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NHT Level 1
Quiz by Ashley Jones
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- Q1
"Are you the person I would speak to about my Medicare questions?"
YES!
It depends what questions you have.
I'll need to transfer you.
30s - Q2
The following are all qualifiers for Medicare EXCEPT:
ESRD
Low Income
Certain Qualifying Disabilities
65 or older
30s - Q3
Link the service to its corresponding part of Medicare.
Users link answersLinking45s - Q4
An insurance plan that keeps costs low by having you coordinate all care through a Primary Care Physician (PCP) is:
a PDP.
a PFFS.
a PPO.
an HMO.
45s - Q5
A call can be validated during authentication using the member's DOB, PCP name, and MMN.
truefalseTrue or False45s - Q6
PHI stands for:
Protected Health Information
Public Health Information
Personal Health Information
Private Health Information
45s - Q7
Which act enacted in 1996 regulates how a member's PHI stays secure?
Shared Data Act of 1996
HIPAA
PII
General Data Protection Regulation
45s - Q8
A CPHI can file a grievance on behalf of the member.
falsetrueTrue or False30s - Q9
A CPHI can schedule a trip for a member.
truefalseTrue or False30s - Q10
Unauthorized callers can be assisted with all of the below EXCEPT:
inquiring about a claim
general information about the Rewards program
searching for a provider
website navigation
45s - Q11
Which of the following is true when you are obtaining verbal consent from the member?
Caller has permission to act on the member's behalf for the duration of the call and will automatically be added to the Authorized Callers list on the member's account.
Caller has permission to act on the member's behalf for the duration of the call only, and verbiage must be documented for all STCs for that call.
The account requires only two factors of authentication when providing verbal consent.
The caller may complete authentication as long as they are able to provide exact member information, such as MMN and full address (including zip code).
60s - Q12
Which 2 STCs should be offered and documented with EVERY call?
C0283 and C0201
C0336 and CP846
C0283 and C0381
C0381 and CP846
60s - Q13
You should update the MMN field if it is blank, even if the member doesn't want to provide a name.
truefalseTrue or False30s - Q14
Which self-service option allows member to request an ID card, review benefit information, and perform a provider search?
Healthy Foods Card app
Incomm website
MyCarePlus member portal
ShareCare portal
30s - Q15
Members can earn ______ Rewards points for completing the Real Age Test.
50
30
20
30s