Imasis/MISC
Nutrition
Hematology
Transportation
Fertility
100

This is the application name under Web Links -Environment Links for AOPUM

General  UM

100

 

Continued home parenteral nutrition must be reviewed how often?

What is every 6 months?
100

Type of apheresis that includes cell removal or exchange.

What is cytapheresis?

100

This is the code a provider will request for BLS ambulance transport.

What is A0428?

100

 

Is there always a cause for someone's infertility?

What is no?

200

This is the tab you click to start a case from a live call

Interaction Tab

200

This type of nutrition is given outside the digestive tract.

What is parenteral nutrition? 

200

Plasma exchange 

What is Plasmapheresis

200

Basic Life Support acronym 

What is BLS?

200

How many semen analysis must be performed prior to be categorized infertile?

What is 2?

300

 What are the 3 pieces a RN should obtain to verify HIPAA?

What is Patient Name, DOB, and Member ID. 

300

This type of nutrition is given through the digestive tract.

What is enteral nutrition?

300

This is the separation of platelets.

What is thrombocyapheresis? 

300

Non-emergency EMS transports are provided by this type of vehicle. 

What is an ambulance?


300

 If the patient does not have IVF benefits then they have ICSI coverage.

T/F

What is false?

400

Sub products of AOPUM

 

What are Transportation, Hematology, Nutrition, Other Misc Procedures, and Fertility?

400

Describe a nutrition care plan.

A detailed plan of interventions or actions to achieve nutrition goals. 

400

What are the different components that make up blood?

RBCs, WBCs, plasma, and platelets.

400

 

Where can a patient be transported via ambulance per Medicare ?

 What is transportation to or from

• Hospital; • Critical Access Hospital (CAH); • Skilled Nursing Facility (SNF); • From a SNF to the nearest supplier of medically necessary services not available at the SNF where the beneficiary is a resident and not in a covered Part A stay, including the return trip; • Beneficiary’s home; • Dialysis facility for ESRD patient who requires dialysis; or • A physician’s office is not a covered destination. However, under special circumstances an ambulance transport may temporarily stop at a physician’s office without affecting the coverage status of the transport 

400

 

This chart is what you check to see if the state has any mandates for IVF

What is the State Mandate Chart?

500

If you hit "Review" in any of the boxes, this pulls up. 

All Tabs version of Case Viewer

500

 

What 3 things must be in a request for the continuing use of home parenteral nutrition 

 

What are:

  1. A physician certifies that the criteria for initial treatment (A,     B, and C above) continue to be met; and
  2.  A physician     certifies that there has been benefit from the treatment; and
  3.  An updated     nutrition care plan is provided
500

What are medically necessary diagnoses to use cytapheresis, RBC exchange?


Sickle cell, erythropoietic protoporhyria, liver diseases, babesiosis.

500

 What is the manual used for Medicare review for EMS Ground Transportation?

 CMS Pub. 100-02, Medicare Benefit Policy Manual, Ch.10 

500

 

MD has ordered cryopreservation of ovarian tissue over cryopreservation of mature oocytes for these indications

 What is patient is having to have immediate gonadotoxic treatment or prebuteral- faces infertility  from medical or surgical treatment, including chemotherapy, radiation therapy, other gonadotoxic therapies, or bilateral oophorectom

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