I SUSPECT something is up!
A type of phrasing that is required in order to make an amendment.
What is proactive documentation?
Admissions per thousand. It is a metric used to define the average number of hospital inpatient admissions per 1000 members over a 12 month period
What is ADK?
A meeting that occurs every Tuesday at 1pm.
What is Jillian's WPM?
The team you notify when a welcome visit or 1st time WRV no shows.
What is Outreach?
The amount of time in which a WV should be scheduled back to clinic for a 1st time WRV
What is one week?
This many days until a note is no longer amendable
What is 90 days?
The amount of time a patient should be seen within discharge from the hospital
What is 7 days?
A test that measures the blood flow in the extremities to check for peripheral artery disease.
What is a Quantaflo?
Our Hard to Reach team member's name
Who is Tamara Kozy?
How often a Cognitive Function Screening (Creyos, Mini-Cog) is performed on a patient greater than 85 years of age.
What is every 6 months?
A monthly two hour long meeting that occurs with both the provider and CIS together to review all suspects that have not been addressed or have been placed into follow up.
What is Clinical Documentation Review (CDR)?
A numerical value associated with financial reimbursement. It determines the amount paid by CMS to the health plan per beneficiary during the corresponding payment year.
What is RAF or risk adjustment factor?
The definition of this acronym: MAPP.
What is monthly admission prevention planning?
A job role that is able to perform home visits for engaged patients.
What is Community Health Worker?
The name of our Regional Vice President.
Who is Julia Kidder?
Any previously documented HCC
What is a "red" suspect?
How often TAP is to be completed
What is a deep dive weekly during weekly planning meeting and a quick overview during the daily huddle?
Hepatitis B and C screening is done at this frequency.
What is once in a lifetime?
The person who calls the patient when they no show for their PDV or 2+ WRV.
Who is the provider?
Patients with this diagnosis are tested for Alpha 1 Antitrypsin Deficiency.
What is COPD?
A diagnosis that is needed to exclude patients from certain gaps and suspects.
What is frailty code?
What are CBP, A1C, and PDCs?
Patients with this diagnosis are tested for Alpha 1 Antitrypsin Deficiency.
What is COPD?
If the patient is assigned to OSH but sees a new provider, this team is financially responsible for the patient.
The dates of Medicare Annual Open Enrollment Period
What is October 15th-Dec 7th?