PROCESS MANAGER
How many days is provided for a new provider application to be reviewed and training completed?
15 business days
What amount of time is the provider given to submit their desk review documents?
Three
Name the reports that the QA Specialist pulls prior to beginning an audit.
Criminal History
Functional Ability
Survey
What is the name of the company that has approved training modules?
In The Know
The Provider Review Roster is sent with what columns hidden?
QAS Review
What effective date do I use for a RALF application?
What notices are sent to the provider for a review?
QA Review Notice
Desk Review Instruction
Roster
Name the % of participants and staff that must be audited?
30% or a minimum of 15 for participants
50% of a minimum of 15 for staff (only those new hires for the previous 2 years)
Name the three website pages of provider information
1. Providers
2. Provider Training
3. Provider Forms
What 2 ways can you enter information into the spreadsheet?
1. Manually type it
2. Select from a dropdown menu
What do I do with a CFH application?
Reject with a note to DXC to route to DDSCentral queue for review. Or we can route it to DDSCentral.
How many weeks does a provider have to remediate any deficient review findings?
Three
Name the new audit element added for 2019 that ensures caregivers are knowledgeable in service delivery
Training Curriculums
Name 3 forms available to providers on the website
Agency Change, RN Supervisor, Change of Address, Non Use of Services, Notification of Change, Significant Change, Service and Provider Choice, UAI, Progress Notes, Exception
How should the QAS ensure the integrity of the data on the spreadsheet?
Why does an existing provider have a new application in the queue?
DXC may need to assign an Atypical provider number or the provider is trying to add a Service Location
What happens if a provider does not respond to the Provider Review notification?
Payment Hold
How often is the caregiver required to narrate on a clients condition on the Progress Notes?
How many Provider Help Aids are available on the website?
Eight
What is the name of an error value
#VALUE!
What is Region 9?
Out of state provider (or parent office)
Name 2 of the questions the providers must answer on the Key Survey? (excluding demographics)
There is only ONE question
In the last 12 months did you experience a significant time lag in receiving authorizations for participant services after an assessment had been completed?
What are the three ratings on the Review Findings?
Meets Requirements
Improvement Recommended
Requirements not met
Name 4 of the Help Aids available to providers?
Electronic Progress Notes, Assessment Score, Service Plan, QA and RN Oversight, Supervision, Companion, Night Needs, Online Training Modules
What concoctions allow data to auto populate into cells within an Excel spreadsheet?
Formula's