Primary Care
This is the visit code that we would use to schedule a telephone visit with a patient's PCP.
What is visit code 27?
This type of appointment is a Preventive Visit; the member should be well/healthy and should not have any health concerns to discuss at the visit.
What are physicals?
The search process will allow you to look up multiple provider’s schedules in one search; instead of looking up providers one at a time.
What are Subgroups?
We must always do this first before determining whether or not a patient's symptoms are severe.
What is a telephone encounter?
When scheduling a patient's subsequent depo-provera shot, what guideline should you utilize in order to schedule the patient on time?
What is the Depo-Perpetual Calendar Guideline?
Use this visit code to schedule a pediatric physical for an 18 yo patient in Primary Care.
What is 22?
A patient's home clinic is Briargate but they request to be seen with Primary Care at Lakewood.
What is Crossbooking subgroup?
We ALWAYS create a telephone encounter for calls that we warm transfer to this Medical Priority line.
What is the NAL? or Nurse Advice Line
We create telephone encounters for these types of calls but we DO NOT route them.
What are medical priorities to the NAL?
What is send a message to the LPN pool?
A patient with Medicare calls to schedule their 2nd Annual Wellness Visit. They MUST have this many days between their physicals.
What is 365 days/1 full year?
A patient's PCP retired and the patient has not selected a new one. This patient was still booked for an appointment at his home clinic with a different provider.
What is Unlinked subgroup?
We DO NOT create telephone encounters when warm transferring a caller to this line for immediate medical advice.
What is TMC?
You would route your telephone encounter for a prescription refill request to this pool number, as long as the request is not for an antibiotic.
What is P 21778?
When scheduling a visiting member for an appointment in Primary Care, we use this subgroup to do so.
What is the crossbooking subgroup?
This department schedules physical for women. However, they are NOT head-to-toe exam but focus on reproductive health and wellness.
What is ObGyn?
This patient's PCP is booked until February. The patient is open to booking an appointment with anyone on the team.
What is PCP/PCP subgroup?
A patient has sudden vision loss with no additional symptons. You would handle this call by doing the following 2 steps...
What is create a telephone encounter and route the phone call to Eye Care Urgent?
If a patient requests that the information in their telephone encounter remain confidential and not be shared with someone on that patient's HIPPA, then we would click this button and select the appropriate option.
What is the Share with Patient button within the My Note section of your telephone encounter?
This tool in HealthConnect is used to check for member’s care gaps.
What is HealthTrac?
This physical is for Firefighters, EMT, police officers, etc.
What is a First Responder Health Screening?
A patient had an injury yesterday and thinks she may have a possible sprained wrist. There is some pain but it is not severe and she would like an appt.
What is Trauma subgroup?
A pregnant woman calls in with slight abdominal cramping. This department will assist her with her symptoms.
What is ObGyn DTM?
What is a pregnancy test?