CMS
What form does a Medicare patient receive on admission and up to 48 hours prior to Discharge?
Important Message from Medicare (IMM)
When you're completing the plan in ELLiE, where does the last information go in the chart?
Final Discharge Destination
What's the name of the form a non-Medicare beneficiary receives under OBS?
Hospital Outpatient Observation Notice (HOON)
Who is our COO of Health Central?
Amy DeYoung
If you see a client in session that discusses major sleep issues leading to a criteria that is mimicking depression:
A) Diagnose depression with sleep disorder
B) Terminate the client to seek Psychiatry
C) Refer to PCP to rule our physical health issues
D) None of the above.
C) Refer to PCP to rule our physical health issues
If I am a patient who appeals my discharge out of the appropriate window to appeal, what form must I also receive while I await the KEPRO decision?
Hospital Issued Notice of Non-Coverage -12 (HINN12)
Where do you find the Rev Codes (Not Shar)?
EPIC --> Enterprise Billing --> Hospital Account Maintenance --> Hospital Tx Inquiry
Who is the Chief Revenue Officer?
Michele Napier
What is Mike's sons Middle Name?
Kai
What are the required documents that need to be submitted to KEPRO on an appeal?
Last IMM, Detailed Notice of Discharge, 3 Days of Medical Chart
When an MD medically clears a patient that's under a BA52, what do they then have to place in ELLiE?
Order --> Referral to Behavioral Health
What does CSSRS stand for?
Columbia Suicide Severity Rating Scale
Who is our CFO, Health Central?
Tonja Mosley
Should you investigate any suspicion that you have relating to a mandated reporting to confirm accuracy - yes or no?
No
HINN 1
HINN 10
HINN 11
HINN 12
ID MDs have two options for PAC orders for IV Abx -- what are those options?
Enroll patient in outpatient parenteral antimicrobial therapy & Home Health/SNF OP Infusion
How do I get an OBS rate? Equation...
IP Discharges / IP Census X #of days in Month
Who is the Chief Operation Officer of all of Orlando Health?
Jamal Hakim, MD
You're working with an elderly patient who reports symptoms of depression due to old age - what should you do?
A) being CBT
B) contact their NOK to discuss
C) refer them to a caregiver service
D) Refer them to resources to help find new purpose/socialization
D) Refer them to resources to help find new purpose/socialization
If a patient is an IP and doesn't meet IP criteria and we catch it prior to the patient leaving. What code can be applied, concurrently?
BONUS: (Not Sue - what's the code called if it's retrospective?)
CC44
A to B, or M1
If ELLiE and ACM are mismatching with regards to ADT- where do I go to update the ADT?
Correctly name what each of these stand for:
GMLOS
RUR
DRG
PPS
Geometric Length of Stay
Risk of Unplanned Readmission
Diagnose-Related Group
Prospective Payment System
Who is the Chief Financial Officer, of all of OH?
Bernadette Spong
Which of the following individuals has the highest risk of suicide:
A) People under the age of 70
B) Married individuals
C) Bipolar II diagnosed
D) Dementia patients
C) Bipolar II diagnosed