HUMANA FFS
HUMANA PPS
OPTUM LIFEPRINT
FIRST CHOICE
VIVA HEALTH
100

WHAT STATE ARE THE CENTERWELL STATE 


LA MO KS 

100

EXPLAIN HOW YOU KNOW A CHART IS INITIAL

NO SOC DATE PRESENT

100

HOW MANY VISITS ARE ADDED TO SOC CHART AND HOW MANY DAYS SHOULD DATE BE EXTENDED OUT 

1 VISIT PER DISCIPLINS ORDERED AND EXTENDED 3 DAYS 

100

WHAT STATE DO WE WORK FOR FIRST CHOICE 

SC 

100

WHAT STATE DO WE WORK FOR VIVA 

AL

200

HOW MANY VISITS IS ADDED FOR EACH DISCIPLINE FOR INTREPID STATES 

SN PT OT X3 1 ST AND 1 OT

200
NAME 5 UM STATE

AR WV OH KY NE 

200

WHAT ARE THE METHOD OF SUBMISSION 

PHONE AND PORTAL 

200

WHAT IS THE FIRST THING WE CHECK BEFORE WORKING A CHART AND WHAT ARE WE CHECKING FOR 

ID NUMBER EFFECTIVE DATE AND IF PLAN IS INN 

200

NAME THE PAYOR SOURCE FOR VIVA  VIVA EPISODIC 

EPISOV VIVA HEALTH INC AUTH PDGM


300

How Many Pending Visits Do You Add to chart when submission is completed 

0

300

WHAT IS THE EPSODIC DISCLAIMER

SUBMIT WITH SN FOR 2 UNIT HOWEVER ALL DISCIPLINES ARE COVERED 

300

WHAT DOCUMENTS ARE UPLOADED TO RECERT CHARTS INTIAL SUBMISSION 

485 ORDERS AND VISIT NOTE 

300

WHEN DO WE SUBMIT FOR SOC CHART 

ONCE WELCOME NOTE IS PRESENT WITH EXPECTED SOC 
300

NAME THE PAYOR SOURCE FOR VIVA  VIVA COMMERCIAL 

VIVA HEALTH INC COMMERCIAL AUTH

400

what is ROC

RESUMPTION OF CARE AFTER PATIENT WAS HOSPITALIZED OR PAUSE CARE 

400

WHAT IS THE MOST IMPORTANT SUBMITTER TASK TO WORK AFTER THE UAR 

FOLLOWUP ON CALL 

400

HOW DO WE KNOW IF ADDITIONAL VISITS ARE NEEDED ON A INITIAL CHART WITH ESTABLISHED SOC AND WHEN DO WE SUBMIT 

WE CHECK THE CALENDAR TO SEE WHAT IS REQUESTED AND EVALUATE IF IT WITHIN THE FIRST 30 DAYS OR AFTER 
400

WHAT DISCIPLINE DOES NOT REQUIRE AUTHORIZATION 

MSW

400

WHAT SHOULD THE PROGRAM BE FOR EACH COMMERCIAL CHART  

ROUTINE VISITS ALL VISITS 

500

How is Initial Auth Submitted

Through Availity- Humana, by requesting ordered visits per discipline. (to total 10 visits between all disciplines)

500

WHEN YOU GET THE MENTAL HEALTH ERROR WHAT DO YOU DO 

EMAIL BRANCH ADVISING THE ERROR RECEIVED AND UPDATE CHART WITH MEDICAL DIAGNOSIS

500

WHAT IMPORTANT DOCUMENT WILL THE INSURANCE ASK YOU TO FILL OUT FOR THE RECERT CHARTS 

INTAKE FORM 

500

WHAT DOCUMENTS ARE NEEDED FOR ADDITIONAL VISITS AND HOW MANY PENDING VISITS DO WE ADD

NEW ORDER LAST 2 VISIT NOTES WOUND ASSESSTMENT IF APPLICABLE AND THE FAX FORM AND WE ADD 1 PEND VISIT 

500

WHEN SUBMITING FOR VIVA COMMERICAL HOW VISITS DO WE SUBMIT FOR IN THE PORTAL

WE SUBMIT PER DISCIPLINE NAVD VISITS ORDERED