CMS
Sutherland
Customer Service
Healthcare
Misc
100

Medicare is ran by the government?

True or False

True

100

Where was the first site created by Sutherland in Jamaica?

UWI

100

The ability to feel what someone else is feeling?


Empathy

100

A procedure performed to help with chronic lower back pain. 

Chiropractic

100

We do not follow Medicare guidelines?

True or False

False

200

What does CMS stand for?


Centers for Medicare and Medicaid Services.

200

Which site was the last to open?


Portmore

200

The process of connecting with your provider in a friendly way?

Rapport

200

What are the 3 P's in healthcare?

Patient, Provider and Payer

200

What is the difference between diagnosis and diagnostic?

Diagnosis is the sickness or condition, and diagnostic is the procedure.

300
What is the age requirement for medicare?

65+

300

How many accounts are at the Portmore site?

3

300

What is meant by AER?

Acknowledge, Empathy and Reassure

300

What is a copay?

What is the difference between diagnosis and diagnostic?

300

What benefit when met allows the insurance to cover a member at 100%?

MOOP

400

Does Medicare have a limit on services performed and what is it based on?

No, based on medical necessity.

400

How long is the new hire probationary period?

90 days

400

What skill is important to ensure you get all necessary information from the provider and understand their issue. 

Active listening. 

400

What is the difference between fee for service and capitation?

Fee for service is payment per patient and capitation is a monthly payment per a contract.

400

Services is used to diagnosis or treat psychological disorders, chemical abuse and alcohol abuse. 

Mental or behavior health

500

What is the term used if a member can get both medicare and medicaid?

Dual eligibility

500

How long has Humana been with Sutherland Jamaica?

3 years

500

The practice of repeating what the provider stated in your own words. 

Paraphrasing. 

500

What is a pre-existing condition?

Patient having a medical condition prior to seeking insurance coverage. 

500

What is timely filing?


How long a provider has to submit a claim for reimbursement.