Daily Operations
Document Routing should be checked this many times per day.
What is four?
This Referral Source Code is used when we do not know who the referring doctor is or as a placeholder while they are being added into Raintree.
What is TEMP?
This visit code is used for Medicare, Tricare, and Medicaid Payors.
What is EM/VM?
These cards should be obtained from each patient at each IE.
What are ID and Insurance Card(s)?
Who is Lauren McClaskey?
These 2 reports we run and use daily to keep track of our authorizations
What are the Future Auth and Charges Holding Reports?
This date is used as the Effective Date when adding a referral into the Prescriptions box.
What is the date the referral was signed?
In general, the minimum number of TEVALs a full time PT/OT should have on their schedule each week
What is 6?
These documents need to be scanned specifically into the Insurance Tab.
What are Ins Card(s) and Benefits/PPAC. Extra credit if you say Attestation (crossover)
The POS report comes out _____ and I should respond to _____ by ______ if the clinic is below ______%.
What is Thursday, RPM/CD/RVP, Friday EOD, 92%
The first Stage selected in Journey if the patient has never been here before.
What is Convert to Intake?
The 2 places to check for correct clinic location codes.
What are Demos and the case?
These appt types should be prioritized on a PTA/COTA schedule.
What are VG and VW?
Authorization obtained in the clinic should be linked here.
What is the authorization line?
Name 2 things that would prevent your clinician from signing a note.
Missing VOB, Missing Phone #, Missing Mailing Address, Missing Referral, Missing Referring Provider, Missing WC Employer, Y in WC or A/O in MVA Cases?
This is the timeframe Infinx has to work an authorization request before we send an escalation.
What is 48 hours?
These contacts should be added (if known) into Work Comp patients' Communication Tab.
What are NCM, Adj, and/or TPA/MCO?
This is the goal to start the week for visits scheduled per FTE.
What is 13?
This is how we categorize and label the PHI Form from Intake Paperwork.
What is Demos & Pat Consents > PHI Auth Consents?
Explain Completion Rate
What is the % difference between where a clinic finished a week vs where they started?
Name the 3 categories on the Monday PM Reports and the 5 columns on PM Metrics.
What are Case Management #s (Not Sch, Unsch, NVNED), CH, and Past Due Tasks; Visits Sch/FTE, Visits Seen/FTE, Eval AR, Efficiency, and POS.
The Referring Provider should match in these 4 spots in the patient's case(excluding Work Comp).
What are Marketing Referral, Billing Referral, Billing Ref. Contact, and Prescribing MD (in Prescriptions box)?
True/False: My clinician cannot do a Work Cond IE in the last hour before lunch/end of day.
What is False?
This is when to give a DN Consent; This is when to give a DN ABN.
What is at every new case/new needler? What is for any Medicare patient getting needled?
I am a patient with BCBS and have a $5,000 unmet deductible, 0% co-ins, $5,000 unmet OOP. Explain my benefits and payment options.
What is $125/visit for unmet ded, OR at least $20 for co-ins, OR payment plan, OR FH.