Documentation
Comprehensive Assessment and Care plan
Acronyms
Forms
Anything
100

This code is used to schedule face to face contact

23


100

The three people who have to sign the care plan

Patient, Supervisor and Care Navigator

100

What does HARP stand for?

Health and Recovery Plans

100

This form must be signed and dated by the member and all participating partners to confirm enrollment

DOH 5055- Health Home Patient Information Sharing Consent

100

Within how many hours do you need to outreach a new identified patient?

48 Hours

200
This is the monthly service provided used to assess member's risk for housing, incarceration and hospitalizations

HML

200
This questionnaire that measures for symptoms of depression is found in the mental health domain of the comprehensive assessment

PHQ-9

200
TCM

Transitional Care Management

200

This letter is sent to member upon enrollment to inform them or care manager information

Welcome letter

200

Billable service conducted when a member is unable to be located for at least a month.

Diligent Search

300

This note template is designed to document the progress of goals and interventions provided during a visit with member

Care Standard Note

300

Area of the medical chart that contains the member diagnoses and is where care management goals are added

Problem List

300

SMART

Specific, Measurable, Achievable, Realistic, Timely

300
This form is only signed by the care navigator 

DOH 5234 NOTICE OF DETERMINATION OF ENROLLMENT

300

How do you document a home visit that was unsuccessful?

Non visit note

400

Chief complaint when documenting an unsuccessful contact with member

Attempted Enrolled Services

400

What code does the problem need to be for care managers to add goal appropriately under them ?

Z code

400

DOH

Department of Health

400

Where can you find patient forms for medical record releases or obtaining records?

Online IFH, patient service representative desk

400

What reports do you run every day?

TCM, Appointments, Care team, Open Encounters

500

When completing changes to care plan, comprehensive assessment, this service summary is selected 

Comprehensive Care Management

500

Name all domains you need to answer in the comprehensive assessment

Demographics, Connection to Care, Medical Care, Mental health, Substance Use, Independent Living, Vocational/Educational, Economic, Social

500

EMR

Electronic Medical Record

500

True or False: 

The DOH 5234 and DOH 5055 can be scanned under the same tab

False- must be scanned seperate

500

How long is the outreach period for outreach patients?

1 month

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