How Well Do You Know Your Peers
Who's favorite Disney/Pixar movie is UP?
Kandice
Which TP department handles technical issues
I.T. department
What is the name of your supervisor?
Tamika Smith
True or False: A PO can create an expedited auth request via the portal?
False
Who reports to Tamika Smith?
Pay Wilson
Who's favorite sport is soccer?
Ola
Which TP department handles default member cases?
Task Force Department
Who supervises the fax/portal team?
Jeremy Pagan
True or False: HAP Commercial plans can have a 1st level appeal before AND after procedure has occurred
True
Who reports to Kristen Pierce?
Michell Keller
Who's currently in nursing school and hopes to graduate within the next 3 years?
Zahira
Which TP department handles PSCRs?
Claims/Appeals Department
Who supervises the Task Force Team?
Asja Arthur (formerly Asja Jefferson)
True or False: Caresource PSCRs require a new case to be created using codes that were performed for that DOS, including any denied codes on the original case
False: Caresource PSCRs require a new case to be created using codes that were performed for that DOS, including any APPROVED codes on the original case
Who reports to Jeremy Pagan?
Julia Anthony
Who wants to move to Southeast Asia?
Natasha
Which TP Department handles back-end processes with case files?
Data Services Department
Who supervises the Fidelis Approval Calls Team?
Kristen Pierce
True or False: An emergent review is when changing from OP to IP after the procedure has occurred
false: Emergent review is when the member is admitted to the hospital via ER
Who reports to Kristine Shavers?
Vicky Santerelli
How many of our team members wear glasses frequently?
6 (Jessica, Shy, Tamyra, Cayla, Natasha, Amber)
Which TP Department handles escalation issues from doctor's offices?
Provider Relations Department
Who supervises the COR night crew?
Kristine Shavers
True or False: TP reviews for retro PH Medicare MSK cases
False
Who reports to Asja Arthur (formerly Asja Jefferson)?
Chade Whipple