EQUIPO
WHERE WOULD YOU DOCUMENT A PATIENT CALL IN EQUIPO?
ACTIVITIES
WHERE DO YOU LOOK TO SEE IF A MEMBER IS HIGH-RISK IN EQUIPO
RISK DASHBOARD
IF A MEMBER HAS NO ACCESS TO HEALTHY FOODS WHERE MIGHT YOU REFER THEM?
GLWD
WHAT IS AN INCENTIVE FOR A PROVIDER IN VALUE-BASED CARE?
WHAT IS....
SHARED SAVING BONUS
QUALITY BONUS
WHAT IS THE DAILY GOAL FOR SUCCESSFUL MEMBER CALLS PER HOUR?
2 PER HOUR
WHERE WOULD YOU FIND THE CARE GAPS THAT MIGHT BE OPEN FOR A MEMBER IN THEIR PATIENT PROFILE?
MEASURES TAB
WHAT IS THE PURPOSE OF THE RISK REPORT IN EQUIPO?
WHAT IS.....TO SHOW THE PROVIDER THE POTENTIAL CODING OPPORTUNITIES.
TO SEE WHAT PATIENTS HAVE NOT BEEN CODED OUT FOR POSSIBLE CODES.
TO IDENTIFY MEMBERS THAT NIGHT NEED REFERRALS
IF A MEMBER IS STRUGGLING WITH MENTAL HEALTH WHERE MIGHT YOU REFER THEM?
FIDELIS CARE MANAGEMENT
WHAT IS A HEDIS MEASURE THAT WOULD INVOLVE A PATIENT GETTING A BLOOD TEST?
WHAT IS....
CDC A1C
SCREENING FOR NEPROPATHY
WHAT IS THE DAILY MINIMUM GOAL FOR UNSUCCESSFUL CALLS IN EQUIPO PER HOUR?
6
HOW DO WE ADD A PDF GAP TO A MEMBER FILE IN EQUIPO, I.E. THE HEDIS GAP EDUCATION SHEET
IN ACTIVITIES ADD THE APPROPRIATE TEMPLATE
WHY DO WE IDENTIFY HIGH-RISK MEMBERS?
WHAT IS...
TO DECREASE ER VISITS AND ADMISSIONS
TO LOWER MER
IF A FIDELIS MEMBER HAS NO TRANSPORTATION TO AN APPOINTMENT WHAT SHOULD YOU DO?
CALL 1-888-FIDELIS AND HELP THE MEMBER SET UP TRANSPORTATION
WHAT IS THE INCENTIVE FOR FIDELIS MEMBERS TO HAVE A BREAST CANCER SCREENING
WHAT IS...
$50
WHAT IS....200
WHERE WOULD YOU FIND THE MEMBERS IN A CERTAIN PROGRAM, I.E. GLWD, AWV
WHAT IS CARE PROGRAMS
WHAT IS A PROGRAM THAT CAN HELP A MEMBER MONITOR THEIR VITALS AT HOME AND HAVE A CARE MANAGER?
WHAT IS....
RPM
WHERE MIGHT YOU REFER A MEMBER THAT HAS 2 OR MORE CHRONIC CONDITIONS, ESP THOSE THAT HAVE SUBSTANCE ABUSE OR HIV?
WHAT IS...
A HEALTH HOME
CHRONIC CARE MANAGEMENT
WHAT IS THE NAME OF THE MEDICARE VISIT THAT HELPS CLOSE CARE GAPS?
ANNUAL WELLNESS VISIT (AWV)
WHERE DO YOU FIND YOUR DAILY CALL SUMMARY IN EQUIPO?
WHAT IS...
THE WORKBOARD
WHY DO WE ADD SERVICE CATEGORIES TO MEMBERS' PROFILES?
TO DOCUMENT WHAT ACTIONS WERE COMPLETED IN EQUIPO.
TO PULL MEMBER REPORTS.
WHAT IS THE MAIN PURPOSE OF SCHEDULING THE TCM MEMBERS WITH THEIR PROVIDER?
WHAT IS....
TO DECREASE THE CHANCE OF READMISSION
TO CLOSE CARE GAPS
WHAT IS THE NAME OF THE ONLINE REFERRAL SERVICE TO FIND PROGRAMS IN THE MEMBERS AREA?
WHAT IS.....
FIND HELP
WHAT IS A CPT CODE THAT CAN CLOSE A CARE GAP BUT THE PROVIDER RARELY GETS PAID FOR IT?
WHAT IS...
F CODE
CPT CAT II CODE
WHAT SHOULD YOU DO IF YOU ARE NOT MEETING YOUR GOALS?
WHAT IS....ASK A SUPERVISOR