EPIC
Where should you be checking for new requests?
Order Tasks, Patient Calls
What is the initial phrase to be used in Epic AND Therigy?
Received request via ___ initiating BI.
How much notice should be given when requesting PTO?
14 days
When should you be updating your productivity sheet?
In real-time - as soon as an update is made
How long do you have to initiate an urgent request?
2 hours
What should be included in your documentation (in Therigy) when running a test claim?
Quantity, day supply and outcome
Who must be included in your OOO emails?
Mount Sinai PSC, Liaisons, Supervisors, MPS Team and Outreach (if applicable)
What should the Status be of any activity within Therigy?
'Pending' (Status should never be 'New')
What prescriptions must you release? (Enhanced MSOT)
Refill lockouts
What must be included when documenting an approval in Therigy within your BI and PA card?
Drug name, strength and quantity/day supply
Effective dates
PA # (if applicable)
Copay and filling info
Who should you notify when calling out?
Direct supervisor - If no response in 30 min, it must be ALL supervisors
When emailing FAC, what must be included in the subject line?
'Clinic Name' - Appeal, 'Patient Name', 'MRN', 'DOB'
How many batons should be taken at once?
One baton at a time
How often should you be updating Epic?
Every 48 hours for PA
Every 72 hours for FA
When should OOO e-mails/calendar invites be sent out?
Calendar invite: As soon as OOO is approved
OOO Emails: 1 week prior and a reminder 1 day before
When should you be replying to e-mails?
Before end of day or once task requested within email is complete, if applicable (IE: Weekly renewals)
What's something to be cautious of when updating patient calls? (Hint: think batons)
Ensure you're taking the baton back if request is still in your possession and REBOLD anything that was un-bolded
What is always your first note in the PA card within Therigy?
The last note (outcome) of your BI
What's the procedure for notifying your coverage when planning to be OOO?
Set up a Teams meeting to review any follow-ups necessary while OOO*
*Follow-up list will be sent to coverage via e-mail.
Supervisor MUST be included within e-mail.
When should we be updated the MSOT comment section?
After any status change (IE: BI in progress, PA submitted, PA approved/denied, appeal in progress, etc.)