That Ain't Authorized
What specific insurance allows patients only between the ages of 18-20 to been seen in the clinic?
Medstar Family Choice MCO
Name all the times that the waitlist should be checked, how often and in what scenarios?
Whenever an appointment is cancelled and twice daily
What is the email address used for template changes?
nccscheduling@umm.edu
A patient located in a facility that we cannot see in the outpatient setting.
incarcerated patient
Who is the nurse manager?
Yonita Logan
What website can be used to start medication prior authorizations?
Covermymeds
What does DAR stand for?
Department appointments report
How far in advance can a slot be split, from a new patient slot into 2 follow-up slots?
No sooner than 2 weeks prior to the appointment
A patient was called 3 times and didnt confirm the appointment, What's next?
Who are the division directors?
Dr. Hopp,Zilliox,Chaturvedi, Harrison, Shulman and bonus Dr. Mehndiratta
Where do you enter authorization information in Epic (2 places)?
On the appointment desk under notes/ in the referral
What are the number of attempts that a patient should receive?
3
What is the most requested change for a template: split slots, add slots, close schedule, or block slots?
Close schedules
How many years before a patient is considered a new patient?
3 years
Name the front desk manager?
Lindsay Jackson
How do you know what insurance that we accept?
The insurance list
What are the qualifying factors for a telemedicine visit?
Follow-up appointment only, in the state of Maryland
What event or thing causes the most template changes at one time every year?
On call schedule release and resident template build
When should a patient be placed on the waitlist?
At the time of scheduling, whenever the patient is scheduled outside of the desired appointment window. All new patients.
Name all specialty testing and procedures done in the clinic. (6)
AUTONOMIC, EMG,OCT,LP, injections and infusions
If an insurance company denies a claim what are two things that can be done to receive payment for services/ or medication?
Appeal letter and Peer to Peer
- If a patient doesn’t respond to all 3 attempts when calling or phone is out of service, name at least two things that you can do?
Call alternative phone numbers, email/Mychart message, let your doctor know.
What happens if a visit that is not the same visit type is scheduled? ex new patient scheduled in follow-up slot.
Scheduling error, incorrect facility fee charged to the patient, creates breaks/errors in the template
Name a procedure that a patient must have been seen in the clinic to have and must have a lower BMI, for the best outcome?
Lumbar puncture.
Name all of the NP’S?
Selina Yeasmin, Seun, Erin Vinias, Lindsay Muratore