SYSTEMS
Systems that you use to log out for lunch.
What is CCMS and AVAYA?
T/F - Intensive Outpatient Services is an example of a Medical Authorization.
What is False? It is an example of a Behavioral Health Authorization.
T/F - We put in DME authorizations over the phone.
What is False
Hours of Operation
What are 8 - 5:30p.m.?
Notification for a provider to send in clinical documentation.
What is an RFI (Request for Information)?
You must take this amount of time out for lunch every day.
What is 31 minutes?
When a Provider asks for effective dates, eligibility, or benefit information, we ___________.
What is "Transfer them to provider services."
Our department is. - "Transfer them back into the queue!"
What are Referral Specialist; Utilization Management; Authorizations?
This system is used to verify Member eligibility
What is Gammis?