Advocacy Basics
This is the first thing a patient advocate checks when reviewing a new referral.
What is insurance coverage/status?
This festive plant is known for being poisonous to pets but brightens hospital lobbies.
What is a poinsettia?
This is what we call health insurance provided by the government for low-income individuals
What is Medicaid?
A patient calls upset because their application is taking too long. This is your first step.
What is check the case status?
This document tells the story of the patient’s journey and must always be detailed.
What are notes/documentation?
This jolly figure often visits pediatric units with gifts and cheer.
Who is Santa Claus?
This term describes insurance that is active as of the current date.
What is effective coverage?
A referral comes in 10 minutes before shift change. This is what a solid advocate does.
What is screen it or properly hand it off?
This system is often used to submit, check, or track Medicaid applications.
What is the state portal/Medicaid system?
This classic song begins with “Chestnuts roasting on an open fire
What is “The Christmas Song”?
This type of coverage is added when a patient gains insurance after being screened.
What is discovery coverage?
A patient forgot their documents. This is the form you send to request them.
What is an ROI or document request?
When a patient is in the hospital, this is the type of screening we perform to determine eligibility.
What is a financial eligibility screening?
Many hospitals hang these sparkling decorations—just don’t put them near medical equipment.
What are Christmas lights?
This type of application is for patients who are older, blind, or living with disabilities.
What is ABD?
A patient has no insurance and needs help paying their bill. This is the program you might assess them for.
What is financial assistance?
This is the term used when an advocate follows up on a case that hasn’t moved in a while.
What is a case touch / follow-up?
This reindeer leads the sleigh and also shares a name with a popular children’s movie.
Who is Rudolph?
This is the 10-letter word for the process of verifying patient information with the state.
What is verification?
A patient was denied but qualifies on appeal. This is what you file.
What is an appeal application?