Final Assesment

Create an informative and engaging image showing a healthcare professional helping a senior citizen, with elements representing Medicare and HIPAA, like documents, charts, and telephones in a background of a friendly office setting.

Final Assessment of Medicare Knowledge

Test your knowledge on Medicare and HIPAA regulations with our comprehensive quiz! This assessment is designed to evaluate your understanding of essential topics related to healthcare services, including Medicare parts, HIPAA compliance, and member support protocols.

16 questions covering important healthcare topics
Multiple choice and checkbox format
Score and assess your knowledge instantly

16 Questions4 MinutesCreated by LearningHealth101

There are 4 parts of Medicare

True

False

HIPAA needs to be validated before disclosing any member specific information

True

False

Medicare part C is for

Only Inpatient services

Only Outpatient services

Medicare Advantage Plans

Prescription Drugs

All inbound and outbound calls need to be documented in Onvida

False

True

CMS stands for

Centers for Medicare and Member Services

Centers for Medicare and Medicaid Services

Calculated Member Services

Customer Member Services

Before disclosing any member specific information, providers need to verify

Member’s name

Member’s ID number

Member’s date of birth

All of the above

We can hang up on the caller if they are being rude

True

False

We can search if a provider is In-network by using Bright Health website

True

False

The one time ‘Welcome to Medicare’ preventive visit can be used

Only once

Once every year

Once a month

Twice a month

All IFP member id calls need to be cold transferred

True

False

All documents received by Bright Health on a member’s account can be checked in

Qnxt

DMS – Document Management System

PaySpan

UPC

Providers can submit claims by

Mail

Fax

Avality

If a member calls to check benefit information it would be

An Inquiry

An Organization Determination

A Grievance

A Complaint

A member calls in to complaint about a doctor (In-network with Bright Health) who was very rude and unprofessional with them. This would be a

Inquiry

Organization Determination

Grievance

None of the options

We can identify the claim type (facility/professional) in claims module through one of the below options

CPT Codes

Diagnosis Codes

Form Types

Claim line item details can be seen in one of the below tabs in claims modules

Services

Pay

Edits

Final Assesment

Final Assessment of Medicare Knowledge

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