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Quality Scores

Quiz by Elizabeth Marquez

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10 questions
Show answers
  • Q1

    Which of the following does NOT describe "separating health plan from Wider Circle"?

    "Hello this is Shakira calling of behalf of Wider Circle, an independent organization partnered with your health plan Keystone First"

    "Hello this is Beyonce calling on behalf of Keystone First"

    "Hello this is Madonna calling on behalf of Keystone First and Wider Circle"

    30s
  • Q2

    You must mention the call is being recorded

    true
    false
    True or False
    10s
  • Q3

    Besides separating the health plan from WC and mentioning the call is being recorded, what else are you supposed to do during the intro of your calls?

    Verify you are speaking to the actual member

    Attempt SDOH survey

    Asking the member how are they doing

    30s
  • Q4

    You MUST complete the Right Party Verification before continuing with the CFL explanation

    true
    false
    True or False
    30s
  • Q5

    You must explain CFL

    true
    false
    True or False
    10s
  • Q6

    You should aim for ____% average for quality scored

    80

    70

    85

    90

    20s
  • Q7

    What is the correct disposition when someone is not interested in CFL.

    Declined - Call Again

    Do Not Call

    Call Again - This Event

    15s
  • Q8

    Notes need to be detailed and relevant to main points of the conversation between you and the member.

    false
    true
    True or False
    10s
  • Q9

    Even though you get a 90% you can still fail a call.

    true
    false
    True or False
    30s
  • Q10

    There is no guide (word document) that I can use to access my quality scores in Five9 in case I forget.

    false
    true
    True or False
    30s

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