Bathing, continence, dressing, eating, toileting and transferring are examples of this.
What are ADLs?
100
The #1 Claim Diagnosis.
What is Dementia?
100
Benefit Eligible + Provider Eligible
What is Claim approval?
100
Physician’s charges, Hospital charges, disposable medical supplies and transportation are examples of this.
What is not covered by the LTCI policy?
100
The first JHLTC team where you're MBPS trainer worked for?
What is JH LTC Claims CC?
200
These are activities that are not required to sustain life. Examples include, handling finances, grocery shopping, doing laundry and transportation to stores.
What is Instrumental Activities of Daily Living?
200
The 2 lines of business of JH LTCI
What is Retail (Individual) and Employer (Group) Sponsored?
200
The team where CM and PS to request information/documentation
What is the Administration Unit?
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
Trainer that has a pet cat named Oscar.
Who is Sarah Palmer?
300
The time during which payments for covered services will be made under the LTC insurance policy.
What is the Benefit Period (BP)?
300
The first year JH had a Retail Claim initiated.
What is 1988?
300
A telephonic assessment/interview when one wants to initiate claim.
What is "the intake"?
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/Nursing Home?
300
Rachael O' toole
Who is the JH LTC Claims Training Director?
400
The number of days where you must be eligible for and pay for the covered services before the policy begins paying.
What is the Elimination Period?
400
The date when all New York policies will be adjudicated on the LifePRO System
What is 10/01/2009
400
PS reviews provider information and/or documentation to determine ______________ .
What is Provider Eligibility (PE)?
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 Facilities?
400
The favorite hobby of your MBPS trainer
What is dancing?
500
An addition to a policy that becomes part of the contract and expands or limits the benefits payable.
What are Riders?
500
The number of Retail JH products we administer in the LTC Benefit Center.
What are 12 John Hancock Products?
500
Responsible for evaluating the bills/invoices from the providers and processing the claim payment in the appropriate Claims Systems
What is a Benefit Specialist?
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.