Processing Workflow
Name 2 IPA's St. John's is contracted with
- HCLA
- Optum
- IEHP
Coming Soon:
- La Salle
- Alpha Care
What is our department's fax number?
(323) 924-9179
What is our referral department's main line number?
(213) 588-1323
Pre-Op Question:
How long are pre-op labs valid for?
a.) 1-Week
b.) 2-Weeks
c.) 1-Month
d.) 3-Months
c.) 1-Month
What are the two common CPT codes utilized for an initial consultation?
99204 or 99205
What are the general required fields to fill out in the referral order when uploading a report/result?
- Received Date
- Appointment/Perform Date
Name all Go-To Queues associated with our department
- Referrals Outbound
- Referrals Helpline
- LA & IE Referrals Spanish/English
List 3 online portals where we can obtain specialty/radiology results from?
- UMI, RadNet, Broadway, Valley Breast, etc.
- MedPoint, Optum, Lanes, eConsult, etc.
If a patient needs an IPA Switch, are you still able to submit the following referral:
X-Ray: Chest
No
What does the abbreviation "CA" stand for in a report?
Cancer
List 3 techniques to master compassion & clear call handling
- Greeting Matters
- Active Listening
- Empathy First
- Clarity is Key
- Human Touch
When was St. John's Founded?
- 60 Years or 1964
List the CPT codes utilized when submitting an initial authorization to Dr. Taban's Office
99204
92201
92134
What is the difference between Benign vs. Malignant?
Benign: Not Cancerous
Malignant: Cancerous
What are 3 tips for achieving customer service excellence
- Smile While Talking
- Mirror Caller's Energy
- Take Notes
- Use Positive Language
- Breathe & Rest
Name 5 Services St. John's offers in-house
- Dental
- OB/Gyn
- Homeless
- Transgender
- Behavioral
- Optometry
- Podiatry
- Nutrition
- Pharmacy
MRI Upper Joint consists of which 3 body parts?
Shoulder
Elbow
Wrist
List all 4 Abnormal BI-RADS indicated in the Mammogram Results
- Bi-Rads 0,3,4,5
A patient’s family member contacts the clinic asking for details about the patient's referrals. The patient has not provided any documented consent. How should you respond?
A) Share the referral information to help the family coordinate care.
B) Politely decline to provide the information unless verbal or written consent from the patient is obtained.
C) Provide general information about how referrals work without mentioning the patient.
D) Only share the information if the caller sounds trustworthy or insists it's urgent.
B) Politely decline to provide the information unless verbal or written consent from the patient is obtained.
What are the proper steps if you determine a PCP switch is required?
#1 - Check "Billing Alerts" For BC Notes
#2 - Update Referral Order
#3 - All Patient Demographics to SharePoint Spreadsheet
#4 - Checks Eligibility the following month.