HRSA
Documentation
Managers
Collections
Site
100

OSV stands for

What is Operational Site Visit?

100

Current Pay Stub, W-2, Unemployment statement or check

What is proof of household income?

100

Darryl Ward, MBA

Who is the Controller?

100

Daily cash reports

What is scanned into the G Drive daily?

100

Rose D. Gibbs, MD Family Health Center

What is Moncks Corner site name?

200

Chapter 9 in the HRSA Manual

What is the Sliding Fee Chapter?

200

Picture ID, Birth Certificates, Notarized Statement

What is Proof of Family Size?

200

Michael Corvino, PhD

Who is the Pharmacy Director?

200

Site Name, Site Address, and Site Location Number

How to identify the correct deposit book for your site?

200

Total number of sites

What is 24?

300

HRSA Compliance Chapters

What are 22 requirements?

300
Declined income identification

What is a refusal form?

300

Crystal Jenkins

Who is the Practice Manger at RD Gibbs?

300

Cash, Check, Card, or Money Order

What are the payment methods accpeted?

300

Thaddeus J. Bell, MD Family Health Center

What is TJ Bell site name?

400

Health Resources and Services Administration

What is HRSA?

400

All patients

Who should complete the sliding fee application?

400

Michael Johnson, Jr

Who is the Executive Assistant?

400

Hold daily deposit for courier pick up

What is the Practice Manager?
400

Mobile Dental

What is the newest fixed site?

500

The Health Center must operate in a manner such no patient shall be denied service due to failure to pay.

What is Rule # 1?

500

Anyone living in the home under their income and doesn't have an income

What is a dependent?

500

Management Team

What consists of 24 members?

500

Make daily deposit to the bank

Who are Mr. Ricky and Mr. Bernard?

500

East Coast Head Start and Williams Center Camp

 What are two migrant locations?