Statuses
Which Status will now have fewer accounts?
Pending Documentation Status
Instead of a manual queue, the queue is now called what?
Dynamic
What is the CAT teams denial rate goal?
Under 2%
True or False
The clinical team does not receive any authorization warnings
False
What is the definition of a Backlog account?
3+ business days
What is the new status update titled?
What is Auth Review Required
True or False
The new queue indicates if clinical documentation has been completed or scanned into EMR automatically
True
What is the backlog goal?
0%
Where can the details of an accounts Auth Requirements be located?
CIV Benefit Quote
What is the definition of a Previous Day Account?
1 to 2 Business Days
Which Statuses are Highest Priority?
Auth Review Required, Auth Needed
True or False
If a document is scanned into EMR without a label, the account will still populate the Auth Review Required status
False
A document must be scanned into EMR and labeled to populate the queue
What is the breakdown in percentage of the new Queue Management?
0% Backlog, 10% Previous Day, 90% Same Day
True or False
QAs are required to work for authorizations out of the new queue
False
Exception: Escalation Tickets
What does ARR stand for?
Auth Review Required
True or False
We manually change the status for Auth form completed
False
Once the document is scanned and labeled in EMR, the account will populate the Auth Review Required status with the appropriate reason code
When does an account re-populate the auth needed queue for continuous auth?
With 2 visits remaining or 1 week prior to the auth expiration
What is the percentage goal of the Root Cause attributed to CAT?
<4%
Where does the authorization team's journey begin in the ATI Patient Journey?
Phase 1: Pre-Treatment Welcome Team
What does PMT stand for?
Patient Management Tool
True or False
The Auth Review Required status will only be updated at 8am, 11am, and 3pm
False
The Auth Review Required status will be a real-time update as the documentation needed is scanned into EMR and labeled or completed
True or False
With the new queue enhancements, we can now update the Auth Tracking Page with status updates
False
We still need to work out of the Auth Needed Queue Edit function for updates to Auth Statuses
True or False
The new queue enhancements will decrease authorization request TAT?
True
Which Authorization status should we no longer be using?
Authorization Requested
What does QMT stand for?
Queue Management Team