The LTC Benefits Center Training Team
LTCI Basics
Medicare & Medicaid
Life of A Claim
Complaints, Privacy & Suspicious Activity
100
3
What is the number of Training Team staff members?
100
Insurance that provides a source of funds for care provided.
What is Long-Term Care Insurance?
100
A joint Federal & State program that helps pay medical costs if you have limited income and resources and meet other eligibility requirements.
What is Medicaid?
100
The amount of steps in the Life of a Claim.
What is five?
100
Anywritten expression of grievance against the Company, any present or former agent, agency, office, registered representative, employee or broker in connection with the solicitation, sale, or service of any product or security.
What is a complaint?
200
Sarah Palmer
Who is the LTC Benefits Center's Director of Training?
200
1 in 2
What is the chance you will need long-term care?
200
A, B, C & D.
What are the different parts of Medicare?
200
A telephonic assessment/interview used to initiate a claim.
What is The Intake?
200
When someone’s personally identifiable information has an unauthorized acquisition, unauthorized use or disclosure, or unauthorized release of other confidential proprietary information.
What is a privacy incident?
300
The newest member of the LTC Benefits Center Training Team.
Who is Charlie Griffin?
300
Bathing, Continence, Dressing, Eating, Toileting and Transferring
What are the Activities of Daily Living (ADLs)?
300
Health plans run by Medicare-approved private insurance companies (like an HMO or PPO).
What are Medicare Advantage Plans?
300
This unit is responsible for overseeing the gathering of documentation.
What is the Administration (Admin) Unit?
300
Suspicious Activity Detection, Investigation and Resolution as well as Red Flag Awareness and Investigative Resource.
What is the Business Integrity Unit's role?
400
Art & Boston sports.
What are Jason Robicheau's hobbies?
400
Skilled, intermediate and Custodial/Personal.
What are the 3 Levels of Care generally recognized by the LTC Industry?
400
Skilled Nursing Facility, Home Health Care, Hospice Care, Hospital Care
What are Medicare services that can apply to LTCI?
400
When the entire claim is not approved or we do not have all the information at the time to make the full determination.
What is Partial Eligibility?
400
The Complaint Lawsuit Tracking System, which is maintained by Customer Relations.
What is COLTS?
500
Now living with Sarah's parents.
Who is Oscar (Sarah's cat)?
500
This is the number of days in a period of care where the insured must be eligible for and pay for eligible LTC services before the policy begins paying.
What is the Elimination Period (EP)?
500
This will always be given for Medicare & Medicaid services.
What is Elimination Period credit?
500
Service Center, Technical Unit and BIU.
What are the Support Services in the LTC Benefit Center?
500
He is the Claims Consultant responsible for all complaint correspondence/documents and medical records requests.
Who is Dan Nestle?
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