Billing
order request
prescription request
Patient Advice
Medication questions
100
How do you find the CPT code for a patient order/visit?
100
what is the workflow for pre visit labs request?
notify patient labs will be placed at upcoming appt, respond with (pedsmanoprevisit )
100
who do you send request for controlled substances to?
Prescribing provider
100
where do you route encounters regarding request for clarifying questions from a recent Pediatric visit?
treating/covering provider
100
who do you route questions pertaining to dosage changes or drug interactions?
Document using PEDSMISTMAMEDICATIONQUESTIONS and route to ordering provider
200
what 3 recipients do you send billing escalation too?
Manager, supervisor and Billing
200
who do you send DME order request to for approval after confirming when patient was seen for request?
APC
200
who do you route this request below
pharmacist pool
200
who do you route encounter to requesting general advice?
RN
200
Who do you route encounters regarding side effects to a medication and what dot phrase would be used? ( Urgent and non-urgent concerns)
If the encounter is regarding urgent side effects route to RN, if non urgent side effects route to APC using .pedsmistmasideeffects
300
what pool do you send billing concerns to pertaining to high cost bills, coding issues, insurance plan issues and cost that was not disclossed at visit?
l P SH My Health Online SPS [202515]
300
what s the first step when a patient is requesting a radiology order to be placed?
perform chart review and determine if patient was seen withing the year for the concern
300
what 4 short term medication are sent to the pharmacist pool?
Antibiotics, antivirals, short term PPI's, ear / eye drops
300
if patient decline RN advice, who do you route the encounter to?
APC
300
what do you do when a pt reports side effect that are NOT urgent?
document using dot phrase .pedsmistmassideeffects and route to APC pool
400
what smartphrase is used when a patient reports a new billing concern that has not been reported to billing?
Pedsmistmabillingone
400
what dot phrase is used and who do you send a order request to?
Pedsmistmaorder and APC
400
who do you send the following medications for approval:
Asthma,anxiety/depression, topical dermatological medication, allergy, contraception
Pharmacist
400
if a patient is experiencing a new or worsening symptoms and an appointment is not available within 24 hours, what is the next step?
route to Peds RN pool using PEDSMISTMAPATIENTADVICE
400
who do you route general medication questions to?
APC
500
What kind of MIDAS report do you submit for a quality of care/issue?
submitt patient relation event in MIDAS
500
what dot phrase is used when a patient was seen by an outside sutter provider and requesting sutter provider place order?
refer pt to provider pt saw for concern and further treatment
500
what is considered a STAT request?
when patient request medication for a symptom on the STAT qualifier list.
500
if pt responds regarding an issue and pt has a scheduled appointment, what do you respond with?
peds mist ma mho additional concerns
and send back to site MA using
peds mist ma additional concerns
500
what are the next steps after a pt request for an alternative asthma inhaler?
MA to conduct chart review to determine if an alternative inhaler has been provided that is covered by patient’s insurance. If YES: MA to document using .PEDSMISTMAMEDICATIONQUESTIONS, pend pharmacy, and route to MIST PHARMACIST.