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WorksheetsMedicaid Ro Co Remix #2
Total questions: 11
Worksheet time: 32mins
What is the Main Error(s) Medicaid QC finds when reading cases?
Lack of Documentation!
Missing Documentation
Too little documentation
No Documentation
All of the above
What Chapter to you find information about actual Medicaid enrollment for most cases?
M01
M02
M04
M05
M15
________ ________ Medicaid is the type of Medicaid given to ineligible aliens for a short period of time. (Hint: Chapter M0220)
(a)
BEFORE closing Medicaid coverage on any individual, you ______________ __________________ evaluate the person in all other possible covered groups. (M15)
must ALWAYS
NEVER ever
CHOOSE to
kinda SORTA
If you don't document it __________ _________.
maybe ok
didn't happen
doesn't matter
Donna's favorite saying is:
The dates, the dates, the dates (in VaCMS)
Document, document, document!
The devil is in the details
She has too many favorites. All the above!
A new Medicaid application (pick from answers below) _______ required when a person moves from one covered group to another OR one address to another.
IS - we can't evaluate the new situation without a new application.
IS NOT - we must evaluate the new situation, but a new application is not required
Changes in a recipient's circumstances that require a new application are:
when the case name changes
when living arrangements change
when income changes
none of these.
How long is an authorized representative's designation effective?
until the case closes/coverage is canceled
the application is denied
the person changes their authorized representative
all the above
What is the most common Medicaid QC error?
Lack of Documentation!
Lack of Documentation!
Lack of Documentation!
Lack of Documentation!
What should be YOUR gift to yourself and your teammates in 2020?
A well-documented case
A nicely wrapped and tidied up case with no loose ends
A case with all documents scanned into DMIS
All the above
