Refresher on Follow ups
What is a follow up call?
Any call after a successful contact
What is MRM used for?
To locate medical records
Where can we locate our glabal search box under cotiviti?
On our requestor homepage scrolling down at the bottom
What must be clicked twice to sort the dates from most recent to the oldest?
End Date
If a provider has previously committed and you are calling for a follow and they commit one more time what will be your action and next action?
Action: Prov Rec Committed 2
Next Action: Prov Rec Committed 3
Where can we locate and open the link for MRM?
Under HSS on our Hi Humana page
After researching on Global or MRM where can we locate important documents and information on cotiviti regarding medical records for the patient we're working?
Misc tab
When opening a claim what do we click on to pull up all the information on the claim?
Move mouse over menu > Click View All
Are we required to reverify patients on a follow up call?
No, we are not required
While we use request id to search for records on global search what do we use to search for records on MRM?
Humid
True or False we need the patient request ID to be able to locate patients medical records on the global search?
True, we do use the request ID to search for medical records on global search
What is ehub used for?
To locate patient claims
How many times can we follow up?
We do 2 follow ups, after that we must ask for instructions from our Lo's
Why is it important to follow the clean desk policy when downloading records?
So we don't get confused and upload the wrong information
Once we locate medical records we can go ahead and download the records and upload them into our cotiviti site? True or False
True
If we can't locate patient claim using last DOS what else can we use?
Provider name
What if a provider did not commit on the initial call but then committed on the follow up call? what would be the action and next action?
Action: Call
Next Action: Prov Rec Committed
On what format records must be saved in order for us to upload them on cotiviti?
PDF format
What is the next step to take if we can't locate records on Global search?
Use MRM
Where can we locate Ehub on our Hi Humana web page?
HSS