Midterm Assessment

Medicare is a federally funded program.

• True

• False

What timeframe should a Member be given for the receipt of materials after a request is made?

• Up to 7 days

• 7-10 days

• 14 business days

• 21 days

You are assisting a member with an inquiry and you realize the wrong call driver was selected. How would you proceed?

• Select the Cancel Call button and identify the wrong call driver was selected.

• Select the Back button until you return to the call driver listing.

• Restart CAREConnects

• Select the Resources button and select the correct call driver.

An Appointment of Representative (AOR) Form automatically expires in two years.

• True

• False

Health Insurance Portability and Accountability Act (HIPAA) is a law designed to provide privacy standards to protect what?

• The Patient's feelings

• The Provider's medical records and other health information

• The Patient's medical records and other health information

• The Provider's feelings

What system is used to request OTC brochures, Provider listings, and Welcome Packet requests?

• CAREconnects

• WiPRO

• Sidewinder OTC

• Mevsnet

Health Literacy is obtaining understanding and assessing health information to make appropriate heath decisions.

• True

• False

What company administers the OTC benefit for members who have the OTC Debit Card?

• Ambetter Health Plans

• Incomm/Medagate

• EviCore

• OTC

CMS is an acronym for Centers for Medicare and Medicaid Services.

• True

• False

Scoring 95% and above is considered a PASSED Evaluation Score.

• True

• False