Breast Imaging
A patient calls to schedule their annual screening mammogram but mentions that they are experiencing breast pain. This is the type of template you schedule this patient on.
What is diagnostic?
These types of insurances cannot sign self pay waivers.
What is Medicare, Medicare Advantage, state Medicaid and MCO plans?
MRI studies such as an enterography, dynamic pelvis, and MRCP w/ secretin all require this for the appointment to be successful.
What is nursing assistance and/or scheduled during nursing hours?
This service may be offered to anxious and/or nervous pediatric patients who are coming in for certain types of imaging exams.
What is child life?
This type of documentation should be added EVERY TIME to the patient's chart after finishing the phone call.
What is a CRM?
The standard amount of days a patient must wait in between their yearly screening mammograms
What is 366 days?
We are NON PAR with this type of HMO plan with the only exception being JH Advantage HMO.
What is medicare advantage HMO?
You may see "Parkinsonism" or "Tremors" as a diagnosis for this type of nuclear medicine scan
What is a NM Brain Spect CT? (aka DAT Scan)
This is the age limit for a pediatric patient coming in for an ultrasound neonatal spine.
What is 3mos or younger?
A patient calls in to let you know they unfortunately are too sick to come to their appointment today and will reschedule at a later time. A list of cancellation reasons appear when you go to cancel the appointment and you select this one
What is same day cancellation?
This diagnosis should ALWAYS be used when transcribing a bilateral screening mammogram.
What is z12.31 and/or "visit for screening mammogram"?
The option a scheduler must choose when bypassing an Advance Beneficiary Notice for a patient with Medicare A&B
What is option 101 and/or "discussed with patient, service desired, pending signature"?
The exam you would transcribe...
What is PET/CT SKULL BASE TO MID THIGH INITIAL STAGING?
A parent calls in and states they have an OOS order for an MRI brain w/ sedation for their 5yo and would like to schedule.
The way you would resolve this call...
What is explain to the parent that we do not accept outside orders for MRI w/ GA?
This resource should be used after running an insurance through RTE to verify the plan type.
What is response history?
A 38yo female patient calls to schedule her yearly high risk screening breast MRI. These 2 requirements must be met to ensure the patient's appointment will not result in a reschedule.
What is... schedule between day 7-14 of patient's menstrual cycle & ensure that a mammogram has been done within 11 months of MRI appointment?
SCENARIO: Patient calls and states they have an order for a STAT CTA Chest for PE and their insurance is Carefirst BCBS.
What needs to be done after scheduling is finalized...
What is.. confirm the patient is willing to sign a self pay contract as well as email financial?
SCENARIO: Patient is calling to schedule a CT CHEST W/ CONTRAST but has a history of having difficulties getting IVs.
The LOCATION and TIME OF ARRIVAL you are able to give this patient...
What is ZAYED 4 & arrival time of 1 HOUR prior to appointment time?
SCENARIO: A mom calls to schedule her 4 year old with Priority Partners for an MRI Brain Ultrafast.
The LOCATION and TIME FRAME of this appointment you are able to give the patient....
What is JHI during the hours of 8:30am-3:30pm?
SCENARIO: Patient calls to schedule a routine CT Abd/Pelvis for abdominal pain and is offered an appointment 3 weeks from now. They are upset and adamant about getting seen sooner.
The call should be handled in this way...
What is... add the patient to the wait list?
SCENARIO: Patient calls and states that she has an order for a Breast MRI with an indication of possible implant rupture.
The EXAM you would transcribe and the LENGTH of time you are to schedule this for...
What is MRI BILATERAL BREAST WO CONTRAST and 60 mins?
When paired with Medicare, this insurance plan's scheduling guidelines would consider this plan PRIMARY.
What is USFHP?
SCENARIO: A mom calls and states they have an outside order for their 7yo daughter that says MRI Cardiac with a dx of elevated ferritin. The way you would transcribe this, length of appointment time, location(s) you can schedule this....
What is MRI Ferriscan CARDIAC & 30 minutes @ White Marsh?
SCENARIO: A clinic calls to schedule a 7yo for an MRI Knee WO Contrast for a soft tissue tumor.
The LOCATION and TIME FRAME of appointment you can offer is....
What is JHI or JHH during nursing hours?
SCENARIO: A clinic calls in asking for our hospital NPI number as well as a CPT code for a dry MRI Complete Spine so they can start the auth process for their patient. This is the information you would provide.
What is NPI #1578597993 and CPT codes 72141, 72146, and 72148?