wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Part B Knowledge Quiz

Total questions: 15

Worksheet time: 11mins

Name
Class
Date
1.

Sending a determination (approval, denial and peer to peer)

a)

via Outlook

b)

via MCO

c)

via Fax

d)

bia ISTA email

2.

Authorization can be requested through?

a)

Fax

b)

Phone call

c)

Portal

d)

All of the above

3.

Choose a plan type that we do not handle

a)

Federal

b)

Medicare Advantage

c)

Mainstream

d)

Commercial

4.

Medicaid plan for people with Medicare and Medicaid, or Medicaid only, who need community based long term care services and supports (CBLTSS).

a)

Managed Long Term Care (MLTC)

b)

Short Term Care (ST)

c)

Medicaid HMO

d)

Straight Medicaid

5.

Authorization that covers room and board

a)

Part B/Outpatient

b)

SNF

c)

Custodial

d)

Retro

6.

Form submitted by the facility to request an authorization

a)

Authorization Form

b)

Evaluation Form

c)

Payer Source Verification

d)

Part B Form

7.

Tool that can be used to check the patient’s eligibility

a)

PCC

b)

NetHealth

c)

MCO

d)

Seek

8.

Primary payer is the payer that we used for Part B authorization

a)

True

b)

False

9.

Tool where we can add ancillary authorization

a)

NetHealth

b)

Seek

c)

MCO

10.

Mr. Jon Snow has been approved on PT for 12 visits from 8/1/2024 - 8/30/2024 under Humana.

13 visits were consumed as of 8/18/2024. Patient was discharged on 8/18/2024. What will you do?

a)

Discharged the patient

b)

Request for additional 1 visit

c)

Advised the facility that we cannot request an additional visit because the patient was already discharged.

d)

Let it be

11.

Pending authorization should be follow up every

a)

48-72 hrs

b)

7 days

c)

Every 15th and 30th of the month

d)

Never

12.

Fax can be submitted through email (outlook)

a)

False

b)

True

13.

Therapy services are covered in Episodic authorization

a)

True

b)

False

14.

Therapy services rendered can be found in

a)

MCO

b)

PCC

c)

Insurance Portal

d)

NetHealth

15.

Patient’s primary payer is Medicaid-WV (active) and secondary is Aetna-MCR (termed).

What payer will you use to request an authorization?

a)

Aetna-MCR

b)

Medicaid-WV

c)

Invalid

d)

I don’t know