Fill In The Blank
When flexing time, you are responsible for making up both time and ___
Encounters
What percentage of our team can be scheduled off on the same day?
A) 20%
B) 30%
C) 40%
D) 50%
A) 20%
August Initiative:
Aim for care calls to be 3 minutes or longer
False - 5 minutes
Scenario: Patient reported that they only check the Amsler grid every few months, so you recommend weekly vision monitoring instead. During the next care call, patient says that they now check the grid every other week.
Question: Can you document this as a success story?
When is the only time that we are allowed to work off the clock?
NEVER!
Minimum call requirements:
__ outbound calls for every 0-4 encounters and __ for every 5-9 encounters
15 and 20
What was our pod CEPD for July?
A) 8.8
B) 9.5
C) 9.6
D) 9.7
D) 9.7
If you call out the day before or after a holiday then you will not get holiday pay
True
Scenario: Your CEPD for July was 8, then it increased to 11 in August, and in September you ended with 9.5
Question: Do you qualify for benchmark DTO for that quarter?
Yes, you qualify for Tier 1 and will receive 4 hours of BDTO
You just need to average ≥ 9.5 CEPD, so in this example (8+11+9.5) = 28.5÷3 = 9.5
Walk us through the steps a care coach should take when a patient reports a non-vision related emergency
1) Ask the patient if someone is with them and tell that person to call 911 then stay on the line until emergency services arrive
2) If patient is alone, offer to call 911 yourself
3) Call the non-emergency line in their area in order to reach emergency services then stay on the line until help arrives
If a second documentation time is added, the system automatically reduces that time from 10.27 to ___
5.27
According to the five minute grace period, when does your time get rounded?
A) If you clock in up to 5 minutes before your scheduled start time
B) If you clock out up to 5 minutes after your scheduled leave time
C) If you clock in up to 5 minutes after your scheduled start time
D) If you clock out up to 5 minutes before your scheduled leave time
C and D
You can use UTO if you run out of your 16 hours of PIO even if you still have DTO available
True - As long as HR confirms that your PIO proof is valid
Scenario: Patient has switched to another provider who does not participate with Lumata. They do not have an upcoming appointment scheduled with their PCM provider in the future. You check the last clinic visit note from the PCM provider and it says to RTC in 4 months for DFE. The new provider is using the primary dx code for NPDR but the PCM provider was using Wet AMD.
Question: Does the patient need to be unenrolled?
No - Follow up does not specify that the patient is transferring care and the primary dx codes are not the same, so they can stay enrolled under the PCM provider.
Explain the difference between the AVD and RDP
AVD = Azure Virtual Desktop aka Windows Session Desktop (start screen before choosing the clinic's RDP)
RDP = Remote Desktop aka where we access NextGen
Encounters over __ minutes automatically get put on hold for further review
100
When is it okay to offer extended outreach?
A) Never
B) If specifically requested by the patient
C) If the patient wants to unenroll
D) If the patient hasn't been engaging in conversations / doesn't seem interested
B and C
We can call patients who are actively participating in a study
False - If patients were put into the study after enrollment, they can be placed on hold. If they were enrolled while already in the study, they need to be unenrolled.
Scenario: Patient is seeing two different providers for retina (PCM provider) and glaucoma (non-participating provider). Dr. Retina's last clinic visit note states that patient should RTC with Dr. Glaucoma as scheduled and Dr. Retina PRN.
Question: Since the primary dx codes are not the same, does the patient need to be unenrolled?
Yes - Only because the follow up specifically says PRN, so the patient is no longer eligible.
What is the one year rule regarding eligibility for care program?
This applies to enrollment only and does not determine whether a patient remains eligible for the care program
As long as the last clinic visit was one year before enrollment date, then patient is eligible and remains eligible indefinitely*
*unless follow up specifically says PRN or transfer care to another [non-participating] provider
Do not start calls earlier than __ AM or later than __ PM local clinic time (EST)
8:00 and 6:00
How many minutes of overtime can we have on our time cards at the end of each pay period?
A) 0.25 / 15 minutes
B) 0.5 / 30 minutes
C) 0.75 / 45 minutes
D) 1.0 / 60 minutes
SIKE! Trick question - no overtime is allowed
You can swap patients with another care coach if you've had 3+ unsuccessful outreach attempts
True
Scenario: You clock in at 8:00 AM and see that you have an encounter to revise, a message from me asking you to correct your timecard, and you also have to change your Microsoft password because it expired. You completed these tasks and it's now past 9:00 AM, so you need to start making calls, but you have well over 5 uploads in your encounters to document list.
Question: Are you able to work on those uploads in the afternoon instead?
No - You only have one hour of admin time per day and you've already used it
What are the names of the two practices that have recently launched for ECP?
Associated Retinal Consultants (ARC) and Sabates Eye Centers (SABTS)