Let's Get EPIC
Payer Reference Guide
Weekly Wellness
Acronyms!
The Analyst Team
100

What go-live wave is Provider Enrollment going to be included in?

Wave 1

100

True or False: The Payer Reference Guide is shared regularly with the department, as well as SHS and Symplr?

TRUE - the PRG is shared by the Payer team

100

True or False: Open Enrollments is no longer live for Northwell employees.

False - Open enrollment is active from 11/11 to 11/24.

100

PERF

Provider Enrollment Request Form

100

When inventory is identified as "RISK" what does that mean?

Risk refers to inventory that may or may not be payable based on forecasted effective dates.

200

What is the expected go-live date for EPIC for Provider Enrollment?

April 1 2025

200

True or False: The type of submission template used for delegated payers is NOT included on the PRG?

FALSE - the submission template column is listed on the PRG in Column C under "Submission Template"

200

What is the program name that Northwell recently created for those looking to donate and shop for gently used clothing items?

Northwell Off the Rack

200

CMS

Center for Medicare and Medicaid Services

200

True or False: When inventory is identified as "non-actualized bad debt", that inventory is forecasted as payable.

False - non-actualized bad debt is a term used to described inventory that is NOT payable due to forecasted effective dates.

300

True or False: EPIC will be replacing GECB and Athena IDX.

TRUE

300

True or False: The PRG is regularly uploaded onto the PE Reference Tools on the Intranet?

TRUE - you can search provider enrollment on the Intranet and select Reference Tools to locate!

300

What was the name of the two Wellness Workshops we completed during our departmental team meetings?

Chair Yoga + Guided Meditation

300

NPI

National Provider Identifier

300

True or False: risk dashboards are shared with service line leadership on a monthly basis?

True - tableau risk dashboards are shared with service line leadership to ensure bad debt is mitigated.

400

True or False: Provider Enrollment Superuser training for EPIC occurs at the same time as all non-Superuser trainings.

FALSE - Superuser Training occurs prior to the non-Superuser trainings.

400

Name two examples of non-delegated plans that appear on the PRG?

1199

MVP

Medicare

Medicaid

Palmetto GBA/Railroad Medicare

400

True or False: Northwell offers reimbursement for wellness credits that are completed by employees that complete designated wellness services during the allotted time?

True!

400

FPP

Faculty Practice Plan

400

True or False: Claim holds in ETM only appear for Medicare and Medicaid.

False - claim holds appear for Medicare, Medicaid and commercial plans.