Partnership Health Plan Quiz Binder Quizzes

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How many allergy injections (CPT 95115) are allowed in a 120-day period without a TAR?

• A) 4
• B) 6
• C) 8
• D) 10

For adults aged 21+, which CT scans do not require a TAR?

• A) Chest
• B) Abdomen
• C) Head or spine
• D) Pelvis

A TAR is required for orthotics when the cumulative cost exceeds:

• A) $100
• B) $250
• C) $500
• D) $1,000

Which service always requires a TAR, regardless of visit frequency?

• A) Physical therapy for members under 21
• B) Enhanced Care Management (ECM)
• C) Occupational therapy for adults
• D) Speech therapy for children

How soon must a hospital notify Partnership of an admission?

• A) Within 48 hours
• B) Within 24 hours
• C) Within 72 hours
• D) Only for elective admissions

A TAR is required for dental anesthesia per:

• A) Policy MPUP3048
• B) Policy MCUG3010
• C) Policy MCCP2033
• D) Policy MCUP3136

A TAR is required for incontinence supplies when:

• A) The claim exceeds quantity limits
• B) The member is over 65
• C) The supplies are disposable
• D) The provider is out-of-network

Which procedure requires a TAR?

• A) Routine physical therapy
• B) Epidural steroid injection
• C) Hot/cold compress treatment
• D) Therapeutic massage