HPE
What does HPE stand for?
What is Hospital Presumptive Eligibility
What is the name of the column in the ER Track Board that we work out of?
What is 'Needs Reg' tab.
What is the name of our onsite ED Elevate representative?
What is Kan.
What change do you make when a patient is admitted to Rehab from Acute?
What is Change the HAR
How long is the HPE period of coverage?
What is todays date plus the next month
When is it appropriate to register an ER patient that is not in our needs reg tab?
What is Never.
I will also accept...
What is Downtime when EHR does not work.
Is this coverage appropriate for an IP admission?
7G Valid only for specific ambulatory prenatal care services
What is no. We should remove and refer to elevate.
What should everyone open when running eligibility?
What is the RTE response, chevrons to assure no other insurances are listed.
What are three possible reasons why a patient might qualify for HPE.
What is
Income
Age
Pregnancy
Uninsured
When providing observation letters/inpatient letters what is the name of the column on the trackboard you monitor?
What is "Admit" tab.
What is the weekly Financial Clearance metric goal?
What is (+) 98%.
When is it appropriate to leave an insurance unverified on a HAR?
What is never. We should not be leaving insurances that have not been verified. A proper hand off to the next team member should be done if RTE is currently down.
What documents do patients have to provide in order to receive HPE?
What is none! Application information is based on attestation.
Which payers required RTC completions?
What is Kaiser and VA.
When removing coverage from an account, what should you always add to the coverage being removed?
What is Termination date. If you can confirm from the insurance company that termination date is today, then you term it today. If not, term it the month before. (ex 04/30/2025)
Which consent floors do the Grave team member cover?
What is None. Grave prep consents night prior.
Who enters the HPE application?
What is the entire Patient Access Team via the online portal as all staff members must have access to abide by their job requirements. Please see management if you do not have access.
What is the name of the WQ you should review and clear prior to your end of shift to assure items are not missed?
What is EHMP ED Missing Registration Items.
If a HINN12 request came in today. What day would be listed as the effective date presented to the patient?
What is tomorrow (T+1)
When receiving a phone call from the units to update a patient to Hospice. What is needed to initiate that request?
What is a Hospice order.
Remember that in these situations there should be two separate HAR's. We should never have two admissions to one hospital account number.