Acute/Medcompass
What is clinician review?
SNF is the abbreviation for this
What is skilled nursing facility?
Notifications for alerts such as no case owner, DRG readmission, and manual letter generation are housed here
What are alerts?
Section of MCG criteria that could be considered for Medicare patients if none of the standard Clinical Indications for Admission to Inpatient Care apply
What is Supplemental Medicare Criteria?
Post-Acute Review types that utilize MCG
What is LTACH?
Where you look when confirming letters have generated
What is page resources and documents?
Area that medical director documents their decision in Medcompass
What is Physician/Non-Physician review?
Criteria for a SNF review
What is Medicare Benefit Policy Manual chapter 8?
Houses contracts for participating providers
What is SCM?
3 reasons for a Forecast high dollar note
What is costly procedures, private duty nursing and multiple admissions?
Criteria for an IPR Request
What is Medicare Benefit Policy Manual chapter 1?
Job Aid that houses TAT for Medicare cases
What is the Medicare UR Page?
Approval letter that is generated for approved Medicare services
What is Letter ME07?
Time frame for a Standard PreService (TAT) Coverage Decision for SRL inpatient admission requests per the Medicare UR Page
What is 4 calendar days?
LaTina's favorite colors
What is pink & green?