Client
Caring for pets, driving the member places, and administering medications are 3 examples of these.
What are excluded services?
When you are on call, these are the people who get a call off script.
Who is All DCCs, the member's assigned SC and supervisors?
This is how often you should check your CRM dashboard.
What is daily and throughout the day?
hen answering a call this should be included in your greeting.
What is Consumer Direct Care and the employee’s name?
This type of shoe is not work appropriate.
What are flip flops?
If a modifier change is received on an auth but SC has not been advised of a change, this is what they should do.
What is call the CM to verify service codes?
A member goes on hold when this happens.
What is when they are hospitalized or is not home to receive services?
These are at least 5 forms that are uploaded to remote scans for a new ABT/AWC caregiver packet.
What is cover sheet, wage memo, employee data forms, I-9 , W-4, A-4, Pay Selection, Payroll Deduction, Ok to work?
Must complete these no later than 3 business days.
When do you complete your visit notes in CRM and scan into DW?
When verifying a shift or providing a caller with PHI information these are the forms of verification required?
What is the full name, DOB or SSN?
These are the hours that the Injury Hotline is available.
What is 24/7?
We MUST have this in place (or at least a verbal via email from Case Manager) before services can be rendered. Question
What is an authorization?
This is the ‘window’ that we must complete the initial 5/30/90 day visits within when starting services.
What is 5 calendar days?
This is what is required for a caregiver to be given the OK to start work.
What is completed the NHP, CPR & FA, 2 Forms of ID, Background Check Results, reference checks, APS, OIG check?
This where you enter an incident report in CRM.
Where is under cases?
A member calls to verify a shift for a CG, this is the disposition to use.
What is EVV Issues?
Passwords should be ___ characters in length.
What is 12 characters?
You should call a CM to request an initial authorization at this time.
What is as soon as EV has been completed or scheduled?
This new information is needed in CRM in order for member to import to solmon.
What is Medicaid ID?
This is the amount of numbers in a caregiver's SL ID.
What is 9?
In CRM, this is where you would find information on the Personal Representative.
What is 'Rep Relationship'?
Before ending a call this is what you ask the caller.
What is, is there anything else I can help you with?
This is the one item that the office staff should always wear to work.
What is a name badge?
A family live-in caregiver is working under the AWC program so they use this modifier.
What is U7U5?
Under SDAC Program, this information is required that is not required under ABT or AWC.
What is Social Security Number?
This is when the initial review is due.
What is 90 days ALTCS? What is 60 days CDAZ policy?
These are the steps to take to search for incompletes.
What is open docuware, type in scan operator, choose date span, and set the audit status as incomplete?
Your CXOne status should be set to this unless you are in a meeting or out of the office?
What is AVAILABLE?
The latest updates can be found here, along with the location for posting information.
Where is The Hub?
If we have an auth in DW but not in Sandata this is what needs to be done.
What is call CM to regenerate the auth?
Under SDAC Program, these are the mandatory training quizzes that are required.
What is Fraud, Hippa, Infection Control, Lifting and Moving?
This is where you can find caregiver availability.
What is the prospect list?
These are the search folders in Docuware.
What is Auths, Central 1, HR Caregiver, Clients, and Timesheets?
This is how you transfer a call on Cxone?
What is Extension number followed by #.
CDCN observes this amount of paid holidays.
What is 9 holidays?
This is the amount of units per week needed if a member is approved for 25hrs weekly.
What is 100 units?
This is the preference level that needs to be staffed within 2 hours.
What is Level 1?
This is how many sick hours an ABT/AWC employee can use in a fiscal year.
What is 40 hours?
This is when the CG expiration template should be put into the description field in CRM.
What is at time of hire?
You can find CDAZ quick links to useful material here.
What is CDAZ homepage?
Employees accrue Safe Sick time at a rate of 1 hour for every ____ hours worked.
What is 30hrs?
These are the additional authorizations needed for FEA.
What is T-2040 and T-1023?
These are some of the informational items gathered for an initial referral. (5 answers required)
What is: Name, DOB , phone number ,address, instructions, pets roommates, smoker , PR , Referral source , MCO, CM , number of hours in plan, services needed?
This new information field in CRM is required in order for caregivers shift to export successfully from Sandata to UTEX.
What is MCI/Rendering ID (=Sandtrax ID)?
This is when we add a new client into CRM.
When is EV scheduled/completed?
You can access important information here when you’re staffing a member.
What is the Prospect and On Call Folder?
Full time employees are eligible for this many weeks of paid parental leave following the birth or adoption of a child.
What is 2 weeks?
This is the amount of respite hours that can be claimed with a regular S5150 authorization.
What is 12 hours?
The amount of days to complete an incident report.
What is 3 days?
This is how long caregivers have to complete DCW testing.
What is within 90 days of hire?
These are the steps to deactivate a caregiver.
What is SCF task, termination notice email, PTP form emailed to Luzia, deactivate CRM/Sandata.
This is where you add MBR prospect referrals and notes.
What is SC use Member Referral Tracker/Pink Folder?
What is 4?
This is the authorization service code that is used if a client is requesting medical escort for 1 day for over 5.75hrs.
What is S5135?
These are some of the reasons we complete an IR.
(4 answers required)
What is - member fall, abuse, neglect, exploitation, member hospital, concern with CG, etc?
This is the main difference between a DCW Lead and a CG.
What is they get paid 40hrs regardless if they work or not (admin time)?
These are the steps to deactivate a member.
What is create a SCF task, end the schedule in Sandata, and then deactivate the account in CRM/Sandata?
You will need to review this when scheduling and prepping your visit paperwork.
What is the Pre-visit checklist?
This is the amount of days of bereavement leave you receive for an immediate family, including examples of the people who qualify as immediate family.
What is 4 days of bereavement leave for the employers spouse, child, mother, father, or parent of current spouse?
These are the people who need to approve per diem respite.
Who is Evelyn, Fern, or Aimee?