MIIM
MYSME
Medicare
MISC
Things That Make You Go Hmm
100
Whats the difference between MIIM Production and MIIM Training Environment?
What is Production is for live accounts and Training is for when your in training class.
100
Member was calling and wanted to change the PCP under the Wizards category which job aid would you use?
What is PCP Changes.
100
What does Part A cover?
What is Hospital Care, Skilled Nursing Facility Care, Nursing Home Care, Hospice and Home Health Service.
100
What does NEC stand for.
What is National Experience Center.
100
American Idol was based on what British show?
What is Pop Idol.
200
While using MIIM how would you transfer a case?
What is select a different action.
200
In MYSME how many categories are there and name each one?
What is 7 and Wizards, Browse Topics, Quick Links, Bulletin Board, Hot Links, My Favorites, and New & Updated.
200
What does Part B cover?
What is Clinical Research, Ambulance Services, Durable Medical Equipment, Mental Health.
200
So if a member threatens to harm themselves or someone else we call this what?
What is One Breath Situations.
200
What do 63% of Americans spend five minutes a day looking?
What is TV remote control.
300
When use MIIM at the end of the day you always want to make sure what is clear.
What is Work List.
300
If a member called and complained in MYSME which Wizards would you use to help with assisting the member with the complaint?
What is Complaints, Appeals and Grievances.
300
What is not covered by Medicare Part A & B?
What is Long Term Care, Most Dental Care, Eye Examinations related to prescribing glasses, Dentures, Cosmetic Surgery, Acupuncture, Hearing Aids and Exams for fitting them and Routine Foot Care.
300
If a fire alarm interrupted your phone call with the member what job aid in MYSME would you utilize?
What is Situational Guidelines Index Onsite Emergency Situations.
300
The guillotine was originally invented for chopping off what.
What is Hands.
400
If a member is calling about a Late Enrollment Penalty, what Category and Intent will we use to assist the member?
What is Billing and Manage LEP.
400
If you wanted to know about Acronyms/Medical Definitions what category tab in MYSME would you utilize?
What is Quick Links.
400
Whats is Medicare Part A & B called?
What is Original Medicare.
400
Members may ask to speak with a supervisor as a result of a positive member experience on your call this is known as what?
What is Kudos Call.
400
In Florida women can be fined for falling asleep under what?
What is Hair Drier.
500
How many tabs does MIIM have and whats the name of each tab?
What is 6 and Member, Plan, Employer Group, Contact, Application and Recent Interactions.
500
So if the member wanted to know about the rewards about receiving the Annual Wellness Visit which Wizards would assist you with the members questions?
What is Member Reward.
500
What is Part C of Medicare called?
What is Medicare Advantage.
500
So the member calls and immediately request to speak with a supervisor and also threaten to call their lawyer in MYSME what job aid and form do you use?
What is United Healthcare Shared Services Risk Management Complaint Handling and Confidential Occurrence Report Form.
500
By law what is it against the law to do in Minnesota with your washing line?
What is Mix male and female washing together.
M
e
n
u