Daily Operations
Document Routing should be checked this many times per day.
What is four?
This Referral Source Code is used when we do not know who the referring doctor is or if as a placeholder while they are being added into Raintree.
What is TEMP?
This visit code is used for Medicare, Tricare, and Medicaid Payors.
What is EM/VM?
These cards should be obtained from each new patient at IE.
What are ID and Insurance Card(s)?
Who is Lauren McClaskey?
These 2 reports we run and use daily to keep track of our authorizations
What are the Future Auth and Charges Holding Reports?
This date is used as the Effective Date when adding a referral into the Prescriptions box.
What is the date the referral was signed?
The number of TEVALs a full time PT/OT should have on their schedule each week
What is 6?
These documents need to be scanned specifically into the Insurance Tab?
What are Ins Card(s) and Benefits/PPAC
This information should be included in email signatures.
What are Name, Title, RT location name and number, clinic address, phone, and fax?
This location code is used to send a referral from Doc Routing to PLCC to work.
What is MDCO/DECO?
These types of patients do not require PPACs
What are Work Comp, MVA(L), FUND, VA, and Patients with Secondaries.
These appt types should be prioritized on a PTA/COTA schedule.
What are VG and VW?
Authorization obtained in the clinic should be linked here.
What is the authorization line?
Name 2 things that would prevent your clinician from signing a note?
Missing VOB, Missing Phone #, Missing Mailing Address, Missing Referral, Missing Referring Provider, Missing WC Employer, Y in WC or A/O in MVA Cases,
This is the timeframe Infinx has to work an authorization request before we send an escalation.
What is 48 hours?
These contacts should be added (if known) into Work Comp patients' Communication Tab.
What are NCM, Adj, and/or TPA/MCO?
This is the goal for visits seen per FTE.
What is 11?
What is Consents > Signed PHI.
Explain Completion Rate
What is the % difference between where a clinic finished a week vs where they started?
Name the 4 tabs on the NEW Monday report starting Monday
Charges Holding, Referral Counts, Dashboard Tasks, Not Scheduled
The Referring Provider should match in these 4 spots in the patient's case(excluding Work Comp).
What are Marketing Referral, Billing Referral, Billing Ref. Contact, and Prescribing MD (in Prescriptions box)?
PLCC will look to scheduled in TEVAL slots only after this many days with no other slots available.
What is 5 days?
This is what you fill out if we accidentally scan in documents to the wrong patient acct
What is a HIPAA Compliance Ticket(Scanning Errors/Duplicate Accts)?
I am a patient with a $5,000 unmet deductible and cannot afford $125/visit. Explain our options and what you would do to set them up.
Offer and explain Payment Plan process.