UM Foundations

UM Foundations

Assessment

Flashcard

Professional Development

8th Grade

Practice Problem

Hard

Created by

Wayground Content

FREE Resource

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21 questions

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1.

FLASHCARD QUESTION

Front

Commercial Compliance Program standards have been established by? Options: Elevance Health Policies, Federal, state, and local laws, Contract obligations, All of the above

Back

All of the above

2.

FLASHCARD QUESTION

Front

T/F - Employees get bonuses based on the amount of denials

Back

False

3.

FLASHCARD QUESTION

Front

TAT stands for?

Back

Turn around time

4.

FLASHCARD QUESTION

Front

Some states require nurses/MDs to be licensed in their state prior to working UM. This is referred to as?

Back

SSL

5.

FLASHCARD QUESTION

Front

T/F - AUMSI is a wholly owned subsidiary of Elevance Health, it is designated to perform CASE management on behalf of Elevance Health

Back

False

6.

FLASHCARD QUESTION

Front

AUMSI program description includes: Regulatory Compliance, Accreditation requirements for NCQA, Quality improvement for UM.

Back

All of the above

7.

FLASHCARD QUESTION

Front

A decision to NOT approve a requested service, procedure, or length of stay is considered?

Back

Adverse Determination

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