COVID-19
I have no COVID symptoms. I was admitted on 09/07/2020. I am discharging to a SNF. I have a negative COVID test on 09/08/2020, can I DC to the SNF?
Yes
If I do not meet medical necessity for continued stay, my MD agrees with the DC order to be placed, and I have not appealed my DC -- what letter do I need?
Hospital Issued Notice of Non-Coverage (HINN)- HINN12
Name Four bundles that HC is participating in?
Cardiac Arrhythmia
PCI (outpatient)
Fx of the Femur, Hip, Pelvis
Renal Failure
Seizure
Sepsis
Strove
GI Hemorrhage
GI Obstruction
Where did Mike go to Undergad/Grad school?
FSU BABY!!
List what RAACE stands for?
R - Remove everyone from the immediate area
Alarm - Activate the alarm by pulling the nearest pull station
Alert - call out 'Code Red' to your co-workers and make sure someone calls the emergency number for your facility
Confine - Close all of the doors in the area affected
Extinguish - If safe initiate PASS from a safe distance and leave yourself a way to escape
I have been in the hospital since 08/25/2020. My symptoms started on admission. I meet the criteria for mild to moderate - do I need a test to DC to SNF today (09/09/2020)
No, Symptom based strategy for DC, no longer indicates isolation.
If I am observation, do not meet medical necessity to be in the hospital, and refuse to leave. What letter do I need (If I am a Medicare recipient)?
Advanced Beneficiary Notice (ABN)
If we have a patient that is a Medicare recipient with an inpatient status, but the patient does not meet IP criteria, has not discharged, the attending is in agreement, and the Utilization Review committee/PA agrees, what condition code do we apply in order to convert to Observation?
Condition Code 44
What's Lucas' Middle Name? (Spelling counts)
Kai
List what PASS stands for? (Fire extinguisher)
P - Pull the pin
A - Aim at the base of the fire
S - Squeeze the handle
S - Sweep from side to side
I am a Baker Act. I have no COVID symptoms nor have I been positive in the past. Do I need a PCR to DC to the BA receiving facility OR will a rapid do?
What is our Pre-Admission HINN called?
HINN-1
What is the relative value that is assigned to a diagnosis-related group (DRG) of patients in a medical environment? (HINT: We want this to be higher, which means we're being reimbursed more for managing more clinically dense patients)
Case Mixed Index
Where Mike get his second masters?
Colorado State University
When performing CPR - what is the ratio between compressions and breaths for all patients?
30/2
What is the time frame from the onset of symptoms for severely immunocompromised patients?
At least 10 days and up to 20 days.
There are 4 HINNs that are used in Acute care often -- what are they?
HINN 1, 10, 11, 12
Our Payer Matrix indicates variations of ways that we are paid? Name them.
% of Charges
APR-DRG
DRG
What's Mikes favorite animal? (HINT: Was on the badge buddy)
Elephant
What is a code yellow (-250 points if you look at your badge)? >:(
Lockdown
If my o2 sat is 92% - my Po2 is 62. If I am on 2LPM of o2, my FIo2 is 28%. What is my P/F ratio?
A) 220
B) 229
C) 320
D) 203
Less than. 229 (P/F = 64/.28 = 229)
What does the MOON stand for?
Medicare Outpatient Observation Notice
Name 3 Health Plans that are OON with OH (and listed on our Matrix).
OSCAR
Sure Fit - CIGNA
Sunshine - AmBetter
UHC - Neighborhood Health
BrightHealth
Mike & April got married in what month?
May
What is a code Green? (-250 points if you look at your badge) >:(