Imaging Referrals
Which imaging referrals requires you to fax both referral and notes to imaging center?
MRI & CT Scan
What is name of CPT Code 93000
ECG/EKG
Which Foundcare office has providers that produce the most referrals?
Okeechobee
What is the time frame to process an urgent referral?
24-48 Hours
Name 3 procedure types pertaining to breast related diagnoses?
Bilateral Mammogram Diagnostic
Bilateral Mammogram Screening
Stereotactic Guided Breast Biopsy
US Guided Breast Biopsy
US Breast Complete/Limited
Identify three therapy referral types that are most frequently made at FoundCare.
Physical Therapy
Occupational Therapy
Speech Therapy
Behavioral Health Therapy
What is a referral that is typically ordered to finalize a procedural clearance?
Cardiology
Which medical insurance company places an authorization request on pended status the most?
Prominence
Which imaging referral type screens for osteoporosis?
DEXA Bone Density
What are 2 CPT Codes used for drug testing (predominantly in Pain Medicine)?
80305, 80306, 80307
Name 3 providers that offer different types of specialty services at Foundcare.
Dr. Theliard/Dr. Diaz/Adriana etc. - ID
Dr. Rose/Dr. Martinez/Sondia etc. - Gynecology
Dr. Kalahasthy - Gastroenterology
Dr. Cucuras/Dr. Hebl/Dr. Saleh - Dentistry
At what point would a new referral be required for the same specialty?
1. If a patient satisfied the original referral and needs to be seen by a different practice.
2. If the referral has reached 1 calendar year and the same specialty office requests a new one.
Name five imaging centers
Akumin Imaging
Rayus Radiology
Good Samaritan Imaging Center
TGH Imaging
Jupiter Medical Imaging Center
Name 2 insurance payors that require a form submittal for authorization requests?
Florida Community Care, Community Care Plan, Florida Blue EMI
Name 5 specialty services that Foundcare offers.
Gynecology, Radiology, Infectious Disease, Dermatology, Dentistry, Infusion Services, Gastroenterology
Which payor requires a referral outside of EPIC?
Which type of ultrasound diagnosis is unable to be completed in an imaging center?
Pregnancy of multiple fetus', this is to be completed by perinatology office.
Progress notes do not come back for this referral specialty.
Dentistry
What are 3 types of referrals that satisfies a Care Gap?
DEXA Bone Density, Gynecology (Well woman Exam-PAP Smear), Ophthalmology (Retina Screening), Gastroenterology (ColoGuard, Colorectal Cancer Screening)
Name the individual responsible for completing CC’d charts across all seven days of the week.
Monday - Dulce
Tuesday - Yenisleidy
Wednesday - Sherley
Thursday - Jazmin
Friday - Debra
Saturday AM - Dulce, PM - Debra
Sunday AM - Yenisleidy, PM- Sherley