See Ya Later, Alligator
A patient may benefit from this after several days of hospitalization.
What is a SAR? (Subacute rehab)
An insurance company knows that their member has been admitted when they receive this.
What is a NOA (Notice of Admission)?
CMS requires that Medicare patients receive this form at least 4 hrs prior to hospital discharge.
What is an IMM? (Important Message from Medicare0
Inpatient, Observation and Same Day Surgery are examples of this.
What is Level of Care? (LOC)
This action can be taken when your patient is denied by insurance or does not seem to be in the correct level of care.
What is a PA (Physician Advisor) referral?
A patient will qualify for skilled rehabilitation if they are unable to perform this daily function
What is was 50 feet?
An insurance patient admitted to inpatient but deemed more appropriate for observation can be corrected in Cerner as long as this has been provided.
What is an NOP? (Notification of Payor Status Change)
This standardized notice informs beneficiaries (including Medicare health plan enrollees) that they are an outpatient receiving observation services and are not a hospital inpatient.
What is a MOON? (Medicare Outpatient Observation Notice)
This entity has a grant to provide connection to behavioral health and addiction services for ED patients.
What is the BART team. (Behavioral and Addiction Resource Team)
The closest fire alarms for the Care Coordination Department are located here.
What is by the stairwell door?
If a patient is able to stand and pivot to sit in a chair this will not qualify the patient for this type of transport.
What is stretcher transport?
When an admission is approved, hospital reimbursement is based on this classification system
What is a DRG? (Diagnostic Related Group)
A Medicare patient has the option of receiving additional health care coverage.
What is enrolling in a Medicare Advantage plan?
The initials HRO is the type of organization we are striving to be.
What is a High Reliability Organization?
She is the department Safety Coach.
Who is Joann Cross?
Failure to document this accurately can result in under or over payment and subject the hospital to fines from the OIG. (Office of the Inspector General)
What is the final disposition?
Maximizing reimbursement by documenting complications and comorbidities (CC's) and Major complications and comorbities (MCC's) is the responsibility of this department.
What is CDI? (Clinical Documentation Improvement)
This diagnosis qualifies a patient for Medicare despite the person's age.
What is Amytropic Lateral Sclerosis (ALS)?
We use this system to report safety events.
What is RL6?
Hand washing is the single most effective method to prevent the transmission of infection when done with soap and water for this many seconds.
What is 15 to 20 seconds?
A referral for General Inpatient (GIP) Hospice is received and denied GIP by the Hospice Agency.
What is symptoms are being managed?
A commercial insurance patient is admitted to inpatient but deemed more appropriate for observation. We can be corrected in Cerner as long as this has been provided.
What is a referral to the Physician Advisor?
Before the Medicare waiver this was required to be able to qualify for skilled rehab placement.
What is a three midnight hospitalization?
The acronym for Inspira Values.
I.C.R.E.A.T.E.
I =Innovation
C=Compassion
R=Reliablity
E= Empathy
A=Access
T=Teamwork
E=Empowerment
Care Coordination is required to conduct monthly audits of our quality indicators.
What are Advance Directives, Important Message from Medicare Offering Choice and MOON.