Your Health Resources
Model of Care
Behavioral Health Integration
Reporting/Data/Analytics
Miscellaneous
100

Internal portal where you should send any employee who asks for a template and/or workflow to utilize during a process within Your Health.

What is The Hub?

100

These are the coordinated appointments and services designed to ensure a patient’s safe transition from the hospital, rehabilitation facility, or skilled nursing facility (SNF) back to their home.

What is TCM and ROC Scheduling Plan?

100

These diagnosis descriptions listed below serve as examples of what type of diagnosis codes?

  • Obsessive Compulsive Disorder
  • Generalized Anxiety Disorder
  • Bipolar disorder, current episode manic severe with psychotic features 
  • Schizophrenia

What is a F code?

100

A report in PowerBI Core 2.0 utilized to track referrals and conversions as new patients enter Your Health Organization

What is Leads-Conversion Tracker?

100

A complex, multifaceted condition that typically occurs in older adults, but can affect anyone with multiple health problems or a prolonged illness.

Hint: Documenting appropriately and capturing the condition can exclude a patient from certain quality measures within a measurement year.

What is Frailty?

200

Collaborate with this team to create effective job advertisements and promotional materials. They will identify and utilize various recruitment channels to attract top talent. 

What is the talent/acquisition team?


200

This follow-up appointment is scheduled with a nurse practitioner after a doctor has established and captured a diagnosis with the patient during an initial visit.

What is Incident To Visit?

200

These capture factors like education, employment, housing, and socioeconomic status that can affect health.

  • Example: Homelessness.

What is a Z code?

200

In order to view and trend months of data side by side, navigate here in Core 2.0.

Examples: Patients seen, ACP %, Appts Kept, Appts Billed, Etc.

What is Region Performance?

200

The amount of financial resources set aside to provide care based on the patient's clinical complexity.

Double Jeopardy: This formula can assist with determining how often a patient should be seen each month based on clinical complexity.

What is Allotment?


What is RAF x 15 /12 =

300

This individual staff member plays a vital role ensuring the safe and effective use of medication to improve patient outcomes. Collaborates with interdisciplinary care groups to optimize medication therapy and promote medication adherence. 

Who is the Pharmacist?

300

This yearly appointment focuses on assessing a patient's overall health, updating medical history, completing preventative screenings, and creating or updating a personalized preventive care plan.

What is Annual Wellness Visit?

300

When enrolling a patient in a community health integration program, a Z code within this range must be captured. 

What are codes ranged from Z55-Z65?

300

This feature residing in the Staff View Report of PowerBI Core 2.0 allows you to see data for patients such as care management time logged, tele assists performed, nonbillable time, ACP's performed, etc. 

Hint: You can view patients that have no time logged here. 

What is Patient List?

300

The extra time spent by healthcare providers or care teams on Chronic Care Management (CCM) services beyond the standard allotted time that can be billed to the patient or insurance. This may occur when the complexity of a patient’s care requires more attention than anticipated, or additional services are provided to manage a chronic condition.

HINT: When an abundance is found recorded for a patient this could be an educational opportunity to coach care team on ensuring that we are capturing visits versus recording CCM time.

What is CCM Billable Overage?

400

Utilize this platform to ensure staff gets aligned correctly as a care team member in PowerBI Core 2.0. 

What is Staff Repository?

400

This visit marks the beginning of a program designed to help patients with chronic conditions by providing ongoing support and coordination of care. 

Hint: Must be completed before any Chronic Care Management can be logged on a patient. 

What is CCM initiating Visit?

400

A report in PowerBI displaying diagnosis codes and capture dates for F codes and Z codes; would typically serve to track and document the integration of mental health services into primary care or other healthcare settings. This report helps to ensure that behavioral health diagnoses are properly documented, captured, and integrated into patient care. It can be used for clinical purposes, quality measurement, and compliance.

What is BHI report?

400

A report in PowerBI Core 2.0 that displays when the last specialty appt was for a specific diagnosis and when the next specialty appt is scheduled. 

Hint: This report can be resourceful when identifying unspecified diagnosis!

What is Diagnosis Discovery?

400

In Clinii, these terms differentiate between two levels of patient care time, with option representing when a Provider has conducted time with a patient, while the other option represents that a Provider has not been involved with the patient's care during that billing cycle.

What is Simple Vs Complex?

500

To display in Provider View of PowerBI Core 2.0, you must select "Provider Name" and "_______Division" in "View by Selections."


What is Specialty?

500

This thorough medical examination involves a detailed review of a patient's overall health, including physical, mental, and emotional well-being, typically performed annually. 

Hint: Should be scheduled following the Annual Wellness Visit. Must be completed by an in-person provider for all Medicare Advantage plans. 

What is Comprehensive Physical Exam?

500

Provides a structured, evidence-based approach to understanding and addressing mental health issues.

What is Cognitive Behavioral Assessment?

What is CACP?

500

Navigate here in PowerBI Core 2.0 to identify how many specific appointment types have been performed by an individual Provider and/or specific care team within the billing cycle selected. 

Example: Navigate here to find how many "Incident To" visits were performed by Provider during Nov 2024.

What is Revenue-Primary Payer Activity?

500

Simply calling or texting this number will immediately connect a person in crisis to compassionate care and support for any mental health or substance-use related distress.

What is 988?