The Documentation Games
This condition has no current signs, symptoms, or management.
What is a historical condition?
Only an ophthalmologist or optometrist (not PCP or endocrinologist) can close this gap?
Who can close the diabetic eye exam care gap?
Columbia Suicide Severity Rating Scale (CSSRS).
What tool is used to assess suicide risk?
This feature right there allows providers to monitor the number of consultations they have completed within a specific hour there
What is the provider dashboard?
This group at Oscar organizes various activities for employees throughout the year to promote engagement and company culture.
What is the Culture Club?
This TextExpander is used to capture complications in diabetes
What is .qcom?
A1C over 7 or fasting glucose over 154.
What A1C value is considered hyperglycemia?
Mental health screening (PHQ2, and PHQ9 if positive).
What screening must be completed for all patients in 2026?
Pricess to escalate conerns related to
Incorrect patient information
Patient safety event
Patient behavioral event
Privacy concerns
Crisis call
Bad number
What is the escalation pathway?
You use this code when a patient is taking oral contraceptives
Z79.3: Long term (current) use of hormonal contraceptives
This section of the patient chart is where you would document important details about a patient’s mental status and preventive screening needs. such as breast , colon and cervical cancer
What is the Patient Goals tab?
2 GFRs within 3 months apart:
Stage 2: GFR 60-89
Stage 3a: GFR 45-59
Stage 3b: GFR 30-44
Stage 4: GFR 15-29
Stage 5: GFR < 15
What labs are required to document DM with CKD?
On the Columbia Suicide Severity Rating Scale, the score is 3.
What is moderate risk of suicide?
You would use this tool to identify other providers licensed in your state or to find states with fewer than three providers available.
What is the VHA call dashboard?
You use this code when a patient is taking PrEP?
What is Z79.899: Other long term current drug therapy?
You would visit this section of the Confluence page to find documentation guidelines for specific diagnoses
What are the Clinical Guidelines?
This term describes the likely diagnosis in a 70-year-old diabetic patient experiencing numbness and tingling of hand and feet, who is being treated with gabapentin
What is diabetic polyneuropathy? E11.4
After a patient receives a high score on the Columbia Suicide Severity Rating Scale, these are the key steps you must follow when connecting them with an Optum Care Advocate, including following automated prompts as the patient, saying "yes" if asked about being in danger, and ensuring the patient is not left alone during the transfer process.
What are the procedures for handling a high-risk Columbia Suicide Severity Rating Scale score and connecting the patient with an Optum Care Advocate?
These are all expectations including attending AH meetings (live or via eLearning), using the VHA Scheduling Channel Workflow correctly, completing CertifyOS tasks promptly, and finishing Oscar eLearning courses before their deadlines.
What are the required responsibilities of all VHA providers?
You use this code when a patient is taking an immunosuppressant
D84.821: Immunodeficiency Due to Drugs
A consult that allows for the documentation of phone encounters without generating an insurance claim, thus preserving the member’s option for a future VHA visit.
What is Care Team Generated Consults (CTGCs)?
A patient with diabetes has documentation of peripheral atherosclerosis and peripheral arterial. Denies open wound infection
What is Diabetic peripheral angiopathy, then specify if it is with or without gangrene. E11.51
According to the Crisis Aids Tab on Confluence, these are the steps you must follow to document a phone consultation using the VHA Care Team Generated Consults (CTGC) Job Aid, including canceling the current VHA visit, copying documentation, and selecting "indeterminate" for care gaps
What are the procedures for creating and documenting a CTGC phone encounter after a crisis call?
A patient confirms that are currently in a state that you are not licensed in. What do you do next?
Inform the patient that a Provider who is licensed in their current state will reach back out to them within the hour or their appt will be rescheduled. Always apologize for the inconvenience and document in HPI.
Send a Slack message in "VHA Collab" channel to ask for a Provider licensed in that state to take consult. Include Patient ID number & State.
You use this code when a patient is taking Aspirin for preventative care.
Z79.899 (Other long term (current) drug therapy)