Authorization
An authorization form is a required for a patient request. True or False
What is: False
A patient can write their request on anything.
What location should Audits like HEDIS, RADV, Risk adjustments get logged to in Exchange Manager?
What is:
Payer Reviews
These are processed by MRO audit team.
What is one of the first two things you should do when you start a release in Epic?
What is:
Ensure the release is linked to the correct patient.
Check for any warning Flags
What do YOU need to Release a request by a parent requesting their child under the age of 13 Center of Hope records?
What is:
MRO does not release COH records for this type of request.
MRO can only release COH records from a patient over the age of 18 going directly back to the patient.
All others are processed by Franciscan ROI team.
What form needs to be filled out when there is a need to make adjustments to time in UltiPro?
What is a time edit or correction sheet.
Someone other than the patient signed an authorization, they are over the age of consent, what document do we need to process the request?
What is the paperwork that shows why they have ability sign the authorization on behalf of the patient.
Guardianship papers
Health Care Representative/Power of Attorney
Estate Paperwork
WE log a COC/provider request what delivery method should it be logged as?
What is Onsite Delivery. We should always try to faxed out of epic.
When any type of legal flag is on the chart what should be done?
What is:
Do not release
Notate Franciscan to process, forward the request documents to himroileadership email and then close request.
Where do requests for amendments, release restrictions, and revocation of authorizations go?
What is the privacy office.
If printed copy these do not need to be logged, send to faacute email & close the request if it was logged.
If patient present onsite, please provide the name and phone number of the privacy officer at your location.
What should be done at least two times a day?
What is:
Check action messages and reply to the action.
What records require special permission to release?
What is:
HIV test results, mental health, Genetic, substance use disorder.
What types of requests should always have a required by date?
What is:
Subpoenas and Audits
25 days from the date of the request
Who releases a request for Cardiology Films/Recordings?
What is:
The cardiology Dept.
We notate sent to Cardiology contact and forward all request documents to Cardiology contact on the ROI Resource list.
What request type should NEVER have an issue letter or NRS added without management approval?
What is payment integrity Audits.
What do you get two of every year and expires at the end of the year?
What is Floating Holidays.
What information is required for an authorization form to be valid?
What is:
Patient name/2nd identifier
Record description/dates
Recipient name/address
Purpose
Expiration date/event
Revocation/Re-disclosure statement
condition treatment, payment statement
Signature/date
How many times should a request for Radiology reports and films be logged?
What is:
Twice
Radiology reports should be logged to the non-radiology location in Exchange manager.
Radiology Films should be logged to the radiology location in Exchange Manager
If you receive a request for Jimmy John VS Franciscan Alliance, what should you do?
What is:
Notate Franciscan to process, forward request documents to FAacute email and close request.
Where can you find a list of request types processed in house by Franciscan & what is the document called?
What is:
On Franciscan SharePoint-ROI Chap 12 Franciscan When to Release.
>HIM Operation>Collab documents>Training Materials>ROI> Chap 12 Franciscan When to Release
What are the functions of the ? and the # sign in Exchange manager?
What is:
? Look up a request by Release ID
# Look up request logged with MRN
What are the various release methods on a Franciscan authorization?
What is:
Paper, MyChart, fax, email, CD/DVD, USB
Other (Sent to Franciscan)
What should you do when you log or find a request wanting an unsecure delivery format.
What is:
Notate the request Franciscan to process, forward request documents to FAAcute email, then close in Exchange manager.
Who releases COC/Provider requests for Radiology films or recordings?
What is:
This depends on where the request was sent to.
If medical records receive the request, then Franciscan internal ROI team will send the films to requester.
If Radiology gets the request, they will send the films/
What should be done with a request that has verbiage of a Payer investigating quality of care concern/patient grievance?
What is:
Notate Franciscan to process, forward request documents to FAacute email and close the request in Exchange manager.
What two holidays are recognized by MRO but not by our client?
What is Martin Luther King Day & Day after Thanksgiving.