POLICIES
How much Parental Leave hours does a full time employee receive after the birth or adoption of a child?
24 hours
Our teams work collaboratively across all lines of business and the communities we serve.
What is Teamwork.
In Clearwave a purple flag indicates what?
It's an eligibility conflict for Other Payer on File
What type of task should be started when a patient is questioning patient responsibility?
Patient Initiated request assigned to RCM AR Patient
What is the one thing Amanda would eliminate from her daily routine?
Driving!
Name three required trainings every employee must complete annually.
HIPAA
OSHA
Hazardous Communication
Infection Control
Abuse
We strive to create this for our patients and team.
What is Exceptional Experience.
In Clearwave, what does an orange flag indicate?
It's an eligibility data conflict. The information submitted and the information returned do not match and we should review before continuing.
In how many days should you respond and address grievances?
Must respond within 5 business days.
They must be resolved in 15 days max.
If Nicole could change roles with someone for a day, who would it be?
A Princess
When a team member is traveling, how much is allowed for lunch reimbursement?
$15
We are committed to this by investing in our team and creating a most stable platform for growth.
What is Financial Strength.
If a patient is working, but has Medicare, Medicaid and is covered under insurance from their work, what order should insurance be billed?
Always check Clearwave, but their commercial payer would be primary, Medicare secondary, Medicaid last.
When should referral letters be generated and sent to referring provider?
At initial visit
When there's a change in treatment
After a procedure or surgery
Last visit
As needed
Pick a team member that was present for our last call (not yourself) and tell us what 3 apps they would keep if they had to delete all but 3.
Lupita-Youtube, Ring, Goggle home
Kim-Chase, Tik Tok, Google Earth
Katie- FB, Amazon,
Lorenia-Tik Tok, Messenger, Instagram
Maricela-Youtube, Spotify, Amazon
Amanda-Messenger, Marriott App, Android Auto
Paty-Amazon, Audible, Podcasts
One occurrence is equal to:
1 Absence
2 Tardies
2 Missed clocks
or 1 single day of no call/no show
We take personal accountability in pursuit of our mission every day.
What is Hard Work.
What did Blue Cross Blue Shield announce on 01/17/2023?
That until April 1, 2023 PCP referral approval is not required.
Name at least three forms we charge the form completion fee of $50 for?
FMLA forms
Department of Veterans Affairs
Disability Determination
Insurance Requests
Long Term Care Insurance
Auto Insurance Requests
School, Sports or camp forms
Which team member wants to eliminate cleaning up kitty litter from her daily routine?
Lissa!
Team member calls in sick on Friday, non-COVID related. Another team member tells you that they saw on social media they were on an extended vacation out of state. First team member has sick time available. What do you do?
Unfortunately, if the teammate has sick time they can legally use it if they are stating they are sick.
We are never satisfied. We relentlessly pursue quality and excellence.
What is Continuous Improvement.
What denial code has been our biggest culprit so far this year? What does the code mean? How do you prevent it from happening?
CO24
Charges are covered under capitation. It means we billed a Medicare plan when the patient had a Medicare advantage / complete plan
Clearwave will flag (Green) to contact other entity. It will give you the name of the primary insurance, you should inform and request patient of information and get their Medicare plan added and billed.
What is the escalation process for a PSR Insurance Update?
Email to Renee Callison
Phone call to Suzanne Bartoli
Pick a team member and tell us what is their favorite way to unwind after a long day. Must include all activities
Amanda-Painting and Movies
Maricela-Adult beverage and relax on phone
Lupita-Go on walks and read
Lorenia-Adult beverage, make dinner and movies
Katie-Watch Netflix and a hot bath
Lissa-Sit on the couch, Tik Tok, Seinfeld
Debby-Dinner, TV, spend time with Grandaughter
Kim-Adult Bev, grab book, locked in bathroom