That Ain't Authorized
What specific insurance allows patients only between the ages of 18-20 to been seen in the clinic?
Medstar Family Choice MCO
Name all the times that the waitlist should be checked, how often and in what scenarios?
Whenever an appointment is cancelled and twice daily
What is the email address used for template changes?
nccscheduling@umm.edu
OMG, I have to call out. What do you do?
Text jasmine, send email to division
Who is the nurse manager?
Yonita Logan
What website can be used to start medication prior authorizations?
Covermymeds
What does DAR stand for?
Department appointments report
How far in advance can a slot be split, from a new patient slot into 2 follow-up slots?
No sooner than 2 weeks prior to the appointment
- On the front desk coverage calendar there are two types of coverage, what are they?
Primary and secondary
Who are the division directors?
Dr. Hopp,Zilliox,Chaturvedi, Harrison, Shulman and bonus Dr. Mehndiratta
Where do you enter authorization information in Epic (2 places)?
On the appointment desk under notes/ in the referral
What are the number of attempts that a patient should receive?
3
What is the most requested change for a template: split slots, add slots, close schedule, or block slots?
Close schedules
Name the department administrative leadership
Amy Loverde, Dawn Flair, Jillian Iffland, Jasmine Herndon
Name the front desk manager?
Lindsay Jackson
How do you know what insurance that we accept?
The insurance list
What function is used to document on the waitlist?
New call
What event or thing causes the most template changes at one time every year?
On call schedule release and resident template build
Name all the divisions?
Rehab, general/cognitive, Neuromuscular, Epilepsy, Movement, Stroke, MS
Name all specialty testing and procedures done in the clinic. (6)
AUTONOMIC, EMG,OCT,LP, injections and infusions
If an insurance company denies a claim what are two things that can be done to receive payment for services/ or medication?
Appeal letter and Peer to Peer
- If a patient doesn’t respond to all 3 attempts when calling or phone is out of service, name at least two things that you can do?
Call alternative phone numbers, email/Mychart message, let your doctor know.
What happens if a visit that is not the same visit type is scheduled? ex new patient scheduled in follow-up slot.
Scheduling error, incorrect facility fee charged to the patient, creates breaks/errors in the template
Name all of the admins and call center staff?
Jackie, Shay, Javonia, Bria, Michele, Jody, Erica, Dawn, Bernice, Andrea, Teonya, Sheria, Lynette, Amara
Name all of the NP’S?
Selina Yeasmin, Seun, Dana Bridges, Erin Vinias, Lindsay Muratore