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Life Cycle of The RF
Telemedicine Coordinator Competencies
| Question | Answer |
|---|---|
| What is a Request For Service (RFS)? | An RFS or Request for Service is a formal specialty services referral, created out of medical necessity, by the P/I's Primary Care Provider (PCP) |
| In what time frame should a Patient/Inmates specialty consultation appointment be scheduled if an Urgent RFS is recieved? | All Urgent Requests for Services are considered "High Priority" and must be seen within 14 calendar days from the PCP initiation date. |
| In what time fram should a Patient/Inmates specialty consultation appointment be scheduled if a Routine RFS is recieved? | All routine Requests for Services must be seen within 14 calendar days from the PCP initiation date. |
| Are Saturday, Sunday, and Holidays considered extra days when considering RFS scheduling time frames? | No. RFS time frames include weekends and holidays. |
| How many and what type of visits are covered under the initial RFS? | 1 routine follow-up appointment after the initial visit. |
| Should another RFS be generated for the follow-up visit? | No. The follow-up request can be made on a physicians order. |
| Is an additional RFS required for appointments which require a series of treatments? | No. appointments which require a series of treatments such as Chemotherapy can be included in one referral. |
| The______writes the RFS. | The Primary Care Physician. |
| What is the process that the RFS undergoes when reviewed by the Utilization Management Nurse? | Interqual |
| An RFS may be denied by the_______. | CME |
| Telemedicine Services can occure________. | In a multitude of clinical settings such as hospitals; prisons; and medical offices |
| Once the RFS is recieved by the Telemedicine Coordinator, it should immediately_________ | Fax the RFS to the "Fax Server" for Scheduling. |
| The TMC should Check ___ _____ within ___ hrs. to ensure that the RFS has been recieved by OTS. | Report Manager; 24 |
| True or False? The Fax Server can differentiate between Urgent and Routine Requests for Services? | False. The Fax Server cannot differentiate between Urgent and Routine Requests for Services. |
| The Office of Telemedicine Services (OTS) Scheduling Department typically schedules Routine appointment______ days out. | OTS Scheduling Department sets appointments up to 90 days in the future for routine appointments. |
| For an Urgent RFS The TMC should alert the ____ _____ in OTS to ensure time line compliance. | The Sche |
| What is a Request For Service (RFS)? | An RFS or Request for Service is a formal specialty services referral, created out of medical necessity, by the P/I's Primary Care Provider (PCP) |
| In what time frame should a Patient/Inmates specialty consultation appointment be scheduled if an Urgent RFS is recieved? | All Urgent Requests for Services are considered "High Priority" and must be seen within 14 calendar days from the PCP initiation date. |
| In what time fram should a Patient/Inmates specialty consultation appointment be scheduled if a Routine RFS is recieved? | All routine Requests for Services must be seen within 14 calendar days from the PCP initiation date. |
| Are Saturday, Sunday, and Holidays considered extra days when considering RFS scheduling time frames? | No. RFS time frames include weekends and holidays. |
| How many and what type of visits are covered under the initial RFS? | 1 routine follow-up appointment after the initial visit. |
| Should another RFS be generated for the follow-up visit? | No. The follow-up request can be made on a physicians order. |
| Is an additional RFS required for appointments which require a series of treatments? | No. appointments which require a series of treatments such as Chemotherapy can be included in one referral. |
| The______writes the RFS. | The Primary Care Physician. |
| What is the process that the RFS undergoes when reviewed by the Utilization Management Nurse? | Interqual |
| An RFS may be denied by the_______. | CME |
| Telemedicine Services can occure________. | In a multitude of clinical settings such as hospitals; prisons; and medical offices |
| Once the RFS is recieved by the Telemedicine Coordinator, it should immediately_________ | Fax the RFS to the "Fax Server" for Scheduling. |
| The TMC should Check ___ _____ within ___ hrs. to ensure that the RFS has been recieved by OTS. | Report Manager; 24 |
| True or False? The Fax Server can differentiate between Urgent and Routine Requests for Services? | False. The Fax Server cannot differentiate between Urgent and Routine Requests for Services. |
| The Office of Telemedicine Services (OTS) Scheduling Department typically schedules Routine appointment______ days out. | OTS Scheduling Department sets appointments up to 90 days in the future for routine appointments. |
| For an Urgent RFS The TMC should alert the ____ _____ in OTS to ensure time line compliance. | The Scheduling Department |
| What things are considered when the Request for Service is scheduled? | Consideration is given to the geographical location; procedure; provider preference; and continuity of care. |