Documentation
Documentation should not be duplicated and should always include this type of clinical information.
What is relevant or pertinent information?
The abbreviation APH stands for this metrics component.
What is actions per hour?
When trying to determine the reason or rule out, the best place to start your fax/upload review, would be in the assessment and plan of this document.
What is the most recent office visit note?
Work your written cases between calls, in a separate one of these.
What is an Image One (IO) or Isaac portal?
Note: Don't use your Finesse (which will have your incoming calls) window for your written work, as it may cause interruption/ loss of work.
Once opening your fax/ upload, always complete this verification, prior to beginning your review.
What is HIPAA verification?
Ideally, your documentation should be completed prior to ending this.
What is the call?
Actions per hour describes the average number of this, that you work per hour.
What are cases?
Most outpatient visit notes are written in SOAP format which stands for this.
What is Subjective, Objective, Assessment, and Plan?
True or False: You should complete calls as a priority, work written between calls when calls become slower or queues become lower, and NOT complete written cases during your after call/ wrap up.
What is true?
If you are looking for symptoms, they will most likely be found in this section of the office visit note.
What is the History of Present Illness (HPI) or Review of Systems (ROS)?
Ask the caller each of the questions, exactly as they appear in this, and fill in the answers.
What is the UPADS Pathway?
Productive time-the amount of time to which you are actually assigned to be in either written or phones, excludes any scheduled meetings, trainings, as well as these two regularly scheduled items.
What are lunch and breaks?
DO NOT read the attached clinical like a book, instead, use one of these reading techniques to quickly find the pertinent information.
What are skimming and or scanning?
Note: skimming-looking only for the general or main ideas; scanning-looking only for a specific fact or piece of information without reading everything.
The clinical information you collect should be specific to this.
What is the UPADS Pathway?
Physical examination, labs, and diagnostic tests are examples of this type of information.
What is objective information?
You can decrease your imaging documentation by documenting/ or asking for this section of the imaging report.
What is the impression?
You work from 7a-3:30p and have a 45 minute team meeting scheduled. Your team standard is 6 cases/hr. In order to make production for today, you should at least complete this many cases.
What is 41 cases?
Note: 8.5 hrs workday - nonproductive time of 1.75 hrs (meeting, lunch, 2 breaks)=6.75 hrs of productive time; 6.75 hrs x 6 (team standard)=40.5 (which you'd round to 41 as you can't complete half a case).
If multiple attachments are present, open all attachments at the same time, close out those reviewed by a prior CR, and close out any attachments that are this.
What is duplicate?
True or False: You should avoid finishing up or processing written cases during after call/ wrap-up.
What is true?
Social history, family history, past medical history, and symptoms are all examples of this type of information
What is subjective information?
Use these eviCore approved shortened forms of written words/phrases to decrease keystrokes and case processing time.
What are abbreviations?
Your case counter shows that you worked 60 cases today. Today you worked from 7a-3:30p with no meetings or training sessions, and thus have determined your APH for today to be.....
What is 8 cases/hr?
Note: 60 actions or cases divided by 7.5 hours (lunch/breaks not counted/considered non-productive time) will tell you how many actions per hour you achieved.
If the UPADS Pathway has not been completed, prior to completing it, make sure to first do this.
What is open any attached clinical?
Note: If you open the pathway first, you won't be able to access the attached clinical.
For a more efficient review of the clinical, use this version of the attached fax/upload, and take advantage of the highlighter, copy and paste, and or search functions.
What is the OCR?
When reviewing duplicate attached clinical or clinical not related to the request, simply do this.
What is document the facts?
Ex: “Duplicate Fax received on 3-12-18 at 1:09PM” or “Additional fax received with no new clinical related to current request”