Trainer Responsibilites
Medicare
Marketplace
Dress Code
Return to Work
100
The trainer keeps the employee folders. Include certification sheets in the folders. The trainers responsible for filing the folders within
24 hours after the class ends
100
What are the password requirements for NGD?
Passwords must:
Begin with a letter.
Contain a least one uppercase letter and one lowercase letter.
Contain at least one number that is not at the beginning or end of the password.
Have between 8 and 16 characters.
100
You receive a call from Shay, who has questions about the Marketplace application she just submitted. Which fields are the best to use when searching for Shay information in Next Generation Desktop?
. CORRECT ANSWER: Last Name, First Name, Date Of Birth, and Phone Number
100
How many dress code violations do an agent have before they can be terminated?
4 Violations
100
Are RTW employees eligible to work overtime or approved time off? (that is, vacation, authorized time off, or earned time off).
Employees are not eligible to work overtime or for approved time off during the Return to Work process (that is, vacation, authorized time off, or earned time off).
200
How long does a trainer have to complete an instructor observation form after observing an instructor?
Observations conducted, but not entered within 24 hours of observation, do not count toward the observation requirement.
200
What do the entry codes on a claim line mean and why are they important?
•1–Original debit: Indicates that the claim was the original claim submitted to Medicare
.•3–Full credit: Indicates that the Common Working File (CWF) overlaid the original claim information with the adjusted claim information. If you highlight the line and click the Get Local Details button, an error message appears, telling you that claim details are not available for the canceled claim.
•5–Replacement debit: Indicates that an adjustment was made to the original claimsubmitted to Medicare.
200
Consumers may call with questions that fit into multiple categories. What are those categories?
Data matching issues
General inquiries
Health insurance coverage
Plan issues
Taxes
200
Shoulder straps on shells/blouses must be at least how many inches wide?
Shoulder straps on shells/blouses must be at least 2 inches wide.
200
If an employee is absent 46-89 business days are they required to complete exams and recertify?
An employee whose absence is 46–89 business days will not be required to complete exams or recertify
300
Who should make reasonable accommodations to employees who may have specific physical and/or religious requirements?
Supervisors should make reasonable accommodations to employees who may have specific physical and/or religious requirements
300
. What DMEPOS equipment requires a Certificate of Medical Necessity (CMN)?
Oxygen
•Transcutaneous electrical nerve stimulator (TENS) units (if purchased)
•Pneumatic compression devices
•Seat-lift mechanisms
•Osteogenesis stimulators
300
How long is a consumer typically eligible for an SEP?
And how many days do they have to send in documents to resolve SVI?
60 days
and
30 days
300
If there is no cover available or if the violation is considered indecent or extremely offensive, what is next for the employee?
e the employee will be sent home to change in addition to the corrective action outlined for the violation. If the employee is sent home the normal attendance policy will apply for unplanned absences and the time will be without pay.
300
How long does an employee have to complete RTW if they have missed more than 90 business days?
Complete within 10-15 business days
400
What is the percentage requirements for EACH category on Level 1 Evaluation?
92 percent or better overall and for each category on Level 1 Evaluation
400
When can a claim be escalated as a suspended claims?
After 120 days
400
After you have searched and find the consumer record what is the next step for the CSR to do?
Open the call record
400
In the photo below is the employee dressed appropriate for work?
No the employee is not dressed appropriately for work
400
For an employee absence between 1 to 9 business days, is a RTW training plan necessary?
absence between 1 to 9 business days, an RTW Training Plan will not be necessary
500
How much time is excused from CSR Observation, for leading a full week of Medicare Essentials New Hire or Marketplace New Hire class?
For each full week the trainer spends leading a Medicare Essentials New Hire or Marketplace New Hire class, the trainer receives a 30-minute exception from CSR observation.
500
What are the 7 Quality Now skills?
Issue Resolution
Call Efficency
Active Listening
Personality Flexing
Business Process
Information Accuracy
Privacy & Disclosure
500
The Carter family moved to a new state on September 1. They called the Marketplace to update their application on October 5. They selected and confirmed a plan during that call. When is the deadline for the Carter family to resolve their SVI?
November 5
500
In the photo below is the employee dressed appropriately?
YESSSSSSSSSSSSSSS!!!!! She is dreesed perfect for work lol.
500
If the employee does not pass the test on the first attempt (with a 90%) What happens next?
If the employee does not pass the test on the first attempt (with a 90%), a member of the Training and Development team coaches them before a retake.