HIPAA Practice
HIPAA Practice
SNP Overview
Fulfillment
Other
100
Health Insurence Portability and Accountability Act
What is HIPAA
100
Trustee
Who is authorized to manage and distrubute assets.
100
Dual speed needs plan
What is DSNP
100
Wizards
IN MYSME what drop down do we find member materials
100
Creole
What other Language does Ms. Joseph Speak
200
Protected Health Information
What is PHI
200
Member Claims Information
Member______ information is info regurading claims that have been paid or potential copays.
200
All the above
Which Medicare Advantage plan can also be offerd for SNP: HMO, HMO-POS, PPO, RPPO?
200
To process system generated letters, EOB, EFT reprint for monthly billing statements
When do we use EDSS?
200
Louisiana
Where was Ms. Bay Born
300
Member Enrollment Information
Member _______ Information is general info about the member premium coverage, effective date, termdate LIS status directly link to the member?
300
Member Medical Information
Member _________ information relates to the type of procedure or diagnosis.
300
IS a single health Plan that has both Medicade and Medicare
What is MMP
300
Alternative Language, Audio Format request, Esculated request
What is one reason we use Share Point
300
Rlationship , Integrity, compassion, inovation, performace
What are our Five core Values
400
Gurdian
What is Individual appointed by court to make health or financial decisions?
400
Sensitive Member information
Member ___________ information is relates directily to diagnosis.
400
Yes
Can a beneficiarie stay in ther current MA or PDP plan if they chose not to be in there state MMP?
400
Anoc, Replacement id card, EFT form, EOC, Welcome KIT, etc...
What are Four standard Fulfillment types you would find in Account summary to send to the member.
400
East, Cosmos
What Line of business do we handle?
500
Basic Plan, Member Enrollment, Member claims, member medical.
What four things can be discused to the ship counselor after authenicated?
500
Browse Topics
What drop down do you select in MYSME to locate HIPAA - General Intent
500
True
True or False, Beneficiaries have until the day prior to the state MMP enrollment effective date to opt out?
500
7-10 business days
What is the delivery espectations for a standard fulfillment materials
500
correct....
Name one way to get a CTM or Wapmo?