SERVICE
FINANCE
PBS
DECISION SUPPORT SERVICES
CULTURAL DIVERSITY & MEMBERSHIP SERVICES
100
Member gets services from a community hospital.
What is Outside Medical Expense?
100
1. Pay source 2. Same-day void different drawer or user
When closing your drawer, what are the 2 most common errors made?
100
65
At what age are you entitled to Medicare
100
Direct Booking
Program to assure patients get a consult appointment before they leave their primary care physician's office
100
Member retention.
What is to mitigate members voluntarily leaving KP for another insurer?
200
Describe 2 benefits of improving our coding efforts.
1. Document acuity of services 2. Reimbursement from Medicare
200
94%
What is the Medical office collection target for member deductible?
200
The dates the MFA covers.
When you waive a copay because of MFA what do you put in comments?
200
Name the Committee where KP members share their compliments/concerns about service.
Patient Care Advisory Council?
200
Porter Ranch, and Market St.
What is the next locations for new MOBs?
300
Spreading successful implementation of programs across Medical Centers.
What is sharing Best Practices?
300
Regional Patient Financial Services
What departments do you direct members to for Non Same Day refund requests?
300
Patient has no MFA letter.
Do you need a MFA letter if MFA is active in Healthconnect No?
300
Name the health education program that can be accessed online for KP members
EMMI
300
Way to identify new members 1st visit.
What is a blue tote bag?
400
PMPM.
What is Per Member Per Month - The revenue stream for KP?
400
18%
What is the Kiosk utilization percentage needed for WH & WV service area to reach the goal?
400
Patient retired on 6/1/2012
If a patient is retired do we need a retirement date in the MSPQ?
400
The goal is 20% for this appointment type in primary care.
What is TAV
400
Text for Care
A program for Ventura members (currently) where they can get lactation advise from a nurse over the phone or find out the wait time for Urgent Care
500
The program to decrease the number of members who use outside ERs.
What is Treat and Release? or What is KP Reconnect?
500
Complete this task to refund collections posted under other payments, self-payment posting or charges.
What is transaction void request?
500
3 places
How many places in Healthconnect can you see active MFA coverage?
500
Name 2 metrics for member service satisfaction.
HCAPS ASQ MAPPS
500
The Community Organization that partners with WHMC
Porter Ranch or North Valley YMCA
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