Patient Access Forms
Codes
Important Phone Numbers
PreAccess
Cerner Accounts
100

Document that must be obtained for all inpatients that have Medicare/Medicare Replacement Insurance

What is an Important Medicare Letter (IML)?

100

Child Abduction

What is Code Pink?

100

Women's Health Pavilion

What is x.4226 or x.4206?

100

Point of contact for all Imaging/IR Accounts

Who is Juliana Voss?

100

Medical Service Type used for Same Day Services Patients

What is "Hematology"?

200

Documents that must be obtained each year

What is a Consent for Treatment and HIPAA Form?

200

Fire!

What is Code Red?

200

STAT Security

What is x.1515?

200

Point of contact for all Surgery/Cath Accounts

Who is Randall Byal?

200

Medical Service Type used for Outpatient Laboratory Accounts

What is "medical?"

300

Form that may be required for certain Medicare Patients

What is an Advanced Beneficiary Notice (ABN)?

300
Retired beneficiary

What is occurrence code 18?

300

Rapid Response

What is x.2911?

300

Document that must be completed for any accounts that are not worked by day-of-service?

What is the PreAccess Tracking Log?

300

Tab that must be completed for patients that have Medicare/Medicare Replacement Insurance

What is Medicare Secondary Payor Questionnaire (MSPQ)?

400

Patient Access Department that obtains SFF, Needs Insurance Letter, Self-Pay Agreement Letter.

What is the Emergency Department?

400

Disabled beneficiary no LGHP Coverage

What is conditional code 11?

400

Interpreter Services

What is x.8510?

400
Found on AdventHealth Connect > Departments > Outpatient Scheduling to determine how far out a patient should be scheduled for their exam.

What is the Scheduling Matrix?

400

5 examples of patients that have no collection due

Who are patients that have Medicaid, two active insurances, Trina Hidalgo, Yoon Foundation, or Shepherd's Hope?

500

Form that must be faxed to the VA for all STAT patients.

What is a VA Notification Form?

500

When a patient's symptoms began or when the account was originally created.

What is occurrence code 11?

500

Medical Records (HIM) Corporate Office Number

What is 407-303-9175?

500

PreAccess Managers

Who are Andrea Ochoa, Jamin Olney, Patrick White, Farah Azeez and Jadallah Jadallah?

500

4 types of recurring accounts

What is Dialysis, Coumadin Clinic, Transition Care Clinic and Same Day Services?

M
e
n
u