Alternative Languages
The system CSC Agents use to respond to Member requests concerning their selected languages.
CD-MMIS
NAMI stands for this.
National Alliance on Mental Health
PERIODIC ORAL EVALUATION – ESTABLISHED PATIENT
D0120
The two common references used when referencing an HCC Inquiry screen.
History Cross Check (HCC) SOP and Manual of Criteria (MoC)
SNOW stands for this.
Service Now
SPLANG stands for this.
Spoken Language
The two different types of situations a CSC Agent may experience with people having suicidal thoughts.
Passive and Imminent
COMPREHENSIVE ORAL EVALUATION – NEW OR ESTABLISHED PATIENT
D0150
The DOS format listed for an open authorization.
None - There is no DOS for an open authorization
This backup is used when CRM is down
CRM Case Tracking Spreadsheet
This screen shows a member's language detail.
FAME Inquiry Detail
Generally, someone is speaking _______ when making a Passive Suicidal Reference?
Vaguely
ORAL EVALUATION FOR A PATIENT UNDER THREE YEARS OF AGE AND COUNSELING WITH PRIMARY CAREGIVER
D0145
Delimiter Code for a denied procedure.
10
This CXone menu is created when Gabby is not available.
Gabby Down
The Initial CD-MMIS function that you have to select to view a member’s alternative spoken language and written language.
Function 14. Provider Relations
The four things a CSC Agent will relay to a 911 operator when taking a member who is expressing a desire to die soon?
1. The members name
2. The members address
3. The members phone number
4. A brief description of what the caller said
NTRAORAL – COMPREHENSIVE SERIES OF RADIOGRAPHIC IMAGES
D0210
The number of Tooth Surface (SURF) codes used.
(100pt Bonus for naming them)
7
“M” (mesial), "D” (distal), “O” (occlusal), “I” (incisal), “L” (lingual or palatal), “B” (buccal), and “F” (facial).
The two people/positions CSC agents report outages to.
Team Leads or Supervisors
The website where members can find available language options.
or
Alternative Format Selection pages of the Department of Healthcare Services (DHCS) website.
The best things CSC Agents can do when talking to a member who has mentioned suicide.
Be Empathetic and Understanding.
PANORAMIC RADIOGRAPHIC IMAGE
D0330
To view the current status of a document in the CLAIM TAR INDEX Screen.
place the cursor below the DCN and press F4
When a needed system is unavailable, this is the time increments CSC Agents advise callers to call back in.
five-minuets