Guides
You use to build BH authorizations
What is a CABI
What is the meaning of PT/OT & ST.
What is Physical, Occupational and Speech Therapy.
The Acronym for Post Acute Care is.
What is PAC
What do you do with a new Transplant request.
What is to fax to CTU.
What is the number of days approved for Vaginal Delivery
What is 3 days.
You use to to build PH authorizations
What is Authorization Guidelines
Member is seeking horse/art/music therapy, what type of therapy is this?
What is Expressive Therapy
How many days for Post Acute Care auth?
What is 7 days.
How many days do you build a Surgical auth for?
What is 90 days
Letter Sent for every Delivery Authorization?
What is approval Letter
You use this to look up CPT codes
What is Authorization Look up Tool
Who is the Auth owner for a CMS Rehab that auto approve?
Who is yourself.
Who is the auth owner for Post Acute Care?
Who is Yourself.
What is the service type for surgical auths
What is Inpatient Services.
Discharged following federally mandated days?
What is Note text for discharge date if Discharge date is not listed.
You go here when the member is loaded in Cload but not Classic.
What is an EMB Ticket link?
You receive a CMS Rehab and it doesn't auto approve what do you do?
What is approve and send the approval letter.
What is admission type?
What is transfer.
How many days for a C-Section delivery
What is 5 days.
Baby Boy, DOB 08/01/2025 @1351, 3170g, Apgars 8/9, Gestational Age(37w 4d), Healthy Home with Mom
What are Birth Event Details
This is where all of Florida Market specifics, Helpful Links and fax numbers is located.
What is the Florida Smartsheet
You send the Stand alone Rehabs this Clincal Nurse?
Who is Kartik Parekh
Procedure Codes for each Service Type
What is 99304, H2001, and 99307
What do you do with a auth that has J codes and office codes in Cloud.
What is remove J codes and add in Classic if requied to build.
Paid Per Contractual Agreement
What is Explantion of Approval of Authorization