It's So Epic
The name of the section in EPIC where transfusion records are found.
What is Flowsheets?
The most common type of diagnostic imagery for surveillance monitoring.
What is an FDG PET/CT scan?
The most important lab result when appealing Romiplostim.
What is the Platelet Count?
We search this site for evidence-based guidelines by cancer.
What are NCCN Guidelines?
ER and PR stand for these in regards to cancer.
What is Estrogen Receptor and Progesterone Receptor?
The name of the tab in the HAR where all account notes can be seen.
What is the History tab?
DAILY DOUBLE: The “Golden Rule” for writing appeals.
What is “The payer policy comes first”?
The CPT code for quantitative immunoassay CA 19-9.
What is 86301?
We often search these sites for Medical Policy Bulletins.
What is the Payer Policy?
A highly similar copy of an original biologic drug, known as the reference product.
What is a biosimilar drug?
The Epic tab containing authorization information and case management notes.
What is the Referral tab?
The number 1700887411 is used to identify this in Availity.
What is the MSK NPI number?
ANC stands for this lab.
What is Absolute Neutrophil Count?
You would choose this tab in Availity to search for one patient and one insurance authorization.
What is Authorization/Referral Inquiry?
Another HCPCS Code for Pegfilgrastim (J2506) similar products.
What is Q5108 or Q5111?
The name of the targeted tumor-sequencing test available to MSK patients.
What is MSK-IMPACT?
THREE places where authorizations can be found.
What is Availity, OnBase, Referral or Treatment Plan Manager and sometimes RAMp8?
ONE of THREE important labs to monitor with Bevacizumab (Avastin) an immunotherapy drug.
What is WBC, RBC, and/or Platelet Count?
The name of the site to search for credible PubMed/PubMed Central articles and/or books.
What is NCBI- NIH/NLM?
Immune Globulin HCPCS Code J1561 includes Gamunex-C and this other name.
What is Gammaked?
Outstanding denials are located in this bucket.
What is the Liability Bucket?
For drug infusion appeals, you will find the medical records in this type of Encounter in Chart Review.
What is the Infusion Clinic?
DAILY DOUBLE: This lab is to be drawn prior to an FDG scan.
What is Blood Glucose and/or Creatinine?
The CPT Code for essential DNA testing to measure the success of SCT and to detect complications/relapse.
What is CPT Code 87799?
The brand name for Pembrolizumab.
What is Keytruda?