generated to the Member and the Member’s Provider?
When the 3rd UTR call is documented
From the Health 360 page, how do you add an Alert in MedCompass?
Activities > Alert > +New Alert
Question: How often do you complete the Verint Disclaimer?
Every inbound and outbound call
If a member refuses to complete an HRA, when will an HSS make another attempt to complete the HRA?
3 months
When a member is UTR for 3 call attempts, how often do we continue to make calls to the member?
Once a month until the start of a new assessment period. Then, the call sequencing starts over.
From the Health 360 page, how do you generate an HRA Print Package in MedCompass?
Activities > Documents > Merge & Send > “Mail” DSNP HRA Print Package
During a call the member states he/she would like to be placed on the Do Not Call list. What should you advise the member?
By adding your information to the Do Not Call Database, you are opting out of automated calls and texts, but some live calls about important plan benefits will continue.
If a member’s Enrollment date is 3/1/2021 and an HRA is completed with the member on 3/9/2021, what is the next due date for the HRA?
3/9/2022
When you complete a verbal delegation with a member, how long is it good for?
Only the current call
From the Health 360 page in MedCompass, how do you view the Member’s TPA information?
Demographics > Legal > Scroll to the bottom
A call to the Member is immediately disconnected when you begin speaking. What is the next step?
Call right back
What happens automatically to the Complete HRA task when you enter a contact log for HRA outreach as “Successful”.
The due date is automatically dialed forward the current date plus 185 calendar days (6 months)
When is a member’s initial care plan generated?
When he/she enrolls in DSNP
If a member refuses an HRA, what all needs to be documented in MedCompass?
Contact Log, Mail the HRA Print Package
An automated message states that the Member’s phone number is disconnected. What are the next steps?
Attempt to locate another phone number in LexisNexis, the Engagement Dashboard, and/or Member’s Provider
When the member starts an HRA but does not complete it, what should you select before closing the form?
Save
If a member denies the need for COVID information, is a task generated for the CM?
No
In MedCompass, will the Member’s Effective Date and Enrollment Date always match? If not, which date should be used when determining the Members Assessment Periods?
No/The Enrollment Date
If a Member does not speak English, what resource should be used to complete the call with the Member?
Language Line
How long is the First Reassessment Period?
Days 91 to 365 from enrollment
What is the final source of truth when trying to determine workflow?
The Workflow Wiki
Which version of the HRA should you use when completing the survey with a member?
3.7 version
Upon reviewing the member’s case you see 1 call attempt was made and a message was left. What is your next step?
A second call attempt should be made
How long is the Initial Assessment Period?
90 Days
When providing a member the phone number for the Nurse Line what should you tell them the cost is and when is a nurse available?
It is included in their plan so there is no cost and the nurse is available 24/7.