| Day 1/Policies/AIDET | Insurance/RTE | Chart Review/Telephone Encounters | Protocols | Acombina/Cisco Finesse |
|---|---|---|---|---|
|
Unplanned time off.
What is a PTU? |
PAC - Needs Review
ABS - Verified by Phone/Website
If you run RTE for an insurance, and you receive the message of "contact payor", how would you status this insurance?
|
Encounters Tab
What tab under chart review would show office visits/telephone calls?
|
IM USUALLY see patient's 18+, while FM sees patients from newborn throughout their life.
What is the main difference between IM and FM? |
Break
Which code in Cisco Finesse would you use if you needed to step off the floor and take a private call?
|
|
Acknowledge, Introduce, Duration, Explanation, Thank You
What does AIDET stand for?
|
2; Medicaid, Medicare
How many Goverment payors do we have? What are they?
|
Smartphrase What must you insert and complete within the documentation field while completing a telephone encounter? |
Send telephone encounter with the PACPHYSICALREQUEST smartphrase to the NKW ma/nurse pool
If a patient of Dr. Michael Taylor is calling in for a DOT physical, what is your protocol?
|
Search covid or coronavirus and click on wiki results.
If a patient calls in requesting the covid site information, where can you locate it?
|
|
3
How many late arrivals/early departures count as one occurrence?
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NJ Medicaid *NOTE: NJ Medicaid is removed from the visit level anytime there is a Managed Medicaid on the registration.
If a patient has United Healthcare Dual SNP, What insurance should be removed from the visit level when scheduling?
|
Contacts
Reason for Call Documentation Routing
What are the four parts of a telephone encounter that you required to fill out?
|
Family Medicine
Which specialty will see both NEW and EST patients for a Workmen's Comp and MVA appointment?
|
Access Business Services (ABS)
Where do we transfer a patient calling for an insurance referral?
|
|
6-8 hours
How many hours do you have to work to get a 30-minute lunch break?
|
Managed Care;
Medicaid and Medicare
What does MC stand for? What insurances would be changed to a status of MC verified?
|
1.Schedule using the NEW visit type and add patient to the waitlist.
2. Offer the patient the option to see another physician within the same office
If a NEW patient calls in to schedule an annual physical with Dr. Voyack but first available is 3 months out and they do not want to wait, what options can you offer the patient?
|
HFU, Pre-op and 2nd physical within 366 days.
Send a telephone encounter to the FD pool with the smart phrase PACSOONERAPPTREQUEST.
What are the three time-sensitive sooner appointments, and where would you route your telephone encounter if you were unable to schedule the patient within the timeframe needed?
|
'Patients' Tab, under 'Patient Timeline' Where in Acombina can you access a patient's history of encounters? |
|
Kronos
What program would be used to request PTO?
|
5;
Amerigroup, UHC Community Plan, Aetna Better Health, Horizon NJ Health, Wellcare.
How many managed medicaid insurances do we accept? What are their names?
|
Same Day SIck Appointment What smartphrase must you choose when a patient calls in requesting a sick appointment?. |
EXT If an established patient is changing providers within Internal Medicine, which visit type would you use to schedule this patient? |
Verify the email address to generate the appointment confirmation letter and send the survey
Once patient is scheduled what should you verify at the end of call and why must you verify it?
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|
Inform the patient they need to reach out to their insurance company and change the PCP to a Cooper physician.
No, for billing purposes, the appointment cannot be scheduled until the capitated doctor is Cooper. If a patient calls to make an appointment, but they have a Virtua PCP listed on their card, what is your protocol? Can they be scheduled at that time?
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