Referral Ownership
If NMS owns the referral, you should add this WQ note before deferring
What is "NMS - Out of Scope"?
What dates are you documenting your time punches
What is Sept - 14, 15 and 16th
What does NPR stand for?
No Precert Required
When another team is already working the referral, you should do this.
What is defer, assign and document the owner?
This process applies to lab referrals placed more than this many calendar days after the date of service.
What is 5 calendar days?
One of the Golden Rules asks when reviewing a referral to determine whether this requires action.
What is the insurance?
Mills referrals should be deferred using this option.
What is Defer Using Other?
A referral with this status may remain in the WQ.
What is Open Status?
What is Closed Status?
A patient has Blue Cross insurance from another state. Before processing the referral, you should review the insurance card and contact this resource if needed.
What is BlueCard?
Name at least 2 of the NMS Surgery Schedulers names who you might see assigned to an NMS referral
Susana Peralta, Jacqueline Tran, Abby Robles, Rachelle Garcia, Cheryl Soltero, Keira Mason, and Michelle Montoya.
If you're looking for insurance workflows, referral ownership guides, smart phrases, or training materials, this is where you should start.
What is the Centralized Authorization Site?
Verification is required before NPR when this insurance combination exists.
What is PPO Primary + HMO Secondary?
What are the specialty departments and locations owned and processed by NMS?
The three major steps in the Retro Lab Referral process.
What are Use the SmartPhrase, Close the Referral, and Close the Loop?
Four steps should occur for this insurance type including closing referral and notifying the provider office
What is Non-Contracted Insurance?