MOC
Cal O PCC Process
Prospect
Medical Riddles
Riddles
100

What does MOC stand for?

Model of Care 

100

When the HRA is retrieved, to which two locations is the PCC expected to upload it?

Essette (Attached documents) and Aerial 

100

Are we called Prospect Medical Holdings or Prospect Medical Systems?

Prospect Medical Systems

100

What can you catch but not throw?

A cold 

100

What does a house wear?

Ad-dress

200

How many lines of Business does MOC manage? List them all

4 health plans:


1. Cal O

2. SCAN

3. UHC 

4. LA Care

200

After sending a fax, what document(s) is the PCC expected to upload afterward?

Fax confirmation 

200

What is the name of the system that staff use to clock in and out?

API

200

I'm the place you go when feeling low, where care and comfort help health grow. What am I?

Hospital

200

What has a face and two hands but no arms or legs?

A clock 

300

What days and time are ICT meetings held? 

Tuesdays and Thursdays 10:30 AM

300

After faxing the Final Care Plan to the PCP, what follow-up actions are the PCC expected to complete?

Follow-up all to PCP office for signed Final Care Plan 

300

Where do you go to complete your self review?

Worktango

300

From the symptoms you share, I prescribe you care, with steady hands and knowledge rare. Who am I?

Doctor

300

I have hundreds of wheels, but move I do not. Call me what I am; call me a lot. What am I?

A parking lot

400

What does SPD stand for?

Seniors and Persons with Disabilities

400

Scenario: Member is a SPD Care Coordination with an Initial HRA. PCC mails to member, ICP, intro letter, and welcome packet. What is the status? 

Accepted

400

How many core values are there at Prospect? 

400

I cover face, leaving no trace, keeping germs out of every place. What am I?

Mask 

400

What stays in the corner and travels all over the world?

A stamp

500

What does C-SNP and D-SNP stand for?

C-SNP = Chronic Special Needs Plan 

D-SNP = Dual Eligible Special Needs Plan 

500

Scenario: Member is a One Care Basic, with an Initial HRA. Member Declines CM, what is the PCC to send to member with ICP? 

Welcome packet 

500

Can you name the 7 core values of Prospect?

1. Accountability 

2. Compassion

3. Excellence

4. Innovation

5. Teamwork

6. Respect

7. Integrity

500

I make you sweat and shiver tight, a sign that something isn't right. What am I?

Fever

500

What goes up but never comes down (no matter how much you want it to)? 

Your age