Show:
HCPC Codes
Genesys
Niko
Tags
Documentation
100

What is the HCPC code for a Rollator?

E0143

100

Where do you go in Genesys to place a phone call?

Agent Work Space

100

Name five must haves on a PT profile for creation.

Name

Dob

Address

Phone Number

UHC member ID

100

What is the Tag to send an order to Fulfillment

Fulfill_Assign

100

What is a Standard Written Order?

  • A formal document used in healthcare, specifically for durable medical equipment.

  • It is a required document by insurance payers to authorize the need of requested items.

200

What is the HCPC code for a Standard Wheelchair?

K0001

200

What button do you press to open the phone dialer?

+ sign

200

How do you verify if an AOB is on file?

Check demographics page for PT signature option

200

If a Fulfillment agent has sent an order to a vendor, what is the tag that auto populates prior to vendor acceptance?

Fulfill_VenPending

200

Name something that must be included on an SWO

  • Beneficiary’s name: This is essential for identifying the patient for whom the order is for

  • Order date: Used to confirm that the order exists prior to delivery and supports compliance with timing requirements for certain items

  • General Description of the item: This can be a general description, a HCPCS code, HCPCS narrative, or a brand name/model number

  • Quantity: Number of items being ordered

  • Practitioners name/NPI: This identifies the clinician who is ordering the item

  • Practitioner’s Signature: This is the signature of the treating practitioner, which must be dated and completed before the supplier can dispense the items

300

What is the HCPC code for a Nebulizer?

E0570

300

What call Que do we use to call out of?

UHC

300

How do you locate your active tasks?

On the N icon top left of the page under my tasks/ on the dashboard.

300

If a vendor has accepted an order what status will the order be in?

Fulfill_InProgress

300

How often do we need a new SWO?

  • The frequency depends on the specific requirements of the item being dispensed but typically 6 - 12 months

400

What is the HCPC code for a Full Face Mask?

A7030  

400

How long do you have on the wrap up timer?

2 minutes

400

How can you check if a PTs policy is capitated?

On the profile notes.

400

What does the Fulfill_NoteAdded mean?

This is communication between the fulfillment department and the vendor. This is for internal conversation only

400

What is a Face to Face note?

Face to face notes are a document that serves as a condition of payment for the service rendered. This documentation ensures that a practitioner has had an encounter with the patient related to the reason of need for the service requested. It proves need and benifit of the items requested.

500

What is the HCPC code for Glucose Control Solution? 

A4256

500

When wrapping up the call what are the two things you must include?

** Appropriate documentation in Genesys.**

  • Agent documented at least one required patient identifier in the Genesys note: Niko Patient ID, Niko Order ID, UHC Member ID, Facility Name (if not referencing a specific patient).  

  **   Proper wrap-up code selected. **

  • Agent selected the most appropriate wrap up code in Genesys for the interaction.
500

How do you check a PTs resupply date?

The Resupply Tab

500

What does the Fulfill_VenRejected tag mean and what is the next step for this tag?

Vendor rejected the order, double check the notes for reason and send back to fulfillment for reprocessing appropriately.

500

Name three things you need to look for on a face to face note.

      A detailed evaluation of the patient’s condition

  • State the medical necessity of the equipment/supplies

  • State how the equipment will support their care

  • Must include both subjective and objective information used in diagnosing, treatment, and managing the condition in which services are requested

  • This includes but is not limited to; functional limitations and other therapeutic interventions and results