The Dreaded DLP
This is when the first demo check in the triage phase is required.
What is following the first unsuccessful call
Where customer care notes are found.
What is FACETS
This leader smokes the most virtual cigarettes?
Who is Joe
This is the main spring allergy trigger.
What is pollen
This is the new spend for High Cost Claimant Team
What is 200k
This number of (checked) boxes in the complex screening qualify the case as complex.
What is 2 or more.
This is where information is located about appeals/grievances.
What is PEGA
This leaders has traveled the furthest away from the US
Who is Erica
This is what "equinox" mean.
What is equal day and night
True/False: The question in the General Assessment about Primary problems/diagnoses only need to be answered with the conditions that the member wants to focus on.
What is TRUE
An assessment note needs to be completed in CCA within this timeframe after an engagement call.
What is within 24-48 business hours of completing with the member, preferably right after the call.
These are 2 places where claims information can be found.
What is CCA E-links, FACETS
This leader has seen Garth Brooks twice in concert
Who is Kristen
This is the most popular month to get married in spring.
What is April
True/False: When transferring a case, the case should remain open.
What is TRUE
A case is closed in this manner if a family member answers the phone and declines case management without providing HIPAA information.
What is UTC
This is where I would look to find out if a member has filled a medication.
What is ESI
This leader can recite the entire ending monologue in the 1992 Scent of a Woman-by Al Pacino.
Who is Joe
These are the three spring zodiac signs.
What is Aries, Taurus, Gemini
This is when a case needs to be closed when upgrading/downgrading acuity.
What is when upgrading/downgrading to complex case.
A PHQ-9 is required to be completed after this score on a PHQ-2. This assessment will be repeated at what frequency?
What is a score of 3 or above. PHQ-2 is repeated every 30 days until score is less than 10.
This is when it is required to use ZIXIT via email.
What is when Protective Health Information (PHI) or Personal Identifiable Information (PII) is included.
This leader has danced with Captain America in real life.
Who is Jenna
This is who proposed the idea of Daylight Saving Time.
Who is Benjamin Franklin
These are 3 additional steps/tasks required when enrolling a member in complex care.
What are provider call outreach, PHM5 note, past surgical history, readiness to change questions, required conclusions per category.