Medicare
Effective date for the new Medicare Guideline regulation?
What is ... 1/1/2018?
Who (job/dept) within Caris is the best resource to include in a Hospital Account Implementation meeting?
What is ... Account Integration Manager, Account Integration team?
Who is your POA Account Integration Manager at Caris?
What is ... Zane Eisenbarth / Didia McAninch?
Name the best contact(s) for a Hospital/Pathology Account Implementation.
What is ... Lab Director, Lab Manager of Administrative Director?
2 words we DO NOT utilize/repeat when speaking to the Medicare 14-day rule?
What is ... Hold, Wait, Avoid, Dodge?
When requesting an Account Implementation meeting, this is the amount of time you are requesting for this initial meeting?
What is ... 10-15 minutes? (with Lab Director)
'POA' stand for _________________.
What is ... Precision Oncology Alliance?
Name 2 of the 3 key players in the 'Relationship Triangle' besides the patient?
What is ... the Ordering Physician, Hospital, Pathology?
Medicare Outpatients will receive an invoice for what type of Testing Services?
What is ... Non-molecular?
One of the main benefits of an Account Implementation meeting.
What is ... setting proper expectations (to do business with the hospital / pathology)?
The purpose of the POA Account Review meetings.
What is ... to keep communications open and provide updates to all members of the POA team?
Name one of the key challenges that exist within Pathology.
Whate is:
1) Competition for tissue
2) Labs trying to claim they can provide ‘personalized medicine’ solutions.
3) Consolidation of the number of labs they send to for specialty testing.
4) Lab management very involved in pathology send-outs, Medicare 14-day rule, and other lab issues.
4) Vendor expectations or contracts are not set-up/established.
Name at least 2 of the criteria ('triggers') for when the hospital will receive an invoice.
What is:
1) Place of Service - 21 or 22: Hospital Owned
2) when standard Medicare is primary
3) less than 14 days from the dated Requisition and Date of Discharge
4) Inpatient - Molecular/Non-Molecular
5) Outpatient - Non-Molecular
Difference between being Credentialed vs. being Registered as a vendor.
What is ... allows Access as an individual/vendor (Credentialing) vs. allows permission to do business with Caris (Registered)?
Name 2 of the various Deliverables for a POA account.
What is:
Care Pathways
Patient Relations
Payor Relations
Hospital/Pathology Implementations
EMR Integration
Marketing
Medical Affairs
IR/Surgery education
Explain the importance to differentiate Caris from a 'reference lab'.
What is ...
1) To differentiate the Caris value proposition from a STO-type laboratory.
2) To establish value/credibility, and emphasize that Caris is NOT a competitor.
How do you respond to “Why is Caris the only laboratory that is sending us an invoice”?
What is:
We can't speak to other labs, but
1) Medicare Guidelines impact all labs, not just Caris
2) Direct Bill with other labs?
3) Molecular test ordered only for Outpatients (no Microdissection)?
Name 2 types of contracts that Caris can offer to hospitals/pathology.
What is:
1) LSA
2) PSA
3) BAA
4) STARK/Physician Ownership
5) Client Bill
The purpose of a full Discovery with the Account Integration Manager at a POA Account.
What is ... to uncover opportunities/challenges at a deeper level through a series of question (by the Account Integration Manager and the field) and to provide solutions to the account?
Why is it important to involve Pathology Management in the process early and proactively?
What is:
1) They do not like to be the 'last to know'
2) Properly set expectations
3) Be transparent about Medicare Guidelines