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Teams
Name
Score
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15
×
what is the TAT for a standard CA Medicaid grievance?
5 days to acknowledge 30 days to resolve
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Check
Okay!
Check
10
×
where would you go to look up a CPT code to see if it needs a PA
custom links, or Molinahealthcare.com
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Check
Okay!
Check
5
×
what services are IPA groups responsible for?
All professional services a member receives
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Okay!
Check
20
×
If a member calls in to change PCP on June 12th and has accessed care what will you choose for effective date
you would not change it you would reach out to the lead line
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Okay!
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thief
Give points!
5
10
15
20
25
×
gold
Win 50 points!
Okay!
×
fairy
Take points!
5
10
15
20
25
×
banana
Go to last place!
Oops!
15
×
when assisting member with scheduling an appointment when should a second opinion appointment be scheduled?
within 30 calendar days of the request
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Okay!
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20
×
What is the timeframe a member has to file a expedited Appeal?
60 calendar days from date Auth was denied
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Okay!
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×
boom
Lose 50 points!
Oops!
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seesaw
Swap points!
Okay!
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fairy
Take points!
5
10
15
20
25
×
lifesaver
Give 25 points!
Oops!
25
×
What is considered a Facility service?
Hospital, Pharmacy, or skilled nursing facility
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Okay!
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15
×
What does AVES stand for
Automated Eligibility Verification System
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Okay!
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10
×
What does IPA stand for?
Independent Practice Association
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Okay!
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10
×
What is CA Medicaid also known as?
Medi-Cal
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Okay!
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thief
Give points!
5
10
15
20
25
×
fairy
Take points!
5
10
15
20
25
×
shark
Other team loses 25 points!
Okay!
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baam
Lose 25 points!
Oops!
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baam
Lose 25 points!
Oops!
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magnet
Take 20 points!
Okay!
×
shark
Other team loses 25 points!
Okay!
×
baam
Lose 15 points!
Oops!
×
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