General Knowledge
These are two examples of Medicaid plans that are not accepted in Pediatrics
Potential Answer:
What are
- Blue Cross Blue Shield Community Health Plan
- Ambetter Home State Health Plan
After an NOS is completed by a non-Pediatric NPC, the NOS is routed here.
What is the Pediatric New Patient Coordinator Scheduling Pool?
All ACC referrals are routed to this provider for triage.
Who is Dr. Bauer Huang?
This is the default department name for referrals (i.e. WU NL MVT CAM7).
What is WU NL SLCH 2130.
Referral states patient presented to the ED with persistent headaches and light sensitivity. Three days prior, the patient fell and hit their head on concrete. This provider will (or will not) be able to triage this referral.
Who is Mary Epperson and she will be able to triage?
These are two examples of diagnosis not currently accepted in Pediatrics
Potential Answer
What are
- PANS/PANDAS
- Brachial Plexus
In EPIC, all NOS are completed via this function utilizing this smartphrase.
What is a phone encounter and .PDNLNOSSCREEN?
Erika Ramirez reviews for this section/main diagnosis.
What is NF?
These are the two main Pediatric Ambulatory Referral types.
What are REF78 (Ambulatory Referral to Pediatric Neurology) and REF780 Ambulatory Referral to Pediatric Neurology - Epilepsy)?
Referral states patient has a new onset of abnormal movements. During the initial phone call, mom states she has filled out an application for Missouri medicaid and she is very concerned that this may be seizure related. This is the next step that should be taken in the process of this referral and why.
What is nothing? The referral should not be processed if Medicaid is pending.
This is an example of an age related exception in Pediatrics.
Potential Answer
What is RETT?
This is why it's important to find out whether the patient has any behavioral, learning or psychiatric concerns while completing the NOS.
What is to determine which location the patient can be scheduled at for an EEG?
This diagnosis is commonly associated with fetal care consults.
What is Spina Bifida?
These are two diagnosis that can go straight to scheduling.
Potential Answer:
What are headaches and tics?
Referral states a 7 year old IL resident patient with concern for autism would like to be evaluated in our clinic. This referral will be triaged by which provider and why.
Who is no one? The patient is too old and lives in IL.
The three main Pediatric Neurology locations
What are SLCH2130, CSCC West County, CSCC South County?
These are three non-seizure specific diagnosis/symptoms that could be Epilepsy related.
Potential Answer:
What are abnormal movements, hysterical laughter, and staring episodes?
These three items are needed before a RETT patient can be scheduled.
What is the referral, the records and the completed new patient packet?
This is specifically how Ashley and Tiffany divide up the Pediatric Workqueue.
What is alphabetically, Tiffany A-K and Ashley L-Z?
Referral states a 13 year old patient is needing to be seen for a first opinion on sleep disordered breathing. This patient will be seen by this type provider.
Who is a pulmonologist?
These are five sections that are specific to Pediatric Neurology.
Potential Answer:
What are NF, Critical Care, RETT, ACC, Spina Bifida?
These are the three types of providers who see for Epilepsy and an example of each.
What are fellows, NPs and MDs? (+ examples)
This is the full name for the PEATC.
What is the Pediatric Epilepsy Advanced Technologies Clinic?
These two scenarios require an adult referral to be created.
What are any Botox or NM referrals?
You are processing a referral that states a 7 month old patient presented to the ED with lip smacking and eye fluttering. This type of referral will be needed and these two main steps will be followed.
What is a REF780, an NOS must be completed and sent to the Peds NPC inbasket pool?