Outreaches
_____ days is the duration of the the initial outreach process before closing out the case.
What is 30 days?
In the Initial Outreach process, we get this many days to complete the initial call.
What is within 3 business days?
In the U.T.C. process, we are required to have this many attempts prior to closing the case.
What is three phone call attempts?
The expectation is to have this many calls daily.
In the initial outreach call cycle, _____ outreach calls is needed.
What is 5 outreach calls?
For the initial outreach process, we get this many days to complete the first three calls.
What is seven calendar days?
This is the expected timeframe for members to be enrolled in the R.I.S.E program before needing to consult for extension?
What is six months?
The expectation is to have this many members engaged annually?
What is 200?
The product that requires a letter after the second U.T.C.
What is the Medicaid product?
HIPPA verifiers include.
What is first and last name, mailing address (minimum of street address) and date of birth.
*Can use the phone number as final verifier but must repeat the phone number on file for you.
For engaged members in the U.T.C. process, 30 days from this date is when the case should be closed.
What is the last successful contact date?
The expectation is to present in Rounds in this frequency.
What is Quarterly
Per R.I.S.E guidelines, using CPSUI, these three statuses are able to dial out/call and one status that we cannot.
What is Not stated, Consent and DNC (Do not call) for can dial out and RND/Wrong number for not being able to dial out?
This is needed to flip the case from unenrolled to engaged status.
What is intro tile and answering one questionnaire question.
In the U.T.C process for an engaged/enrolled member, You get this many calendar days to complete the second U.T.C call.
What is 7 calendar days?
The expectation to submit a member impact story?
What is Monthly?
In the PDM process, this is needed to be added in the medical chart regardless if the member is reached or not.
What is a stabilization goal?
For enrolled/engaged members, a CM is required to contact a provider in the case that the member experienced these four things.
What is has been inpatient, in observation at hospital, in the ER or has a new provider claim?
The four reasons why a case may be closed.
What is the member wants to opt out, member completes all goals, member reached six month timeframe and 30 days of unable to contact?
The expectation of this many assigned members and this many engaged members.
What is 80 assigned cases with 50 cases being engaged?