Providers
Protocols
Referrals
Scheduling Rules
Variety
100

This doctor evaluates only ankle and foot.

Patrick Donovan

100

Which slot is the one we cannot use for a "Same Day Add On"

The last slot of the day depending on the type of appointment 

100

This is the fax number where we request the PCP to send the referral to

813-441-7161

100

We see patients in the age range from _____ to ______ years.

24 months (2 years) - 105 

100

Which conditions are the ones we consider emergent?

Fractures, ruptures, tears, dislocations and infections.

200

This doctor only evaluates Hip and Knees because of the offices he goes to and performs Jiffy Knee

Scott Goldsmith

200

How much it is for the OV appointment as a self pay patient and what does include?

400 dollars and only includes the visit, other services are extra fees

200

Once the referral is received the referral department will process it within... and how the patients get contacted?

48-72 business hours

Through text message

200

When there are payments associated to the appointments/encounters, we need to send an action to _______ so they can check and change.

Vanessa Steiger ( Laflamboy)

200

If a patient calls to request MRI order but there is no one on file, what we have to do?

Schedule an appointment due to authorization requirements

300

He is the only doctor that speaks Spanish and evaluates most of all body parts

Daniel Tarazona

300
If a deaf patient call who do we send the action to to advise and they can set the interpreter? And also, we can set the appointment at least ___________.

To Lizette Santos
At least 7 days out.

300

When we schedule an appointment as emergent condition without a referral when referral is needed, we assign an action to the _______ to make them aware of that appointment.

Medical Admin

300
How many days the patients needs to wait in order to obtain another cortisone injection?

 90 days / 3 months

300

What are the only things the PA cannot do and the Dr does?

Review diagnostic imaging results (MRI/CT SCANS/EMG) and perform surgery

400

List the doctors that are the Hip and Knee replacement surgeons (Joint team)

Scott Goldsmith
Germanuel Landfair
William Shield

400

Explain the No show policy and who you can send the action to in case they have questions about it?

Action is to be sent to Lizette Santos.

If a patient has cancelled, no showed, or rescheduled appointments 5 consecutive times within the last 6 months we are no longer able to schedule them. 

  • Check previous actions to see if patient has been informed of policy   

  • If they have not been informed, then inform them of the policy and advise that this will be the last time you can schedule this appointment.




400

We cannot submitt a referral request for these type of appointments:

NP and OPNP

400

If a surgery was performed by an outside provider and pt is still under the global post op period we need to refer the pt back to the doctor that performed the surgery, but what is the only exception to this rule and what they need to do?

Surgery was performed out of state/country. Needs to send their medical records prior to appt

400

Explain all the collections statuses and mention which ones you can schedule and which ones you cannot schedule

OMGCO - Can schedule
C1/C2 - Can schedule if amount is under 29.99. If over transfer first to billing
C3 - Cannot schedule - Sherlock

500

Which doctors does not treat back and why?

Nguyen, Shield and Donovan, because specialty
Sando and Donaldson, because decision

500

These are the type of patients that we need to create a flag on the billing alerts over their profile.

Minors
Inmates
Spanish Speakers
Deaf patients

500

Why is the reason we escalate a referral issue and who we assign those actions to?

We escalate because it has been more than 72 hours since referral was sent, or last action about referral, and the pt has called more than 3 times
Assign to Kayla Gaines in High Priority

500

What are the conditions that ONLY Donovan can treat for? List them

Ingrown toenails, bunions, calluses, corns, foot warts or diabetic foot ulcers

500

What is the streamline booking? Explain the rules.

Is a list of PCP offices that can call and schedule appointments without script, referral, or authorization. Same day is available if the PCP can guarantee the referral will be received the same day.  

If they can not the appointment should be scheduled at a minimum of 3 days out.

PCP has to call, pt cannot call by themselves