CRITICAL INCIDENTS
CADENCES
MISC
CM TOOLS
WHOSE WHO
100

You have identified a Critical Incident.  How long do you have before it needs to be entered into Dynamo?

24 hours

100

Intensive and Supportive 1st Initial Outreach occurs within how many days of episode being open?

what is 7 calendar days OR 5 business days

100

Intensive members need to be offered an IDCT how often?

What is every 6 months

100

This new CM tool allows CM's to review member details including conditions, medications, lab results, provider visits, IPs, and ED visits all in one place

what is Case Assistant

100

Who is our current ICM Director?

who is LJ (Lisa-Jasmin) Ford

200

Critical Incident follow up includes the following outreach cadence

What is 5 Unsuccessful (4 calls/ 1 letter) or 3 successful calls with the member.

200

All IC calls should be completed when

What is before the IC due date

200

Members should be invited to IDCTs this amount of weeks prior to the IDCT date

What is 2 weeks

200

This tool is assisting CMs with AI-Assisted case documentation

What is Nabla

200

Who on our regional team most recently passed the CCM Exam

who is Abigail

300

You need this amount of follow ups to an investigating entity.

what is 2

300

True or False: When you make a 3rd and final IC call and leave a message, you chart this in a CMAT

What is False.  Document in VISIT EVENT 

300

Intensive members are required to offer F2F visits how often?

What is every 90 days

300

Prior Authorizations can be found by checking what system(s)?

What is Medcompass and EviCore

300

Who on our regional team is working towards their LCSW supervision hours?

Who is Katie

400

True or False. You do NOT need to add your CMATs to the Critical Incident Follow Up Template. 

what is FALSE

400

If an intensive member is not reached by this attempt they are placed into Persistent Outreach

What is the 3rd outreach

400

What is the minimum amount of assessments CMs should be completing per month?

What is 30

400

This our CM AI powered assistant

Who is Artey

400

Who on our regional team has their CADC certification?

who is Julie S

500

You receive an ROS from APS. What action do you take?

what is : 1. Link the ROS to Dynamo.  2. Contact APS to confirm receiving the document within 5 calendar days and update them on action you taken with the member.

500

You are unable to leave a message for member on 2nd IC attempt, what happens next?

What is you chart CMAT for the call & send UTR-Mbr Care-Mgr letter (3rd attempt0 the same day and chart visit event.

500

What CSA is completed for a member who has been diagnosed with PTSD?

What is no assessment 

500

CM's can find Member Forms ( POA, ROI, etc) here

what is the ABHIL website

500

Who is our current Interim Behavioral Health Director

Who is Bret Deyo