Thank you for calling Medicare. My name is Tariq St. Patrick. How may I help you today?
What is the Welcome greeting?
What was the name of the restaurant that Eddie Murphy and Arsenio Hall worked in Coming to America?
What is McDowell's?
Issue Resolution, Call Efficiency, Active Listening, Personality flexing, Business Process, Information Accuracy, Privacy & Disclaimers
What are the Quality Now skills?
The first system in Medicare to be updated with your personal information
What is the Master Beneficiary Record(MBR)?
If your claim was denied because you have exhausted your Part A benefits or do not have Part A, your provider may submit a separate Part B claim for some inpatient hospital services that are covered under Part B. These are called...?
What are Ancillary Charges?
Based on a fee schedule, Medicare sets an amount that they will pay for each Part B medical service or item that a person with Medicare receives.
What is the Medicare-Approved Amount?
What was the name of Destiny's Child's first album?
What is Destiny's Child?
The United States Postal Service returned the beneficiary’s mailed enrollment forms as undeliverable on or after the last day of an enrollment period, such as the beneficiary’s initial enrollment period (IEP) or the open enrollment period (OEP), now wants a plan
What is an Enrollment Exception (Extraordinary Circumstances)?
QI, Medicaid, SLMB, all your state history is listed under me
What is the State Program History view?
You and your fellow CSRs share the responsibility of receiving calls 24 hours a day, 7 days a week with how many other Contact Center Operations (CCO) sites throughout the United States? Double points for the site names
9 (Phoenix, Brownsville, Bogalusa, Hattiesburg, Winchester, London, Lynn Haven, Tampa, Lawrence)
If you receive this, it means that Medicare has approved the prior authorization request for your item. You can get the item you need, and the supplier will submit a claim. Contact your supplier if you need any additional information about this decision.
What is an affirmed decision letter?
In a memorable scene from Flavor of Love, Tiffany “New York” Pollard famously declared, “I look like Beyoncé,” only to be hilariously shut down by another contestant who said she looked more like this famous singer.
Who is Luther Vandross?1
This should always be used last when the beneficiary qualifies for more than one election period
What is the Extra Help SEP?
If the beneficiary does not yet have Medicare, has called previously, you can use this to search NGD for existing call records for the caller
What is the Contact Lookup button?
Most Medicare prescription drug plans enter this after you and your plan have spent a certain amount of money on covered drugs during the initial coverage phase, you will pay up to 25% of the cost of brand-name and generic drugs.
What is the Coverage Gap?
What are the 4 levels of appeal that apply to IRMAA determinations?
4 players have won MVP and Defensive Player of the Year in the same year. Name 2.
MJ, Hakeem, Giannis, Lawrence Taylor
This group helps you with Medicare-related complaints, grievances, and information requests. They make sure you have Medicare rights and protections information and understand how to get your concerns resolved.
Who is the Medicare Beneficiary Ombudsman?
Name the multiple levels or tiers of CSRs
What is General Medicare, Claims Specialists, Claims Tier 2, Alternate Channels/ ARC/Email/ Web Chat/ Written Correspondence, Internal Support Group (ISG)?
What are the 3 significant laws that affect Medicare?
What is the Medicare Amendment to the Social Security Act, Medicare Modernization Act and Affordable Care Act?
Appointed by the SSA, they have a higher level of authorization than the authorization that Medicare grants. You should always treat them as if they were the beneficiary.
What is a Representative Payee?
This ancient city, located in modern-day Turkey, was famously besieged by the Greeks in a war that lasted ten years.
What is Troy?
This is the place to stay up to date on important, on-the-job information. Access to helpful resources related to common calls you’ll encounter as CSRs.
What is The Buzz?
This permits other insurers and benefit programs to send eligibility information to CMS and receive Medicare claims data for processing supplemental insurance benefits from the Benefits Coordination & Recovery Center (BCRC).
What is Coordination of Benefits Agreement ID
Around September, if you're in a Medicare plan, your plan will send you this each fall. It includes any changes in coverage, costs, and more that will be effective in January.
What is the Plan Annual Notice of Change (ANOC)?