2014 - Qm - Opening Script

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| By Bthorup
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Bthorup
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Quizzes Created: 41 | Total Attempts: 28,856
| Attempts: 227 | Questions: 10
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1. How would you grade the following statement and why? "My name is Fi Schneider, today is Wednesday July 14th. This call will be recorded- do I have your permission to record this conversation to confirm your enrollment?"

Explanation

The script was not verbatim. The agent left out the year.

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About This Quiz
2014 - Qm - Opening Script - Quiz

This 2014 - QM - Opening Script quiz assesses understanding of compliance protocols in healthcare, focusing on HIPAA, recording consent, and proper agent responses. It prepares participants for... see morehandling sensitive information and obtaining necessary permissions in professional scenarios. see less

2. Mr. Smith is completing the enrollment both for himself and his wife, for whom he has Power of Attorney. When asked "Are you completing this Medicare enrollment for yourself?", Mr. Smith replies "Yes" and the ADP moves on to the next section. Did the ADP obtain the proper response?

Explanation

If a customer is completing an application for themselves as well as a spouse, then the question must be asked for each customer and the proper response obtained.

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3. The BA/ADP asks for permission to record the conversation on a joint application- Mr. Wayne says "Yes you do.", however Mrs. Wayne says nothing. How should this be graded?

Explanation

On a joint application, both customers must give verbal consent to record the conversation. This would not be considered a major infraction as the question wasn't skipped, it was asked but wasn't answered by both parties.

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4. On a joint application, the BA/ADP is required to:

Explanation

not-available-via-ai

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5. The HIPAA statement/question must be read/asked on every application. 

Explanation

If the customer is the only person on the line, then the HIPAA statement/question does not need to be read/asked.

Submit
6. A friend, or relative, that is a sales agent or broker cannot assist the customer with their enrollment.

Explanation

Provided that the friend/relative is not functioning in a sales agent or broker capacity, they can remain on the line and assist the customer as their HIPAA representative.

Submit
7. If the POA started the application (The customer was not on the line during the Opening Script) and the customer completes it by giving their voice signature after the disclaimer, what line items on the QM form should be marked down? 

Explanation

If POA starts the application, but the Customer gives the voice signature, score numbers 3-10 as if the Customer was completing the application themselves (or vice versa).

Submit
8. The BA/ADP did not read the plan number when summarizing the enrollment decision- this should be marked as a minor infraction for not reading the script verbatim. 

Explanation

The plan number (S7654-321) does not need to be read when summarizing the enrollment.

Submit
9. Dr. Grey has Power of Attorney for her husband, however he will be completing his own enrollment with assistance from his wife. The BA/ADP must ask the POA question/ read the POA statement to Dr. Grey and obtain verbal confirmation that she holds Power of Attorney. 

Explanation

Since Dr. Grey is not functioning as POA during the enrollment, the BA/ADP would need only to read the HIPAA scripting and obtain the customer's consent for his wife to assist him with his enrollment.

Submit
10. On which applications must the MIR be read?(Hint: This refers to the MIR in the Opening Script, not the MIR that is read before quoting plans)Select all that apply.

Explanation

Underwritten applications do not require the MIR as the customer is subject to medical underwriting questions that must be answered.
Additionally, we do not monitor Dental or Vision plan enrollments.

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  • Mar 21, 2023
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  • Jul 11, 2014
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    Bthorup
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How would you grade the following statement and why? "My name is...
Mr. Smith is completing the enrollment both for himself and his wife,...
The BA/ADP asks for permission to record the conversation on a joint...
On a joint application, the BA/ADP is required to:
The HIPAA statement/question must be read/asked on every...
A friend, or relative, that is a sales agent or broker cannot assist...
If the POA started the application (The customer was not on the line...
The BA/ADP did not read the plan number when summarizing the...
Dr. Grey has Power of Attorney for her husband, however he will be...
On which applications must the MIR be read?(Hint: This refers to the...
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