Renewals
90-Day HVQ
EOA Face Visit
Initial Authorization
DORS
100

Purpose of a renewal appointment is.

What is to renew a patient's home health care services?

100

HVQ stands for.

What is Home Visit Questionnaire?

100

End of authorization face visit is. 

What is updating the patient's home binder with current forms?

100

An initial home care approval is. 

What is when a patient gets approved by DOL for home health care for the first time?

100

DOR stands for. 

What is a Doctor of Record?

200

LMN stands for.

What is Letter of Medical Necessity?

200

Name the difference between a continuation or an increase in care. 

What is to continue the same level of home health care services or increase either SN or HHA services as well as add an additional service? 

200

The forms needed to complete an end of authorization face visit are.

What is the updated face sheet, updated POC, and a service plan (if the patient has a PCA)? 

200

A patient coordinator has ________ to contact an initial patient once that patient has been assigned. 

What is 1 business day?

200

The DOR that has a main point of contact named Marie. 

Who is Dr. Capobianco?

300

POC stands for. 

What is Plan of Care?

300

The forms included in the binder check are.

What is current face sheet, current POC, more notes needed, sup visit forms, incident report forms, infection control form, consent for care form, HIPPA rights form? 

300

Date a service plan need to be signed is. 

What is the first date of the authorization?

300

A patient coordinator has _______ to complete a home visit with the patient once they have been assigned. 

What is 7 business days?

300

DOR located at 2000 Wellness Way. 

Who is Dr. Singh?

400

Timeframe a renewal appointment needs to be made. 

What is around the 60-days prior to a patient's expiration date?

400

The information needed when a patient says they have been diagnosed with a new condition is. 

What is the name of the condition, diagnosis date/year, diagnosing doctor, testing, or medication? 

400

End of authorization face visit occurs every ____ months. 

What is every 6 months?

400

The EE17 A form establishes. 

What is a form to establish a patient's home health care with DOL and their doctor of record. 

400

Testing that is completed at MOST DOR offices.

What is a PFT and 6 Minute Walk Test?

500

Forms that need to be included in the renewal packet when taking to the DORs. 

What is the outline, LMN, POC, any testing, and any CQ letters? 

500

The body systems listed on the symptom questionnaire are. 

What is pulmonary, cardiovascular, diabetes, chronic kidney disease, sleep related, and other symptoms? 

500

Patients that require a service plan are. 

What is patients who have a PCA and live in the state of Nevada?

500

The person who signs off on the EE17 B form. 

What is the patient's DOR?

500

The DOR's office phone number that is 702-890-8147

Who is Dr. Olsen/Ares? 

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