NextGen Basics
T/F: All telephone interactions with patients or those coordinating their care need to be documented in a telephone template?
True! - ALL telephone interactions need to be documented.
How long does an SST need to sit prior to centrifuging?
**Usually** 30-60 minutes after collection, but may vary based on guidance from performing lab (i.e. Labcorp).
What template does the MA use to document an office visit?
Intake Template
Who Qualifies for Medicare?
People 65 or older, or those with a documented permanent disability.
Within how many days of a Master-IM being signed off should a referral be processesd?
Zero! Referrals should be processed the same business day that the Master IM is Signed
_______ is the approved remark code for seeing a patient for the first time and they are being seen for acute reason NOT wellness
T/F: If we are unable to collect a lab specimen, we do not have to submit a procedure charge?
False - We still have to submit a "failure" charge so that the medical record remains accurate
What blood pressure reading (or higher) should be rechecked prior to the patient leaving for the day?
Systolic: 140
Diastolic: 90
T/F: In Southern Nevada we accept all Medicare plans
False! As of 1/4 we only see Alignment Medicare Advantage
Within how many days of collecting should new patient paperwork be scanned into the chart?
Zero - all paper documents needing to be scanned in must be scanned in the Same day they are received from the patient.
The 4 point check checks what things?
Patient (Name), Location, Provider, Encounter
What is the longest amount of time a tourniquet stay on a patient?
2 minutes
What is normal respiratory rate for an adult?
12-20 breaths per minute
How many seconds is considered abnormal for a Get-Up-and-Go Test?
12 or greater
What document(s) need to be sent along with a referral?
Minimum: Demographics, Master IM, Referral Requisition
If Available/Pertinent to Referral: Labs, Imaging Results, POC Test Results
What template do we use to document a nurse visit?
True - Placing labels on the tubes in front of the patient lets them know that their specimens will not be confused for someone else's.
T/F: It is the role of the MA to enter past medical/surgical histories.
False - this is the role of the provider.
Adult Health Summary
What referral network do we use?
UHC High-Value Network
Fax Manager in EHR
What is the order of draw?
Cultures, Light Blue, SST, Serum non-gel, Gold, Light Green, Dark Green, Lavender, Gray, Yellow
False - we are only able to run A1C off of a standing order during an annual biometric screen.
Which PHQ is administered to Medicare Patients?
PHQ-9
What three pieces of information should be gathered PRIOR to initiating a pre-authorization?
CPT Code, ICD 10 Code, Provider NPI