Registration
What are the steps of a Self pay patient
Add self Pay "Health Me" to insurance
Add self pay to Event type
Advice patient of Self pay package
If a patient has never been seen at coastal and has not had an emergency surgery/consult or has not been seen in the last 3 years for any body part what event type am I
New Eval
New Coastal patients only.
Patients not seen at Coastal in the past 3 years
GREEN SLOT
New Elbow - Est New pt - or FX care elbow pt looking to schedule with Stepen Otte should be scheduled with who first ?
New Elbow or Est New pt or FX care elbow pt,
schedule with PA first
Patient requesting for MRI
If MRI has been ordered Transfer to schedule
If no Order on file schedule regular appt
Radiating pain would mean the appointment needs to be booked with that team.
Spine Dept
When registering a new patient and adding phone number we must fill out ______
Im an established patient with Greenspoon and i had a recent scheduled surgery with him i would like to scheudle my first follow up after Surgery.
Post Op
Patients in the global post-op period (within 90 days after their surgery).
All appointments within global post op period
Patients in the global post-op period (within 90 days after their surgery).
All appointments within global post op period
2 weeks after surgery
Once a patient establish care with a specific Hand specialist they must remain with that specialist even if its a new injury on the hand that has not been treated yet. What must happen if a hand/ wrist patient is looking to switch to a new hand/wrist provider ?
Bonus *If a patient is seen with Eva Roberts what Dr. team is the patient under
Patients looking to switch to alternative hand specialist patients require a records review before scheduling.
Simmons is the Dr. over Eva Robert
Injection
If injection is ordered we transfer
If not ordered we schedule and document patient is requesting for an injection.
If a patient has been seen in the last 3 years but has not been seen for the body part they are calling in for today what is the event type
Est New in a green slot
Before adding Insurance what are the steps we must confirm
Verify the insurance is accepted
Verify if insurance requires for Referral
Ask / add primary card holder
Always restate member ID number
I've never been seen at coastal however i was admitted to the Hospital and had a surgery with David Cashin and i would like to follow up. What Event type am i
PHOSP- Surgical
Patients who had emergency surgery by a Coastal Doctor and need to follow up with Coastal.
Scheduled with the PA
Eric Sundberg requires for patents to have what before scheduling with him
MRI or CT scan in last 12 months of spine
If a patient does not have a referral on file
book appt 7-10 days out
For a Record Review what are the different ways patient can get us Medical records ?
Pt will drop of Records, Fill out release form at coastal or Have records Faxed to us
If a new patient insurance requires for a referral and we do not already have a chart made what would that mean about the status of the referral ?
If a new patient insurance requires for a referral and we do not already have a chart made that would mean we have not received the referral and need to schedule 7-10 days out and document in notes.
Dr Simmons ordered a MRI during my last appointment with her im looking to follow up after doing the MRI she requested
Test RV
Test Result Follow Up
MUST add the type of test as well as the date and location of the test in the details box.
Takes 4-5 business days to get results
When would we need to create a record review
Surgery in the Last 90-days with a non-Coastal Dr
providers requesting a records review before scheduling
If a patient switched teams of providers and is looking to switch back again for a second time
What should we do if a patient is looking to confirm or cancel a surgery
Always transfer to surgery center
Patient looking to schedule surgery
If surgery has been ordered Transfer to DA
If surgery has not been order book a regular appointment
When a patient has Blue cross BCBS what is a good Probing question to ask besides if it is HMO or PPO
If the insurance card states
My Blue or Blue select we are out of network with both.
Can we schedule, reschedule, or cancel Pre op appointments
C4H may confirm the appointment. Do NOT schedule, reschedule, or cancel. Transfer to the DA of the surgeon.
Give me an example of a provider who would require a record review if a patient had a prior surgery regardless how long ago the surgery was.
Simmons, Boyette, Kumar
Children under 16 with a Hand FX
require us to get approval before scheduling kids with fractures. If the fracture involves the growth plate, then we would end up referring to All Children’s
transfer calls to 3290 for patients under 16 years old that have a fracture of the hand, wrist, or elbow
Does LBO only treat spine ?
Yes
LBO only sees hip issues if there is a referral from one of our providers or other body parts other than spine are approved by LBO