Routing 101
Billing or coding review (non lab related) should be routed here.
What is the management pool?
You should give this to every patient calling in after 12 who is needing triage.
What is the after hours RN number?
This button allows you to see only lab orders that have yet to be collected.
What is the Future/Standing button?
This provider only allows 2 60 minutes visits per day.
Who is Dr. Niehus?
This is the name of the guarantor used when scheduling MVA related visits.
What is TPL?
A referral renewal request with a successfully pended order is routed here.
What is the PCP?
Heart rates greater than this, should be immediately triaged.
What is 115 or higher?
This is the dot phrase used when patients are requesting a new PCP within Scholls.
What is .PCPSWITCHSCHOLLS?
PSS action after patient requests new medication, imaging or referral.
What is help schedule OV?
Medicare AWVs should be scheduled at this frequency.
What is 365+1 days?
FYI's about procedures & specialists visits being completed should be sent to this pool.
What is the team pool?
These 3 letters should be added to appointment notes when scheduling patients with cough, fever, congestion, etc.
What is ILI?
The .REFILLSCHOLLS dotphrase prompts you to confirm this.
What is the correct pharmacy?
An established Scholls patient (with an approved PCP switch request) looking to schedule with a new provider at Scholls is scheduled as this visit type.
What is N2U OVE?
These 2 Insurance recently become non-contracted in January of 2024.
What is Moda Medicare & CareOregon Medicare?
True or False: If a patient calls in with multiple requests, multiple phone notes are needed.
What is False?
You should always use this transfer method when sending a phone call to an RN.
What is warm transfer?
Do not mark this section as verified until you have confirmed with the patient that they only have one insurance.
What is the Secondary Insurance box?
Patients on a medication agreement for a controlled substance should ideally be seen this frequently.
What is every 3 months?
A patient seeing Dr. Nagappan will be billed the same way as seeing Dr. Fellin because all Scholls providers are billed under this same thing.
What is tax ID?
Even if I have another PSS team member fax a referral/order, I still need to do this.
What is DOCUMENT?
The S in BE FAST stands for this.
What is Speech Difficulty?
PMG requires a signature for consent for treatment at this frequency.
What is every 365 days?
These 4 providers are able to prescribe paxlovid.
Who are Dr. Nagappan, Dr. Baros, Karla & Julie.
Even if an insurance verifies via RTE, you should still be checking this section during the scheduling/check in process.
What is response history?