Bathing, continence, dressing, eating, toileting and transferring are examples of this.
What is Activities of Daily Living?
100
Physician’s charges, Hospital charges, disposable medical supplies and transportation are examples of this.
What is not coveredby LTCI?
100
Benefit Eligible + Provider Eligible = _______
What is Claim Approval?
100
The only male in the Claims Training Staff
Who is Jason (Robichaeu)?
200
The 2 lines of business of JH LTCI
What is Retail / Group LTC?
200
The number of days where you must be eligible for and pay for the covered services before the policy begins paying.
What is Elimination Period?
200
This is care that requires no medical knowledge but provides personal care, such as assistance with bathing or dressing. This type of care can be done by a Home Health Aide/Certified Nursing Aide or a family member/friend.
What is Custodial Care?
200
Gathers clinical and provider information/documentation if the CM and PS make a request
What is Admin Team?
200
your trainer's hobby.
What is dancing?
300
In 1996, this bill was passed into law which allowed for Tax Qualified policies.
What is Health Insurance Portability and Accountability Act (HIPAA)?
300
The time during which payments for covered services will be made under the LTC insurance policy.
What is Benefit Period?
300
This is a facility which primarily provided inpatient skilled nursing care and related services to patients who require medical, nursing or rehabilitative services but does not provide the level of care or treatment available in a hospital.
What is Skilled Nursing Facility?
300
It is done by filing claim form or via telephonic assessment
What is Claim Initiation?
300
The MBPS LTC Central Trainer.
What is Joy Capangpangan?
400
The average duration of a claim.
What is 2.4-2.5 years?
400
An addition to a policy that becomes part of the contract and expands or limits the benefits payable.
What is Rider?
400
This is a facility that is for people needing assistance with Activities of Daily Living but wishing to live as independently as possible. It bridges the gap between independent living and nursing homes.
What is Assisted Living Facility?
400
It involves the CM,PS,BS,Admin during the life of the claim
What is On-going Management?
400
The training director of Claims Department
Who is Rachael O' Toole?
500
The #1 Claim Diagnosis.
What is Dementia?
500
While the policyholder is on claim, she or he does not have to pay for his or her policy once this provision is met. The policyholder will resume paying for the policy when they end the claim.
What is Waiver of Premium?
500
This type of care is social and health-related services provided during the day in a community or group setting. The purpose of the program is to support frail or impaired elderly or other disabled adult who can benefit from care in a group setting. It also provided the informal primary caregiver a break.
What is Adult Day Care?
500
Responsible for evaluating the bills/invoices from the providers/insured