CRITICAL INCIDENTS
You have identified a Critical Incident. How long do you have before it needs to be entered into Dynamo?
24 hours
Intensive and Supportive 1st Initial Outreach occurs within how many days of episode being open?
what is 7 calendar days OR 5 business days
Intensive members need to be offered an IDCT how often?
What is every 6 months
This new CM tool allows CM's to review member details including conditions, medications, lab results, provider visits, IPs, and ED visits all in one place
what is Case Assistant
Who is our current ICM Director?
who is LJ (Lisa-Jasmin) Ford
Critical Incident follow up includes the following outreach cadence
What is 5 Unsuccessful (4 calls/ 1 letter) or 3 successful calls with the member.
All IC calls should be completed when
What is before the IC due date
Members should be invited to IDCTs this amount of weeks prior to the IDCT date
What is 2 weeks
This tool is assisting CMs with AI-Assisted case documentation
What is Nabla
Who on our regional team most recently passed the CCM Exam
who is Abigail
You need this amount of follow ups to an investigating entity.
what is 2
True or False: When you make a 3rd and final IC call and leave a message, you chart this in a CMAT
What is False. Document in VISIT EVENT
Intensive members are required to offer F2F visits how often?
What is every 90 days
Prior Authorizations can be found by checking what system(s)?
What is Medcompass and EviCore
Who on our regional team is working towards their LCSW supervision hours?
Who is Katie
True or False. You do NOT need to add your CMATs to the Critical Incident Follow Up Template.
what is FALSE
If an intensive member is not reached by this attempt they are placed into Persistent Outreach
What is the 3rd outreach
What is the minimum amount of assessments CMs should be completing per month?
What is 30
This our CM AI powered assistant
Who is Artey
Who on our regional team has their CADC certification?
who is Julie S
You receive an ROS from APS. What action do you take?
what is : 1. Link the ROS to Dynamo. 2. Contact APS to confirm receiving the document within 5 calendar days and update them on action you taken with the member.
You are unable to leave a message for member on 2nd IC attempt, what happens next?
What is you chart CMAT for the call & send UTR-Mbr Care-Mgr letter (3rd attempt0 the same day and chart visit event.
What CSA is completed for a member who has been diagnosed with PTSD?
What is no assessment
CM's can find Member Forms ( POA, ROI, etc) here
what is the ABHIL website
Who is our current Interim Behavioral Health Director
Who is Bret Deyo