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WorksheetsPSCCR | CIW WGS ACMP OMPTA
Total questions: 25
Worksheet time: 13mins
A wild card can be used with the search feature by typing three characters and a/an
asterisk
exclamation mark
semi colon
dash
To create an authorization within ACMP, what should be clicked first
Create Authorization
Quick Links
Global
Pega CRM Application
To transfer a case within ACMP, click
Case summary, Clinical Review, Case Details
Request Details, Case Details, Close Case
Case Details, Request Details, Transfer Case
Open request, Search, Clinical Huddle
Enter the non clinical/clinical documentation in...
Attachments
Addendum
Notification
Notes
What do you click in order to add more detail or edit to an existing note?
Add and Save
Append and Save
Note and Save
Notification and Save
In sending a case to PCR, set the Status and Status Reason of the case as Pend ______
For doctors review
Denied
Peer Clinical Review
Partially met the criteria
To add a medical record number click the...
Alerts Pin Tab
Fax Pin Tab
Notifications Pin Tab
Notes Pin Tab
To add policy in the procedure code, which icon should I select
dollar sign
split icon
pencil/edit icon
copy icon
When sending a case to the medical director, which two fields must be filled in the clinical review tab?
Set Status and Set Status Reason
Clinical Criteria and Criteria Number
Type of Review and Reason for Review
Procedure code and Diagnosis code
To close the ACMP case which icon can be used?
We can reopen closed cases in ACMP
True
False
When reviewing inpatient request, dates of service is not important.
True
False
Level of Care field can be found in...
Letters Tab
Case Summary Tab
Clinical Review Tab
Intake Review Tab
Fields that have an asterisk are...
Wild Cards
Problems, but can be ignored
Click to open
Mandatory and must be filled in
In accessing M360, we open it using the:
Open quick links in ACMP --> Global --> M360
Open using this link https://M360/elevance/um/dashboardHome#
Open using knowledge library
Open WGS --> GF 11 --> input s --> enter
DME Stands for
Durable Medical Equipment
Defense Medical Exam
Defense Medical Equipment
Dummy Medical Equipment
DNA stands for
Digital Nurse Assistant
Digit Nurse Assistant
Durable Nursing Aid
Daily Nurse Assistance
In CIW, UM rules can be found under
Claim Data --> Editing
Claim Data -->No
Claim Data --> GF 29
Claim Data --> Review
In CIW, comparable screen of CX pop up is
Notes --> xTen
Attachments --> Pricing
Claim Data --> Claim Editing
Limited Liability --> Claim Data
To check for susp/deny in WGS, Click f1 to the procedure code then hit __
F9
F2
F12
F19
To identify ASO or Fully Insured on WGS, go to GF 14 then type the option: __
CC
C1
C2
CA
To check for UM rule in WGS, hit GF __
21
29
28
19
In accessing ACMP Training Environment, username will be default as
psccrclin1
Domain ID
Employee ID
PSCCR
To change your password in WGS, we can change it using __
IT Service Connect
My IT Profile
WCF
WGS
If LL pop up did not fire on WGS screen, we can check the limited liability using GF
9
14
23
26
