BILLING
What text macro is currently required documentation for time-based billing?
.time
What bucket should providers route psychiatrist referrals to?
tcoleman161
What is the maximum number of provider inbox items permitted at the end of day?
30 items
How many hours does a provider have to complete and close an encounter?
72 hours
A provider makes a home visit to a new patient and documents 45 minutes of total time on the date of service.
99342 — new patient, 30+ minutes.
As the on-call provider, how quickly should a provider return calls?
30 minutes
What percentage of charts containing a controlled substance prescription should be routed to the oversight physician for signature?
100%
Which Athena department should TN-based providers use when sending prescriptions?
Patient’s Home TN
Provider completes advanced care planning, including POLST form. What is the minimum amount of time required to bill for this service?
16 min
What bucket should providers route home health referrals to?
hreferrals1
For IMG patients being prescribed long-term opioids, how frequently must a urine drug screen be performed?
90 days
Which 2 screeners are required for a 70 year old patient?
PHQ-2/9, STEADI Fall Risk
Pt discharged from hospital Friday 3pm. What is the latest time to make initial contact?
Tuesday 3pm
In addition to obtaining patient contact information, when should a provider directly contact their scheduler?
No shows
An IMG advanced practice provider is going to prescribe opioids without directly consulting an oversight physician. What is the maximum MME for a 30 day prescription?
1200 MME
What text macro is currently required documentation for all opioid prescriptions?
.OpioidRx
A provider spends 75 minutes of total time managing a complex established home patient on the date of service.
Base code 99350. Add-on for non-Medicare payers: 99417. Medicare patients at 75 minutes: bill 99350 alone
A provider is sick and receives approval to change to a day of telehealth work. Who is responsible for informing patients of the change?
Provider
For the weeks of Christmas and New Years, how many hours of patient care must full time providers be available for?
24 hours
What 3 components must be on an opioid prescription in TN?
Supervising physician, ICD-10 Code, “Medically Necessary” or “Exempt”