Wellcare Notes 2023/23 with Complete Solutions
Business Required Document (BRD) - ANSWER-written by business analyst (BA); created when new CMS regs come out, DTRR comes to us daily, read and apply Functional Specific Document (FSD) - ANSWER-detailed doc w/tables, names of files. etc. Accumulation Files - ANSWER-DSNP are excluded, MOOP accums sent daily to PBM, 9M layout format; outbound is all medical; "sending medical dollars in a format Dual Eligibility - ANSWER-entitled to Medicare (always primary payor) and Medicaid HEDIS - ANSWER-measures quality of the care at a particular plan Individual Care Plan (ICP) - ANSWER-for DSNP members, a plan for care and goals for care
Escuela, estudio y materia
- Institución
- Wellcare
- Grado
- Wellcare
Información del documento
- Subido en
- 28 de agosto de 2023
- Número de páginas
- 1
- Escrito en
- 2023/2024
- Tipo
- Examen
- Contiene
- Preguntas y respuestas
Temas
-
wellcare
-
wellcare notes 202323 with complete solutions
Documento también disponible en un lote