Med Rec
ICP
Ancillary
100

PCP _____________ office was notified that patient declined to complete medication Reconciliation with the PHM CM by phone after discharge. Requested transition visit progress notes for PCP appointment completed on _____________, provided fax number of 1-866-805-7786 to send Medication Reconciliation/ Progress Note documentation. ___________, NCM

What is Med Rec decline Notification template?

100

Problem

Goal

Intervention

Barrier

What are required elements of the ICP?

100

Twice weekly nurse visits

What is Home Health Services?

200

Yes, But I don't recall the date

What is proper way to document vaccines?

200

MY/I Statement

What is the Member set Goal statement?

200

Clonidine 0.2 mg hold if BP less than 140/60

Novolog 2 unit plus sliding scale

Albuterol every 6 hours via Nebulizer

What is when to add BP cuff, glucometer, and Nebulizer to CP?

300

Inpatient 05/01/2022-05/08/2022 Hospital

Inpatient 05/08/2022-05/19/2022 SNF

-Respiratory Distress

What is the correct listing on Med Rec heading?

300

HRA submitted: 5/17/2022

ICP: 05/16/2022

What is improper start of ICP? Explain

300

DADs, PCA 5 hours daily

What are Provider Services?

400

Sent to PCP after several attempts to contact office.

What is the PHM Progress Note-Med List Release letter?

400

Prevents expired target dates and ICP being open beyond expired date

What is the 14 day task?

400

Mobility devices: Cane, walker, wheelchair, shower chair

What are items covered under DME problem?

500

Tabet, Onc, Dailly, GERD

What is most common errors on Med Rec?

500

Free Text, SBAR, Referrals, Notes

What are problems subject to 1:1 matches in the ICP?

500

PT/OT requested

What is contact PCP for orders and verify orders are carried out?

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