SDOH Documentation
The first place an SDOH task should be documented is in...
An Athena Patient Case
All DME related actions should be documented within the....
Action Notes of the order itself in Athena
The difference between a home health aid and a homemaker is...
A home health aid is able to lay hands on the patient to assist with ADLs. A Homemaker can only assist with household chores.
Gather Health officially opened it's doors in the year...
2023
GGPs began utilizing CCIQ Care Plans for SDOH documentation for this purpose
The ability to bill the patient's insurance for the amount of time spent addressing SDOH related needs
The third party organization that CCA requires providers to utilize for DME coordination is called...
Tomorrow Health
Before you submit a referral for home health services, you need to know this about your patient's situation in order to know how/where to submit the referral.
Whether the patient is Dual Eligible and on a Senior Care Options plan
Gather Health's very first operational clinic was located in...
Quincy/Squantum, MA
Once an SDOH related request is received, a CCIQ Care Plan should be created once...
The GGP is ready to take the first action on the request
At what point is a DME Order officially considered to be "complete"
Once delivery of the DME device has been confirmed with patient
The acronym A.S.A.P used to describe the 31 senior assistance organizations in MA stands for ...
Aging Service Access Point
The concept of Gather Health started out as a Power Point created by ______.
Dr. John Loughnane
Which of these updates would not be appropriate for the CCIQ Care Plan?
- Called Tufts Care Manager Rebecca @617-820-5968 and was informed that the Homemaking referral is still pending a home evaluation
- PT-1 Application still pending, will follow up in 1 week
- Submitted SNAP application online with patient over the phone (Application # 76528269). Patient given log in information to check in on status
PT-1 Application still pending, final decision expected by 8/27
Which 2 SCO plans prefer for DME orders to be faxed directly to the insurance instead of to the supplier or a third party facility.
Tufts and Senior Whole Health by Molina
Once a home health service has successfully been initiated, GGPs should make sure to document at least these three pieces of information about the service in CCIQ/Athena
The type of service, how many hours per week the patient was approved for, and what days of the week services will be rendered.
Name which individual on our current leadership team also acted as one of Gather Health's first PCPs
Angela Farinella
Name the 5 sections every CCIQ Care Plan should contain
Comprehensive Care Plan
Care Team
Problems
SDOH 2026/Year
Signature
Name one of the clinical criteria DME suppliers need in order to process insurance coverage eligibility for a Motorized Scooter/Wheelchair (aside from a primary diagnosis)
Physical Therapy Evaluation
Reason why manual wheelchair, cane, or walker would be ineffective
Home Evaluation (to confirm home has enough space)
In order to qualify for Adult Foster Care Services, a patient must meet all three of these criteria.
Patient must have MassHealth, have a live-in caretaker, and need assistance with at least 1 ADL.
Name the first insurance plan Gather Health became "at risk" with
Tufts SCO