Membersupport : MLTC Quiz 1
10 Questions
| Total Attempts: 59
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Questions and Answers
- 1.Provider calls to inquire on the reason for a denied claim. Which Tab in Casetrakker can you confirm if the provider was authorized to provide the denied service?
- A.
Letters & Attachments
- B.
Member Contacts
- C.
Member File
- D.
Authorizations
- 2.Members granddaughter Janice called requesting additional hha hours for member; as members health condition has changed. Jane is requesting member receive 5 days/ 8 hours each day as member is in the hospital due to a stroke and will be returning home soon. MSR will call or send an email to the
- A.
Social Work dept.
- B.
Field Assessor
- C.
Care Coordinator
- D.
Care Manager
- 3.Members granddaughter Jane Doe, called requesting additional hha hours for member; as members health condition has changed. Jane is requesting member receive 5 days/ 8 hours each day as member is in the hospital due to a stroke and will be returning home soon. What is the activity detail in CaseTrakker?
- A.
Customer care - general inbound
- B.
Sw inquiry
- C.
Customer care - care manager services
- D.
Customer care- sw inquiry
- 4.Prospect Calls to Reschedule UAS Assessment. Where in Casetrakker can an MSR confirm there is an already scheduled UAS assessment?
- A.
JOURNAL & MEMBER FILE
- B.
JOURNAL & AUTHORIZATIONS
- C.
JOURNAL & MEMBER CONTACTS
- D.
JOURNAL & LETTERS & ATTACHMENTS
- E.
JOURNAL & ASSESSMENTS
- 5.Ms Lopez calls to inform she is back from vacation and would like her aide to come back tommorow. MSR should send an email to [blank]
- 6.Provider calls because they received an authorization to provide Home Care services on 10/15/17 for 20 hours a week but the plan of care is 22 hours a week. MSR should contact :
- A.
Cm
- B.
Um
- C.
Enrollment
- D.
Field assessor
- 7.Members Daughter Calls & Request Services for A Family Member to Take Care of Her Mom.Who should MSR send an email to :
- A.
Care Manager
- B.
Social Work dept.
- C.
Intake UAS Nurse
- D.
Intake CDPAP
- E.
Intake Coordinator
- F.
CDPAP dept.
- 8.MBRS DAUGHTER CALLED TO ADVISE MBR WILL BE ENROLLED INTO CPHL IN 2 WEEKS BUT RECEIVED A LETTER ADVISING MBR WILL BE ASSIGNED TO CARING HOME CARE. MBR WISHES TO STAY WITH SAME AGENCY SHE HAS NOW, WHITE GLOVE. MSR SHOULD CONTACT THE CARE MANAGER
- A.
True
- B.
False
- 9.MBRS DAUGHTER IS REQUESTING A CM CHANGE. SHE IS REQUESTING A SPANISH SPEAKING CM FOR BETTER COMMUNICATION. WHO SHOULD AN MSR CONTACT
- A.
MEMBER SERVICES SUPERVISOR
- B.
CLINICAL TEAM MANAGER
- C.
CARE MANAGER
- D.
CARE COORDINATOR
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