EPIC
What are Team G's 4 referral workqueues (HINT: Looking for ID numbers)
20342, 20339, 20343, 20293
What does the Veterans Administration require in order to finalize a preliminary authorization?
First appointment date and time
What does Tricare Prime require prior to a specialist office visit being rendered?
An insurance referral
99203, 99204, 99204 are examples of what?
Initial Visit CPT codes
An "award-winning employee wellbeing program, fosters a culture of well-being among UVA faculty, staff, and team members by promoting and encouraging healthy lifestyle choices, and engendering a happier, healthier, and more positive work environment."
Hoos Well
"An easy-to-use patient portal that provides patients quick and secure online access to portions of their electronic health record (e.g., lab results). It also allows a patient to schedule appointments, email his/her provider with non-urgent medical questions, review statements online, pay bills online, complete health questionnaires prior to a visit and more"
MyChart
"a healthcare professional, often a nurse, who acts as a liaison between an injured worker, healthcare providers, and the employer, coordinating treatment plans and navigating the workers' compensation system to ensure efficient and effective care"
Case Manager
What does United Healthcare call the process of obtaining an Out of Network authorization?
Gap Exception
3 CPT codes commonly used for follow-up visits are:
99213, 99214, 99215
"A program that provides comprehensive, confidential, onsite employee assistance services (such as short-term counseling, assessment, and referral services) to University employees and their families."
Faculty and Employee Assistance Program (FEAP)
"The electronic messaging system used within Epic."
In Basket
True or False: You can bill another person's insurance for services, other than the patient, when that individual is at fault due to a motor vehicle accident.
False
You can only bill the patient's health insurance policy, or their claim filed through their own motor vehicle insurance.
Cigna requires this form to be filled out, and submitted, when our provider/facility is out of network.
Network Adequacy Provision (NAP)
"A unique alphanumeric code used in healthcare to identify and classify medical conditions, diseases, injuries, and symptoms."
Diagnosis Code
"A program dedicated to providing lifelong learning opportunities for UVA Health team members to grow their leadership skills."
UVA Health Leadership Institute (HLI)
"(also known as a “dot phrase”) – Text that can be populated by typing a period then the shortcut name "
SmartPhrase
What carrier are you contacting if you dial 1-877-842-3210?
United healthcare
"A written order from your primary care physician (PCP) to see a specialist or receive certain medical services, and it's often required by health plans like HMOs and POS plans for coverage"
Insurance Referral
Where in the Epic referral are CPT codes listed, if provided by the provider/scheduling team?
Services tab (on the left)
True or False:
The medical center offers tuition assistance to employees.
True
"a notification given to Medicare beneficiaries by physicians, providers, or suppliers when they believe Medicare will deny services due to necessity or frequency"
ABN – An Advance Beneficiary Notice of Non-Coverage (also known as a Medicare Waiver of Liability)
What website/portal is used for verifying eligibility and submitting referrals for Aetna?
Availity
"a one-time contract between an insurance company and an out-of-network provider, allowing a patient to receive care from that provider at an in-network benefit level"
Single Case Agreement (SCA)
"A standardized, five-digit code, developed and maintained by the American Medical Association (AMA), used to describe medical, surgical, and diagnostic services and procedures"
Current Procedural Terminology (CPT)
Where do you go to read MC Policies on Knowledgelink?
MC POLICYTECH