RE
SU
LT
S
100

WHAT IS THE MEANING OF R AND E?

REVIEW AND EXHAUST

100

WHAT IS THE MEANING OF S AND U?

SET AND UPDATE

100

WHAT IS THE MEANING OF L AND T?

LEAD AND TARGET

100

WHAT IS THE MEANING OF S?

SUCCESS!!!

200

WHAT IS THE CORRECT TIME FRAME TO REVIEW BEFORE COMPLETING AN ACTION?

FROM LAST NOTE/ACTION OF THE INDIVIDUAL

200

WHAT ARE THE REQUIRED FACILITY FORMS?

MA 103, MA 51, AND LOC

200

WHO IS RESPONSIBLE FOR NOTIFYING OF RED FLAGS/ALERTS?

PROCESSOR, TM, PM, AND RM - TEAM WORK!

200

WHO NOTIFIES FAMILIES AND PATIENTS OF AN APPROVAL?

EVERYONE!

300

WHAT ARE WAYS TO OBTAIN DOCUMENTS?

CALLING W/ POA/PT/GUARDIAN, FIAS, CALLING DIRECTLY TO FINANCIAL INSTITUTION, FAXING/EMAILING INSTITUION, VISITING IN PERSON TO INSTITUTION OR POA/PT/GUARDIAN

300

WHEN IS A FILE READY TO SUBMIT?

WHAT IS ALL QUESTIONS ANSWERED, ALL APPLICABLE SIGNTURES ENTERED, AND AN IPC ADDED.

300

WHEN IS NONCOMMUNICATION ESCALATED TO MANAGERS?

SECOND WEEK OF NO RESPONSE

300

WHO NOTIFIES FACILITIES OF AN APPROVAL?

TMS

400

WHAT ACTIONS ARE TAKEN WHEN THE FILE IS OVER ASSETS?

ATTORNEY CONSULT, NOTIFY FAMILY/PATIENT/POA/GUARDIAN, AND NOTIFY FACILITY OF SPEND DOWN PLAN

400

WHEN SHOULD A MAVERICK ENTRY BE MARKED AS VERIFIED?

ONCE DOCUMENTATION IS ON FILE AND ONLY BY PROCESSOR.

400

WHAT IS A PA 162?

APPROVAL OR DENIAL

400

WHAT IS MDR'S GOAL FOR EFFICIENCY?

OVER 92%

500

WHAT IS THE IDEAL TIME FRAME TO HAVE ALL DOCUMENTS RECEIVED FOR FILE?

15 DAYS FROM HAND OFF (7/15!)

500

HOW OFTEN SHOULD FILES BE UPDATED?

EVERY 5 BUSINESS DAYS.

500

HOW DO YOU STRESS DEADLINES TO YOUR FAMILIES/PATIENTS?

OPEN ENDED - LET'S HEAR YOUR IDEAS!

500

WHAT WAS PA'S JUNE EFFICIENCY?

98.5%