PT Recs
Appeals
CM/SW Handoff & MDR Notes
HFS & CanAide
Emojis
100

This score is in the PT notes that helps to determine what level of care is needed for the patient.

What is the AM-PAC score?

100

QIO stands for this.

What is Quality Improvement Organization?

100

The CM/SW Handoff should be updated at this time.

What is daily and/or when there is a change in the dispo?

100

This is what HFS stands for.

What is Health Funds Solution?

100

If someone posts the skull emoji, it doesn't mean the user is dead inside, just dead from too much of this joyful activity.

What is laughing?

200

Based on walking 80ft for a hip fracture and a PT recommendation of SNF. This patient should be considered for this level of care.

What is IPR?

200

This is the QIO that AdventHealth utilizes.

What is Accentra?

200

This is who is responsible for updating the CM/SW Handoff.

What are both RN CM and SW CM?

200

This is the type of assistance that CanAide helps to apply for.

What is ICP Medicaid?

200

This emoji 💩 is surprisingly one of the most popular emoji worldwide — even though it’s literally what it looks like.

What is the “pile of poo” emoji?

300

These are the some of the qualifying diagnoses for IPR.

Stroke, amputation, hip fracture, and neurological disorders.

300

A patient has up to this many times to appeal their discharge.

What is 3?

300

These are included in MDR notes for an initial review.

What are the date, admit reason, bed status, prior living, readmission, pending results, consults, and clinical barriers/escalations?

300

This is the appropriate time to apply a patient for HFS.

What are self-pay, delinquency, and COBRA?

300

This red fruit was one of the very first emojis ever created in Japan in the late 1990s.

What is the apple emoji?

400

When a patient in a memory care ALF refuses PT and SNF is the recommendation, CM should explore this alternative level of care.

What is home health care?

400

These are the next steps if authorization is denied.

What is a peer to peer and fast appeal?

400

These are the items in the MDR notes continued stay review

What are the active DC order, DC arrangements, pending results, barriers, escalations/actions?

400

These are the items needs to start the CanAide process.

What are proof of ID, proof of income, 6 month bank statements, PASRR, and 3008?

400

đźš— + đź’¨ = this common phrase meaning someone left quickly.

What is “they dipped” or “they sped off”?

500

When PT recommends SNF but the patient has no insurance, this alternative option can be explored by the CM through a referral.

What is Charity OP PT?

500

This form is commonly associated with fast appeals that the family or patient needs to sign for the managed medicare and commercial plans.

What is the authorized personnel form?

500

These are the items included in the CM/SW Handoff template

What are the date, dispo, transport, and barriers?

500

True or False: A CM can start and ICP Medicaid application with CanAide for a patient who is discharging to an Assisted Living Facility

What is False?

500

🍞 + 🍅 + 🧀 + 🔥 — this emoji combo makes a classic comfort food.

What is a grilled cheese sandwich?

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