Scheduling Guidelines
Name 2 Complex visit types
WCCs
New patients - any visit reason
Asthma
ADHD (Follow-ups & evaluation w/ Vanderbilt forms)
Depression
Anxiety
Wheezing
Difficulty breathing
Headache with no other symptoms
Chest pain
Allergy testing
Dizziness
Suspected abuse
Chronic/recurrent abdominal pain
Urinary concerns for patients less than 4 years old
Sports Physical Exam
Wart Removal
Frenotomy
ER/Urgent Care follow-up for a complex symptom NOT resolved
Which Medicaid insurance are we currently NOT accepting?
Simply and Simply HK
How many dismissal categories do we have?
7
What do you do if the parent states they are currently seeing a different PCP
Tell mom to call Medicaid and change the PCP, also request the name of the PCP mom states she's seeing
What do you do when a mom calls to change her appointment from 10am to 2pm?
Edit the appointment time to the later slot, document the changes made, and save
How long should a Circumcision be scheduled for?
30 minutes
If you can not verify on a portal, how do you verify insurance?
Call the toll free number
Name 3 Dismissal categories
Dismissal, Pregnancy
Dismissal, Disruptive Behavior
Dismissal, 18+
Dismissal, Compliance
Dismissal, Dismissal
Dismissal, No-Shows
Dismissal, Out of Region
What do you do if the parent tells you they are living in another state with Private insurance as their primary and Medicaid as their secondary?
Parent needs to call Medicaid and terminate the coverage
If you fail to comply with FCP dress code what will happen?
You will be sent home to change without pay
How long should a televisit ADHD follow up be?
20 minutes
If a patient has NOT met their deductible, but they have a $35 co-pay, how much do they pay at the visit?
$35
Give us an example of when you would send a patient to Dismissal, Disruptive Behavior.
What do you do if the parent refuses an appointment due to transportation issues
Do a 3 way call with Medicaid to schedule transportations.
What are three core values of FCP?
Respect
Safety
Honor
Happiness
Satisfaction
What is the first questions you should ask a NP/NB trying to establish care?
Do you agree with vaccines?
If an established patient had Humana and call in to report they have changed to Simply, can we see them with Simply?
Yes, although we prefer they change the HMO. If the parent insists on keeping Simply we can continue to see this patient
How long after an 18+ dismissal can we continue to see a patient?
90 days
How many charts should you be accessing per day
130
What should you do if you are the last person in the building?
Check that all the doors are closed, lights are off, and set the alarm to "away" and close the door behind you on the way out
Which offices DO NOT offer COVID testing?
None
How many days in advance can you schedule without verifying the insurance?
We recommend PCD to always verify insurance in advance so that we can notify the parents ahead of time if any changes need to be made.
Do we allow patients to return to FCP after a dismissal has been placed on their chart?
Yes
On what attempt should you send a post card?
Second and third attempt
What year was First Choice Pediatrics founded?
1998