QA
WF
WF
Resources
Appointments
100
What are the 3 main things you must mention when answering the phone?

What is branding, Name and offer assistance.

100
What resources should you be using on every call and where do you find them?

What is workflows and on the SharePoint.

100
True or False: Patient does not have to me in the state of California for nurse advise?

What is False.

100

We use this to find what appointment type we should schedule with and notes to add when scheduling.

What is The Visit type standard job aid.

100

ER/EC follow up appointment. 

Office Visit [1004]

200

what are 2 things you must do before placing a patient on hold?

What is obtain permission and advise why you are placing them on hold.

200

What workflow must you use after scheduling all appointments?

What is Appointment Confirmation.

200

what workflow should you have up at the beginning of every call 

PATIENT VERIFICATION


200

We use this recourse for urgent care to determine if we can schedule an appointment.    

Urgent care Same day guidelines. 

200

What is the appointment type for a Virtual OFV 

Telemedicine

[723]

300
What should you do once you are fully done with the call?
What is go back on Q.
300

What workflow would you us if the pharmacy is calling for a Prior Authorization?

What is provider to provider during hours.

300

A cardiology patient is calling at 2:00PM on Friday afternoon, what workflow should you be on 

What is PBX on call

300

True or False: Patients husband has the same insurance as patient and we are not able to verify it, if he has been seen with that insurance would we be able to schedule without verifying?

What is False: each patient must have their insurance verified separately. 
300

patient last seen within 3 years in Primary Care and wants to change to another PCP or previous PCP left Sansum Clinic and needs continuation of care.

Long Visit [484]

400

True or False: You should read the call back number to the caller instead of them providing it?

False: We should always obtain the number not provide.

400

If you are unable to hear a patient when the call comes thru what workflow would you use?

What is Disconnected caller.

400

What workflow would you use if a new patient needs to be seen sooner than what is available with requested PCP. 

AFTER HOURS SCHEDULING NEW PATIENT

400

We use this recourse to determine if we can schedule with Alternate provider 

APC guidelines. Found on find an appointment with PCP workflow.

400

Patient is having surgery and needs to have a clearance, what is the appointment type?

Pre-Op [17108]

500

what workflow do you use and what are the 3 Identifiers you must verify on every call?

What is Patient identification and Name, DOB, and Phone number/address.

500

What workflow would you use if law enforcement is calling to speak with PCP. 

Provider to provider 

500

Patient is 7 weeks has a fever of 100.6 what workflow do you use?

What is EMERGENT/STAT 17 & UNDER?

500

What resource would you use to see what Doctor is covering after hours calls 

ON call log. 

500

Does Patient access schedule for TCM/SNF appointments? 

NO