Underpayments/Denials
RMD
Credentialing
CDM
Human Resources
100

What is the dollar threshold of the underpayment that populates the Work Queue

$100

100

What are the 2 different accounts that Charge Audit consistently Audits

Beacon (oncology) and Observation

100

Who is the most maddening payer to provider  enroll

Anthem

100

What was the most resource intensive go live for CDM to support that spanned all campuses of FA

Beacon Lab go live

100

What is the name of the new Payroll system

Franciscan My Time

200

What is the name of the spreadsheet that we populate with Anthem when we have issues with Accounts 

Prime Spreadsheet

200

What should fire when a patient doesn't have a covered diagnosis for Medicare services

ABN

200

Approximately how many active providers does Credentialing currently handle

1500

200

What is the name of the form that end users to fill out to get a new procedure built in Epic

PCR - Procedure Code Request

200

What month does open enrollment Happen

November

300

What was an issue we had with Shoulder Surgery with Anthem

They were paying on the Nerve Block instead of Surgery

300

What is the name of the governmental agency that reviews accts for compliance

RAC

300

What is the name of the new Medicare payer that FA will start accepting January 1, 2025

Devoted Health

300

What upgrade at CP nearly broke Stefanie and the CDM team

CP Cath Lab standardization

300

What team transitioned to HIM in November

CDI

400

What patient class is downgrading patients from a level 5 to a level 4

ED Patients

400
What is the Epic module that RMD uses to make sure charges are not missing.  IE, when there is a blood transfusion, make sure there is blood charged on the account

Revenue Guardian

400

What is the current time frame from reciept of completed onboarding packet to enrollment on the credentialing side

7 days - down from 11

400

What is the software we use to maintain our CDM

Craneware

400

What is the name of the platform that FA uses for employee recognition

VIP

500

What kind of Procedure was the issue at CP that we overturned accounts for OP Surgery

MILD Accounts

500

What region is currently asking us to start packets without contracts signed

Western

500

What does OR have to do before charges drop

Close the log

500

What consulting company is coming in to help Franciscan with it's current operations and financial plan

Huron

M
e
n
u