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NHT Level 1

Quiz by Ashley Jones

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30 questions
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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 answers
    Linking
    45s
  • 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.

    true
    false
    True or False
    45s
  • 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.

    false
    true
    True or False
    30s
  • Q9

    A CPHI can schedule a trip for a member.

    true
    false
    True or False
    30s
  • 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.

    true
    false
    True or False
    30s
  • 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

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