MARCH MARCH MARCH!
DENIALS
INSURANCE
ACTIVITIES
GENERAL ADMISSIONS
100

This is the name for the 7 day celebration leading up to Easter.

Holy Week

100

Being unable to accommodate due to unavailable chairs, staffing, or schedule preference.

Admit Readiness Denial

100

Team best used for uninsured verifications

Spotlight Team

100

Used in scenarios after records are in full.

Sent in Full Milestone

100

Team best used for Trach, Vent, PEG Tube, Bed Treatment, > 450 lbs, Life Vest, & Intropic Infusions.

HASTE Team

200

Known to alter sleeping schedules.

Daylight Savings
200

Form of escalation used for Admit Readiness - commercial insurance.

Denial Roll-Up Email

200

Known as GOV insurance this is categorized as a certain financial class code

Non-Comm

200

This activity requires the "Is Chair Available," "Alt Schedule," "Rejected By," and "Reason" fields.

Denial Activity


200

The best contacts to assist w/ difficult admissions (2 answers)

Regional Operations Director - ROD

&

Dialysis Transitional Manager - DTM

300

Lasting for 30 days; it is known as a time of spiritual rejuvenation through fasting.

Ramadan

300

The number of denials needed where we must escalate to Field Leadership.

3 Denials

300

Requires an accepting Nephrologist, Modality, Reason, and MPI.

OON Auth.

300

Best used to "save" SLA when unable to reroute.

Reroute Assistance Escalation Activity

300

This process requires the patient to be a new admit & D/C ready within 48 hours.

AG Only Process

400

Dozens upon dozens of people hunt for these special "artifacts."

Easter Eggs

400

The resource best used for Denial Roll-Ups.

Admin West Leadership Spreadsheet

400

The form that can be received either hardcopy or electronically depending on DX (AKI or ESRD).

VA Authorization

400
This set of activities are best used for unresponsive ref. sources.

Outreach Additional Activities

400

The 3rd party applications used in Dreamlaris Admissions for communication and records (4 answers).

AllScripts, Navi, EnsoCare, & MyAidin

500

This can be a delicacy or poison depending on how much is consumed.

CHOCOLATE!!!

500

These admissions contacts must be listed in a denial roll-up.

Lead, Supervisor, Manager, & Holly Young. 

500

The process needed to secure two different forms of authorization.

EPI Process

500

Used when no facility# contact is in our system but needs to be added.

DataSweep

500

The Latin word used for "treatment" or "help."

CURA

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