Test: CE - MCS Knowledge Check (ce - meridian


CE - MCS Knowledge CheckVersion en ligne Knowledge check of information learned in MCS 101 & MCS 201 par Meridian Training 1 Which button would you press to access CHAMPS? a b c d 2 Which screen would you navigate to if you needed to change a member's PCP? a Eligibility/PCP History b Member Management c Demographics d Care Team/ Auth Rep 3 How often is a member able to change his/her PCP? a Once per day b Once per week c Once per month d As often as they would like 4 Which screen would you navigate to if you need to search for a bill from a doctor's office? a Historical Claims b Professional Claims c Professional Summary d Institutional Claims 5 Which screen would you navigate to if you need to search for a bill from a hospital? a Historical Claims b Professional Claims c Institutional Claims d Institutional Summary 6 Which screen would you navigate to if you need to determine who a member's Health Advocate is? a Care Team/Auth Rep b Demographics c Member Management d Authorizations 7 What does the H alert stand for? a HRA b Welcome Call c HEDIS d Continuity of Care 8 What does the E alert stand for? a Disease Management b Care Coordination/Care Management c Maternity d Health Risk Assessment 9 What does the W alert stand for? a Welcome Call b Coordination of Benefits c HRA d Care Coordination/Care Management 10 What can be sent to members using the "Order Docs" button? (check all that apply) Choose one or more answers a New ID Card b Provider Directory c Member Handbook d Change of Address Form e MeridianRx Card f HIPAA Authorization Form 11 In which screen is a member's contact information (i.e. address, phone number, etc.) housed? a Member Management b Contact Log c Authorizations d Demographics 12 Which topics are documented in the Yellow Phone? (check all that apply) Choose one or more answers a Disenrollment (during outreach only) b HEDIS c Transfers d Welcome Call e CHAMPS Verification f Redetermination 13 Locate Dr. Arun Gupta in MCS (Provider ID: 357). Is this provider In-network with Meridian? a Yes b No c Not enough information to tell 14 What does the Q Alert stand for? a Welcome Call b Care Coordination/Care Management c Continuity of Care d HRA Required 15 Which type of claim will generally have a lower charge amount? a Professional Claim b Institutional Claim 16 What are the primary pieces of verification? (check all that apply) Choose one or more answers a Member ID Number b First and Last Name c Date of Birth d Full Street Address e Last four of SSN f Phone Number 17 Which screen would you navigate to if you need details on other insurance a member has? a Eligibility/PCP History b Third Party Liability c Member Management d Request History 18 Which screen would you navigate to if you need to check the status of an authorization submitted by a provider? a Member Management b Authorizations c Request History d HRA 19 When you need to document on an account in MCS, which screen will you navigate to? a Demographics b Contact Log c Member Management d HRA 20 What are the secondary pieces of verification? Choose one or more answers a Member ID Number b First and Last Name c Address d Phone Number e Date of Birth f Last four of SSN

1

Which button would you press to access CHAMPS?

a

b

c

d

2

Which screen would you navigate to if you needed to change a member's PCP?

a

Eligibility/PCP History

b

Member Management

c

Demographics

d

Care Team/ Auth Rep

3

How often is a member able to change his/her PCP?

a

Once per day

b

Once per week

c

Once per month

d

As often as they would like

4

Which screen would you navigate to if you need to search for a bill from a doctor's office?

a

Historical Claims

b

Professional Claims

c

Professional Summary

d

Institutional Claims

5

Which screen would you navigate to if you need to search for a bill from a hospital?

a

Historical Claims

b

Professional Claims

c

Institutional Claims

d

Institutional Summary

6

Which screen would you navigate to if you need to determine who a member's Health Advocate is?

a

Care Team/Auth Rep

b

Demographics

c

Member Management

d

Authorizations

7

What does the H alert stand for?

a

HRA

b

Welcome Call

c

HEDIS

d

Continuity of Care

8

What does the E alert stand for?

a

Disease Management

b

Care Coordination/Care Management

c

Maternity

d

Health Risk Assessment

9

What does the W alert stand for?

a

Welcome Call

b

Coordination of Benefits

c

HRA

d

Care Coordination/Care Management

10

What can be sent to members using the "Order Docs" button? (check all that apply)

Choose one or more answers

a

New ID Card

b

Provider Directory

c

Member Handbook

d

Change of Address Form

e

MeridianRx Card

f

HIPAA Authorization Form

11

In which screen is a member's contact information (i.e. address, phone number, etc.) housed?

a

Member Management

b

Contact Log

c

Authorizations

d

Demographics

12

Which topics are documented in the Yellow Phone? (check all that apply)

Choose one or more answers

a

Disenrollment (during outreach only)

b

HEDIS

c

Transfers

d

Welcome Call

e

CHAMPS Verification

f

Redetermination

13

Locate Dr. Arun Gupta in MCS (Provider ID: 357). Is this provider In-network with Meridian?

a

Yes

b

No

c

Not enough information to tell

14

What does the Q Alert stand for?

a

Welcome Call

b

Care Coordination/Care Management

c

Continuity of Care

d

HRA Required

15

Which type of claim will generally have a lower charge amount?

a

Professional Claim

b

Institutional Claim

16

What are the primary pieces of verification? (check all that apply)

Choose one or more answers

a

Member ID Number

b

First and Last Name

c

Date of Birth

d

Full Street Address

e

Last four of SSN

f

Phone Number

17

Which screen would you navigate to if you need details on other insurance a member has?

a

Eligibility/PCP History

b

Third Party Liability

c

Member Management

d

Request History

18

Which screen would you navigate to if you need to check the status of an authorization submitted by a provider?

a

Member Management

b

Authorizations

c

Request History

d

HRA

19

When you need to document on an account in MCS, which screen will you navigate to?

a

Demographics

b

Contact Log

c

Member Management

d

HRA

20

What are the secondary pieces of verification?

Choose one or more answers

a

Member ID Number

b

First and Last Name

c

Address

d

Phone Number

e

Date of Birth

f

Last four of SSN

CE - MCS Knowledge Check

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