WORKFLOW
SPICEWORKS
SCHEDULING
CODING SPECIALIST
CLINICAL MANAGER
100
USED TO COMPILE 485 ORDER/GOALS, LONG-TERM GOALS, AS WELL AS INTERVENTIONS AND SHORT-TERM GOALS FOR SUBSEQUENT VISITS.
WHAT IS EDIT/VIEW PROBLEM STATEMENTS/CARE PLAN
100
THIS IS NEEDED IN ALL NEW HIRE REQUESTS FOR EMAIL AND/OR DEVICE.
What is NAME, DATE OF HIRE, POSITION.
100
THIS IS WHEN YOU TRY TO SCHEDULE, MOVE OR EDIT A VISIT AND RECEIVE A "BUDGET EXCEEDS"
What is WHEN A VISIT OR VISITS ARE ON THE R2 CALENDAR WITHOUT AN ORDER ATTACHED
100
THIS IS THE TASK RECEIVED BY THE CODING SPECIALIST
What is REVIEW 485 FOR APPROPRIATE CODING
100
ONE REASON THE CLINICAL MANAGER WOULD PLACE THE 485 ON HOLD.
What is WHEN WAITING FOR AN ADD ON EVALUATION TO COME IN.
200
THIS REPORT VIEWS REVENUES, COSTS AND VISIT DETAILS SUCH AS HHRG, RAP & FINAL CLAIM STATUS, AND VISIT UTILIZATION REPORT FROM POINTCARE.
What is THE HOME HEALTH MEDICARE UTILIZATION SUMMARY.
200
THIS IS NEEDED IN ALL CLIENT RELATED REQUESTS.
What is CLIENT'S FULL NAME
200
THIS IS HOW YOU SHOULD MOVE A VISIT FROM ONE DATE TO ANOTHER
What is WHEN YOU RESCHEDULE A VISIT THROUGH THE WORKFLOW SENT IN BY A CLINICIAN
200
THESE ARE THE 2 TYPES OF COORDINATION NOTES THAT WILL DETERMINE IF ADDITIONAL INFORMATION IS NEEDED
What ARE THE 485 REVIEW AND 485 REIVEW - CRITICAL RECOMMENDATIONS COORDINATION NOTES
200
THE PATIENT'S CALENDAR MAY BE EDITED DURING THIS STAGE AND SHOULD BE THOUGHT OF AS A "DRAFT CALENDAR"
What is EDIT/VIEW CALENDAR UNDER REVIEW EVALUATION DOCUMENTATION.
300
IDENTIFIES CLIENTS WHO COULD POSSIBLY BENEFIT FROM A THERAPY EVALUATION
What is THE OASIS ASSESSMENT THERAPY REPORT
300
THIS IS NEEDED TO UPDATE A CURRENT OPEN TICKET FOR THE SAME ISSUE
What is OPENING A RESPONSE AND ADDING INFORMATION TO THE SAME TICKET
300
THE SCHEDULER RECEIVES COMPLETE REQUESTED SCHEDULE - ADD ON EVENT AFTER THIS TASK IS COMPLETED
What is WHEN THE CLINICAL MANAGER APPROVES THE ADD ON ORDER
300
THIS COORDINATION NOTE IS REQUIRED IF THE POC IS NOT UPDATED WITH CRITICAL RECOMMENDATIONS
What is "CODING RECOMMENDATIONS NOT UPDATED" COORDINATION NOTE.
300
IF CHANGES /EDITS ARE MADE IN THE CODING, THE WORKFLOW WILL COME BACK TO THE CLINICAL MANAGER AT THIS STAGE
What is REVIEW PROPOSED 485 EDITS.
400
WHEN THE 485 IS APPROVED AND OASIS IS LOCKED YOU CAN COMPLETE THIS TASK
What is BILL RAP
400
WHEN REQUESTING AN APPROVED ORDER TO BE RESET TO WORKFLOW THIS IS NEEDED
What is CLIENT NAME, ORDER NUMBER AND REASON FOR THE REQUEST
400
THE SCHEDULER RECEIVES THE TASK TO SCHEDULE OUT WEEK 1 AFTER THIS TASK IS COMPLETED
What is WHEN THE CLINICIAL MANAGAER PLACES THE 485 ON HOLD OR SENDS TO CODING SPECIALISTS
400
THIS IS WHERE THE CODING SPECIALIST MAKES SUGGESTED CHANGES THAT FLOW TO THE COORDINATION NOTE
What is THE EPISODE ANALYSIS TOOL.
400
THE CLINICAL MANAGER SHOULD GO DIRECTLY TO THIS STAGE ONCE THE "REVIEW/EDIT/APPROVE ADD ON EVALUATION" STAGE IS COMPLETED
What is THE "REVIEW/EDIT/APPROVE ADD ON ORDER.
500
The Clinical Manager should go directly to this stage after the "Review Evaluation Documentation" task is approved
What is "Review/Edit/Approve 485 Order.
500
THIS IS WHAT HAPPENS WHEN THE SCHEDULER TRIES TO SCHEDULE OUT A "66" OASIS DATA COLLECTION VISIT AND IS UNABLE TO SCHEDULE THE VISIT DUE TO THE AUTHORIZATION IS MISSING.
What is WHEN THE FINAL CLAIM HAS BEEN BILLED AND THE CLAIM WILL NEED TO BE CANCELED BY CORPORATE BILLING PRIOR TO SCHEDULING OUT THAT VISIT.
500
WHEN YOU CAN NO LONGER ADD OR EDIT THE SCHEDULING TAB ON A REFERRAL
What is WHEN THE TASK OF "APPROVE REFERRAL AFER PAYOR VERIFICATION" HAS BEEN COMPLETED
500
THIS REPORT COMPARES MULTIPLE ASSESSMENTS IN AN EPISODE AND IDENTIFIES INCONSISTENCIES AND INACCURACIES THROUGHOUT THE EPISODE OF CARE.
What is THE SHP "EPISODE EINSTEIN" REPORT.
500
THIS TYPE OF VISIT CAN'T BE EDITED, CHANGED AND/OR CANCELED
What is A SCHEDULED VISIT.