Landmark jeopardy V1

Call Statuses

100

IV has been completed, member is engaged.

What is the completed status?

200

The phone keeps ringing with no answer. May also be used for circumstances when we do not call a member due to various reasons; such as travel time, or if previous notes instruct not to call.

What is call status, no answer?

300

Member states they have switched health plans, but its not reflected in our system.

What is call status, no longer eligible with plan?

400

This status is used for people that travel to warmer places during the winter months.

What is the snowbird call status?

500

Member states that they do not want anymore calls from us or wants to be placed on our DO NOT CALL list.

What is call status Refused - Do not call - Mail only?

Types of Facilities

100

Residents have medication assistance and staff available 24/7 but are mainly independent.

What is an assisted living facility?
LM can see residents w/o credentialing.

200

Residents are physically mainly independent but cannot make their own decisions and receive medication assistance.

What is an assisted living facility - Memory care?

300

Residents live there permanently and receive skilled nursing services and are physically challenged. Attending physicians manage these patients.

What is a Skilled Nursing Facility - Long term care?

400

Patients are receiving rehabilitation services for post surgery, strengthening, wound care, etc. They reside there temporarily.

What is a Skilled Nursing Facility - Short term care? AKA a rehab.

500

Residents are independent but may have minimal services available.

What is a senior or independent living facility?

Acronyms

100

IV

What is the acronym for initial visit?

200

B/C

What is the acronym for because?

300

CC

What is the acronym for Care Coordinator?

400

EMR

What is the abbreviation for electronic medical record?

500

TTM-30.

What is talk to member 30 days? TTM30 means that the member is refusing the program BEFORE the program is explained to them; OR member hangs up when we introduce ourselves (didn't say they weren't interested) and we may/may not have explained the program in the past. After 30 days, it will come back into the queue.

Directory

100

Highlighted in blue.

What is the insurance companies on the east coast?

200

Highlighted yellow.

What is insurance companies on the west coast?

300

BSNENY.

What is Blue Shield of Northeastern New York - Care at Home?

400

HPSM.

What is Health Plan of San Mateo - Home Advantage?

500

Premera Seattle/Spokane

What are healthplans that have a co-pay?

Free for All

100

TTM

What is the call status talked to member?

200

POA

What is power of attorney?

300

CDPHP.

What is the healthplan, capital district physicians healthplan?

400

BCBSWNY.

What is Blue Cross Blue Shield of Western New York - Care at Home?

500

Two of four health plans that have Spanish IV packets.

What is Capital Blue Cross, Premera, HPSM or IEHP?