Insurance
Patient does not have insurance coverage, unsure if they qualify for any state coverage and cannot afford self-pay
What is Financial Assistance?
A _____ referral is where insurance benefit information can be found.
What is an EPIC referral?
First appointment needed to start care.
What is an evaluation? (Utilizing the correct eval visit type for specialty)
Where is the interactive PTO request located?
What is the Rehab Content Manager?
What is the call off policy?
2 hours prior to start of shift
Finding if insurance is in or out of network.
What is Insurance on Demand? or Insurance is listed in Red if Primary Coverage is OON vs In which is in Purple in under coverage in registration.
How can you access the patient's referral?
Patient's Appt Desk
What is Pelvic Floor?
Where would you find information on requesting a leave of absence?
NMI - Benefits & Pay - Leave of absence - then Quick Link on right (leave of absence)
How many minutes past the start of shift do we consider late?
5 mins or more
Where to find Financial Assistance paperwork?
You can find the number of authorized visits located under the column labeled Reg/Auth Visits.
Where you find the number of authorized visits?
When using the PT_QNR/decision tree, what are the instructions for scheduling a PO patient?
Eval + 3 with no more than 2 therapists
Where do I find the performance matrix for PAS/PL on the Rehab Content Manager?
On the Rehab Services home page at the bottom
True or False- You must have PTO in your bank to be able to use your job protected Sick time or your job protected anytime hours accrued?
True, to be able to use job protected sick or job protected anytime you need to have these hours in your PTO bank.
a _______ is the amount you pay for all covered services before your insurance pays.
What is a deductible?
-Action Needed
What is the red bell?
What is a PTA and what is their scope of practice?
Physical Therapist Assistant. Cannot be the ones to establish goals and follow POC of care set by PT at evaluation & PN.
Where do I find Vision & Mission for Rehab Services?
Rehab Services Home page located above Lindsay's photo
When you call off, what communication do we expect to allow preparation for the next day?
Call your OC by 5pm that same day to notify if you will be coming in the next day.
When do you have a patient fill out the long version of the COB?
When the patient has another insurance that is liable for the duration of care (primarily based on TPL).
Benefit year, authorization dates, number of visits, co-pay, deductible, out of pocket, co-insurance, communication between FCC & insurance company
What is information located inside the referral?
When using the PT_QNR/decision tree, what are the instructions for scheduling a PO joint patient?
Eval + 3 times a week for 4 weeks no more than 3 therapists (PT/PTA)
Where can I find My Compensation History? (Raises over the year)
NMI - Organization - View Profile - MyPay - Click on link
What holidays are considered Restricted dates for Job Protected time?
The day before, the day of and the day after NM Recognized Holidays
Super Bowl Sunday and the day after Super Bowl Sunday, St. Patrick's Day, Mother's Day & Halloween