Introduction to Clearway

Location

100

Name the 5 states located in the Mid-Atlantic region 

Maryland (MD), Delaware (DE), Pennsylvania (PA), New Jersey (NJ), Virginia (VA)

200

What are the two provider groups that we will work with at Clearway Pain Solutions?

Clearway Pain Solutions LLS

Gulf Coast Pain Consultants LLC

300

What resource could we use to help a patient find a specific office location(s)? 

Clearway Pain Solutions website. 

www.clearwaypain.com

Click the locations tab

Clearway History

100

What year did we switch over to Clearway Pain Solutions?

2019

200

How many years has Clearway pain management? Through the years we have merged with different companies and rebranded.

19 years

300

What are the 3 sister locations connected to Clearway Pain Solutions?

1. Relievus

2. The Center for Pain

3. ***

Things to remember

100

Name 3 ways that you are able to use to verify a patient.

•Name

•Date of Birth

•Last four of social (if in system)

•Zip code

•Phone number

•Address

•Chart Number (if patient knows it)

200

Name the 4 different type of providers that are able to see our patients?

(DO) - DOCTOR OF OSTEOPATHIC MEDICINE, (MD)- MEDICAL DOCTOR, (NP)- NURSE PRACTITIONER, (PA)- PHYSICIAN ASSISTANT

300

What is the difference between a Referral and a Authorization? 

Referral: is a formal recommendation from one healthcare professional to another

Authorization: An authorization is a decision by the health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary

HIPPA

100

If an existing patient's spouse calls to reschedule an appointment, what should you do?

1. Check for Authorization: Look at the patient's file. Did they sign a form specifically allowing you to discuss appointments or medical info with their spouse?
   • If YES: You can proceed with rescheduling.
   • If NO: Technically, you cannot even confirm the patient has an appointment, as that is Protected Health Information (PHI).
2. The "Professional Judgment" Exception: If there is no form on file, but the spouse already knows the date and time (proving they are involved in the patient's care), HIPAA allows you to use professional judgment.

200

If a transportation company calls to ask what time a patient's appointment is, are we allowed to provide this information? Why?

Yes.

Under the HIPAA Privacy Rule, healthcare providers can disclose Protected Health Information (PHI) without specific patient authorization for Treatment, Payment, and Healthcare Operations

300

True or False: If a patient has an urgent medical need, it is HIPAA-compliant to leave a voicemail stating their specific diagnosis or test results so they get the information as quickly as possible."

False

Even if the information is urgent, you should never leave sensitive clinical details like diagnoses, specific medications, or lab results on a voicemail.

Athena

500

The names of the of the old EMR systems Kure Pain and Smart Pain Management used.

What is Allscripts and Legacy EMR?