Health Maintenance
Letters
Annuals
Referrals
100

Name 3 care gaps that must be met annually. 

1. A1C

2. Colon cancer

3. Mammogram 

100

True or False: PCP will always do ESA letters? (emotional support animal) 

False. These letters must come from a BH provider. 

100

What does CPE stand for?

Complete physical exam

100

True or False: An MA can only pend a referral; they cannot sign it per protocol. 

False. If the patient has been seen in the last 13 months, Previous referral has been placed within those 13 months, or if patient is requesting a new location. The MA can order and sign (No-Cosign required) 

200

Name 3 Immunizations that fall into HM.

1. Tdap

2. Influenza

3. Covid

200

What letter template do we use for Jury Duty?

AMB Jury duty Excuse 

200

At what age does a patient need to start screening for mammograms?

Females- 45-75 years of age

200

Name the pool we can send referral questions to. 

RAC 

300

True or False: You cannot edit completions in HM

False. You can add a completion to any HM measures. It will flag for PCP to review. 

300

List the criteria that must be met in order to write a return-to-work letter. 

Patient has been seen in the office during the time requesting excused absence and has been released back to work by provider.

300

What makes a Medicare wellness exam different from a CPE?

Medicare- Questionnaire, eye exam, mini mental, and satisfies requirements to be compliant with Medicare insurance. 

300
When a message comes from the referral team stating: Referral denied due to missing information. What do we do?

Find out what information is missing and fill it in by editing current referral. (If referral is closed, we will place a new order) 

400

Name the labs that are associated in HM for blood borne pathogens. 

1. Hep C

2. Hep B

3. HIV 


400

List the criteria needed for an ESA letter. (IF PCP chooses to write letter)

1. An office visit 

2. Letter from therapist

3. Letter from a vet 

400
Name the two diagnosis codes associated to a colonoscopy or cologuard order.

1. Z12.11

2. Z12.12

400

What is a RFL Notification LTR?

A letter from a facility associated with EPIC that comes through in basket and not faxed.

500

Name the specialty and orders that is most common to close out Care gaps. Extra point- What two test is performed in clinic?

Endocrinology- DM foot and eye exam. 

Extra point- Monofilament and A!C

500

Name the template for Travel change letter.

MEDICAL CARE FOR INJURY OR ILLNESS- Travel letter (must be done by provider)

500

For patient education: List an advantage to a colonoscopy and an advantage to a cologuard testing. 

Colonoscopy- removes Polyps (if normal one every 10 years)

Cologuard- No prep, noninvasive, done at home

500

What form needs to be completed for a VA referral to be properly processed by the referral team?

RFS (Request for Services) 

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