Insurance
Name 2 reasons we would not collect towards a deductible requirement upfront.
Under $500 remaining
Pt has secondary insurance
PC messages FOBP/FOSS to resolve
Who is the CEO if Ivy Rehab?
Jason Strauss
25
What is the Advanced Scheduling (current week) and Arrival Rate Best Practice?
Advanced Scheduling - 90% Monday
Arrival Rate - 92% (End of Week)
What is the difference between a Deductible and an Out of Pocket Max?
Deductible: Patient pays at 100%
Out of Pocket: Patient pays a portion of cost share, Insurance pays portion of cost share; Once reached, insurance pays in full
Which Follow Ups bucket gets "rebilled with explanation" when resolved?
PDUP
Ivy Rehab was founded in this year.
2003
What is the name of our VP of Operations for the Midwest territory?
Taylor Markward
What is a PC's highest priority in their daily workflow?
Caseload Management
What is the difference between tasks to NEWIN and tasks to OVLOR?
NEWIN: group that adds insurance to RT
OVLOR: group that retroactively updates insurance in a patient's chart, rebills claims if needed
Where can you find Treatment Suspension alerts?
Connect Journeys- Adult Patient Balance Messaging
What is the Ivy Mission?
We inspire and enable people to live life to the fullest!
Name 2 insurance plans that we cannot accept in either Michigan NPI.
Aetna Better Health
Cigna (not through PH or HAP)
Priority Health Narrow Network
Trinity Health MA
Oscar
How many PCs do we have in our region?
WMI- 24
CMI- 13
What does QMB stand for and when does it apply?
Qualified Medicare Beneficiary
Applies when a patient who has Medicare is also qualified for Medicaid
What are the three options for setting up a payment plan?
PC: P-payor, credit card tab
Patient: Kiosk
Patient: Pt Portal
How many states is Ivy in?
17 states
What are the steps a PC should take ahead of PTO?
1. Submit request via Workday, to be approved by CD
2. Once approved, send calendar invite to pod group, all CDs, ADs, FOBP and FOSS with the coverage plan
WMI Only: Reach out to Will to see if there is coverage available first
3. Send reminder email 1 week ahead of PTO
What are the only reports PCs should still be using RTBI for?
Missed Upfront Collections
Kiosk Reporting
Denial Dashboard
What is the escalation for a continuing WC authorization that has not been received?
1. Check pending auth comments for updates
2. If no updates after 3 business days, task WCAV for update
3. If no response after 2 days, contact FOBP/FOSS to escalate
What 2 Raintree reports should be run each week and how many times?
Max Benefit Report: 2
Future Appointments Missing Auth Report: 2-3
What are the 7 Ivy Values?
#OneIvy
#LoveWhatYouDo
#GSD
#IBelong
#Grow
#DoTheRightThing
#ServeOthers
What are the names of Emily's three kids?
Logan, Ryan, and Gianna
Regarding IEs, name at least 3 things you should looks for during your daily schedule audit.
IE/AUTH Blocks- convert or remove within 24 hours
Verifications completed/reviewed and PPAC set up (when needed)
TLC IE Calls Completed
DL/IC scanned, audit for accurate information input into RT