Leadership
Which leader lived in Germany for 8 years?
Diann
This payer requires a notification within 72 hours of the admission
List three portals we use to start authorizations
Availity, Sentara HP(JIVA), Acentra, UHC, or Humana military
How many hospitals does Sentara have
12
Who is the manager of the UR Dept?
Courtney
What are Dana's kids' names?
Mizell & Nevaeh
Name four Medicare replacement plans
Humana, Anthem, Aetna, PACE, SHP, or Cigna
Name 2 payers that require auth for observation
Cigna, Kaiser, The VA, or Aetna BH
Name all of the hospitals
SPAH, SLH, SNGH, SVBGH, SOH, SCPH, SWRMC, SAMC, SNVMC, SRMH, SMJH, and SHRH
Name all four of the TCs for the UR dept
Jalyssa, Sarah, Tiffani, and Alaina
How long has each leader worked for Sentara
Ashlyn -6 years - Diann - 18 years - Dana -19 years
If a patient has Medicare Part B only as primary and a secondary coverage - What is the process
Leave part B primary and set up auth for secondary
What is the fax number for Humana (VA/NC)
866-202-8113
Name the President and CEO of Sentara
Dennis Matheis
Name three UR nurses
Examples - Mylene, Diane, Renee, Sarah, Leisa, Winnie, Joy
How many departments report to our director Shelly
4
Daily Double - Can you name all for departments
What payers/accounts should be worked priority?
Anthem FEP, Behavorial health, SHP Commercial, Medicare HMOS, Medicaid, and Update needed accounts
Which payers does RMC submit the BH authorizations on?
Medicaid and UHC
Name three cultural attributes
We exist for our consumers, We collaborate, We empower, We continuously learn, or We deliver
What is Shawndell's title
Business Operations Coordinator
Name where all three leaders were born
Hawaii, Virginia, and Washington
What is LifeNet and how do you work those accounts?
They handle organ donation - We change it to LifeNet - Generic commercial with LifeNet as the name. SSN as the ID number - add the billing address and phone number
What system was used for automatic notifications and what payers
Waystar - Aetna, UHC, and Humana
What year was Sentara founded
1888
What does RMC stand for?
Resource Management Center
Daily Double - Who was the first employee?