Knowledge Based Assessment | QA Huddle - SP OP

You send an email to the patient. What will you notate in your visit notes?

• Email template only

• Notate "send an email to patient"

• Email address and email template

• Email address only

What is the progression of outcome for Pending PT Info/Docs?

• 3-3-1

• 5-3-1

• 3-5-1

• 2-2-1

What is the correct progression for Pending MD Docs?

• 2-2-1

• 3-3-3-1

• 3-3-5-5-1

• 3-3-5-1

For Edit: ORD-1007: HCPC A4221/A4224 DAY SUPP GT 108. After leaving a voice mail and sending an email to patient, what are the next steps you need to do with the order?

• Send the order to TL for override.

• Cancel the order.

• Task the order to next business day.

• Reduce the quantity of the order and

  update MSC.

Outcome used when making changes with the dates in the order.

• Comp - Elig Future Date

• Comp - Req Future Date

• Comp - Ready to Ship

• PT Request - 1

When do we consider patient's AOB as invalid?

• When address mismatch

• Missing MRN

• Insurance mismatch, discrepancy for

  names and DOB

• When the document is signed

  electronically

Call got disconnected while speaking to the patient. You call the member back and you heard her voice. Will you verify HIPAA again with the patient?

• Just verify patient's name and proceed

  with the call.

• Continue where you left off

• Yes

• No

Outcome used when there is no change on the patient's request ship date.

• PT Request - 1

• Comp - Elig Future Date

• Comp - Req Future Date

• Comp - Ready to Ship

When you offered additional assistance to your PT, she asked if you can tell her deductible. What will you do?

• Redirect to PFS as we do not have that information. Give the phone number and

  warm transfer.

• Provide Patient Liability Estimate available in GE.

• Tell the patient that we don't have the information and hung up.

• Redirect to Insurance and give the insurance contact number.

Do we leave a detailed message for Non-HIPAA phone number?

• Yes

• No

• Do not call the patient

• Just send an email