Harm Levels
Do you know your Leader?
Random Stuff I Need to Know to Do My Job
Which Advocate did this?
Billing Adjustments
100

patient thought Dr. Smith was rude and did not pay attention to him when he pulled out pictures from his dog's third birthday party. 

What is harm code C

100

This leader once got smacked by a Times Square performer who was painted all silver and pretends he is a statue. 

Who is Kelly? 

100

Either Patient Advocates or CHRM's "hand off" to this team once there is an established GAP with harm

Who is the Claims Team?

100

Even thought scientist say its physically impossible,  which advocate can lick her elbow? 

Is it Melissa, Tonessa, or Tina? 

Who is Tonessa? 

100

This type of form is filled out when a Patient Advocate needs to make an experience or operational waste adjustment

What is a BSN form? 

200

Patient had a knee replacement and discharged only to return a week later with fevers, swelling of incision area. He is readmitted and brought back to surgery for an I&D for infection. 

What is harm code F?

200

This leader got towed home from Jackson Hole on their honeymoon after the car quit them. The tow truck driver and this leader and spouse had a nice chat all the way home

Who is Shelley?

200

This arm of Intermountain Health supports data-driven, enhanced value-based care through a method of care coordination

What is Castell? 

200

This advocate taught water aerobics for a few years. Was it Kristie, Ethan, or Kylii? 

Who is Ethan? 

200

Violating this act by not informing CMS of a write-off, adjustment, payment, settlement, or gratuitous healthcare services carries a potential penalty of $1000/day

What is MMSEA?

300

Patient was given a paralytic by mistake and went into respiratory failure in which a code blue was called 

What is a harm code of H

300

This leader was once a competitive dancer and twice won 1st place for their solo jazz routines

Who is JeriAnn?

300

Something that is used by the advocates on a daily basis to support their work and for communication purposes but sometimes might be told "stop overwriting please!"

What is the grievance letter folder? 

300

When this advocate was 8 years old they won a national art contest with Bonnie Bell (maker of Lip Smackers) and got to fly out to Ohio where they had their headquarters with both of their parents. Was this Colette, Lindsay, or Kylii? 

 

Who is Lindsay?

300

This type of adjustment should not be used for any event with a harm code of E-I, regardless of circumstances

What is Operational Waste? 

400

Nurse caught the wrong patient wristband almost being applied to the patient and stopped and got the correct band and verified with the patient

What is harm code B?

400

This leader has an obsession with body sprays and has approximately 30 bottles at their desk at all times 

Who is Jodi? 

400

This is the max compensation using a gift card per event

What is $15 dollars?

400

This advocate is the watermelon seed spitting champion in her family and has won the contest at their family reunion for the last 5 years

Who is Sundee? 

400

This type of adjustment would be made if a patient later finds out they have an out of network plan but the clinic originally told the patient they are in network. 

What is an Administrative Adjustment? 

500

Wrong medication was given to a patient, which then required lab tests to measure kidney function

What is harm code D?

500

This leader was a Junior Dairy Princess (age 14) and did demonstrations on the importance of Dairy products wearing a crown

Who is Paulette? 

500

this "grid" is used as a guide when a patient is being naughty over an extended period of time 

What is the non-financial discharge grid?

500

This advocate has real life ties to "The Sopranos" 

Who is Janet?

500

This type of adjustment or payment occurs when an Intermountain Medical Group employed surgeon discovers a retained sponge with radiopaque strip on a post-operative visit. Review of the medical record shows that the count was incorrect, and now the patient must report to surgery to remove the sponge

What is a claims payment?