Role of IHA Provider
How often should you be checking and reading your Lucet email?
What is at least once a day? Please download the Microsoft outlook app on your phone if you can to receive emails in real time.
This should be created in Athena before canceling a visit
What is a patient case?
After creating the patient case, the visit should then be ____________ in Care SMS
What is Cancelled or Rescheduled?
This obesity diagnosis should only be coded when a BMI is 35 or greater with at least one comorbid condition
What is Morbid Obesity?
A patient reports worsening shortness of breath with exertion, difficulty lying flat at night, and bilateral leg swelling. Exam reveals lower extremity edema and crackles at the lung bases. Patient takes Entresto and Furosemide.
What is Congestive Heart Failure?
Providers are expected to close charts within this timeframe.
What is 48 hours or less?
For members age 65 and older, what screenings are required?
What is:
PHQ-2/9
Mini Cog
Katz ADL
TUG/Steadi Fall
AHC HRSN
Care SMS should be considered the "source of truth" when reviewing your visit schedule, not Athena
What is True?
This cardiac rhythm condition is an important HCC diagnosis that should specify whether it is paroxysmal, persistent, or chronic.
What is atrial fibrillation?
A patient has an A1C of 9.4% and diabetic neuropathy with numbness and tingling in both feet. Instead of documenting diabetes alone, providers should capture this more specific diagnosis.
What is Type 2 Diabetes with Complications?
Providers should document all confirmation call attempts in Athena, and if they are unable to reach the patient, they should complete this type of visit attempt for in home assessments
What is a drive by visit?
Every medication listed in the medication list should be linked to this section of the assessment.
What is the Problem and Assessment and Plan section?
True or False- Providers can enter their availability directly into the calendar view under "Provider setting" instead of using an existing or newly created template.
What is False
When documenting a history of stroke, providers should also document any remaining _________.
What is residual deficits?
This diagnosis should be considered when a patient has a documented history of chronic opioid use with physiologic dependence or ongoing treatment such as maintenance therapy.
What is Opioid Dependence?
This information should be updated promptly and no later than the 15th of each month to assist scheduling and operational planning
What is provider availability?
For all urgent and emergent issues, providers must create this in Athena, and close the chart within 24 hours.
What is a Patient Case to IHA CRN?
DAILY DOUBLE!!!!!!!!
This Teams chat has become the go-to-place for scheduling questions, support, and help!
What is The Home Visit Crew?
This common diabetes documentation mistake may cause loss of HCC capture: documenting diabetes without documenting associated______________.
What are complications? (Ex. CKD, Neuropathy, retinopathy).
This diagnosis may be appropriate for a patient with conditions such as atrial fibrillation or recurrent clotting risk who requires chronic anticoagulation therapy due to an increased tendency for clot formation.
What is Secondary Hypercoagulable State?
Coding queries must be responded to within this timeframe, and after amending the chart, the provider must send the query back to this team member.
What is within 48 hours, and the coder?
After completing documentation and reviewing the billing section, this is the final step a provider must complete.
What is checking out the member from the home screen?
Put these steps in correct order:
Cancel visit in Care SMS
Create a Patient Case in Athena
What is:
1. Create a Patient Case in Athena
2. Cancel visit in Care SMS
Documented history of depression and is currently taking antidepressant medication, but the provider selects "Depression, unspecified." What more specific HCC supported diagnosis should be considered.
What is Major Depressive disorder? (recurrent or current episode, depending on documentation and severity)
During an IHA visit, a provider discusses risks, benefits, and recommendations related to immunizations even if the patient declines vaccines.
What is Vaccination Counseling?