Medicare/Medicaid
What is the form called for permission for the center to assist with Medicaid?
MAP 14
What is the CV response time for referrals expectation?
30 minutes
Who approves yellow light referrals?
Admin and/or DON
What is the portal we use for state required education courses?
SNF Clinic
Where do you find your facilities overall star rating and Quality Measures star rating?
CMS.gov/Nursing Home Compare
What portal do we use to verify Medicare benefits?
Approved Admissions or Inovalon
If you admit a resident from another ClearView facility, do you need to complete admission paperwork?
Yes, each facility is its own LLC.
Who are the 4 KY Regional Directors of Operation?
Josh Schindler, Christy Jordan, Sarah Stewart, Donna Davis.
How many ClearView facilities are in Kentucky?
What facilities currently have an Anthem contract in our region?
How many days must a person have a wellness period before Medicare days reset?
60
You are admitting a Medicaid resident from another skilled nursing facility, do you need LOC as "MET" before you admit?
Yes. The LOC can be transferred to you.
Who approves med cost over $50/day but under $100/day?
Administrator
What is the clinical form each center uses to determine what needs your center can meet
Clinical Capabilities
Who is the Social Media Coordinator for ClearView?
Kelly Vetter
How many days can a resident still use their remaining Medicare days post-discharge from a skilled stay?
30 days
If you are out of network with a Managed Care insurance plan, how many denials are needed from other SNF's who are in-network before they will allow you to try for auth?
3 denials from in-network facilities.
Who all initials the triple check admission list for all new admissions?
AD, BOM, & Administrator
What is our Customer Service plan called?
Great Eight
How often is your platinum ADC target set?
Annually.
If a referral is Medicare primary payor, admitting on day 25 with no secondary payor other than Medicaid pending, when is LOC required?
Before admission
Who approves financials for admission?
Paul Acra or Kari Groves
What is the ClearView program for volunteer opportunities at your local non-profits called?
ClearView Cares
How do you spell Mick's last name?
Vujanovic