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CHAA
pre-arrival
| Term | Definition |
|---|---|
| Availability | It is vitally important to coordinate with the individual departments to assist them in maximizing their department productivity by managing their schedule and staffing resources accordingly. |
| Scheduling | The purpose of scheduling is to ensure there is staff, resources and equipment to meet the patient’s needs. 11 |
| Documentation | 12. |
| Dos | 9 |
| Don’ts | Do not use shorthand or abbreviations Do not record second hand information unless the information is critical. In that case, use quotations. |
| Scheduling System Applications | facility requirements, hours of operation. Patient name Physician name, The service that was scheduled, Diagnosis, Date of service, Time of service, Duration of the appointment and Any special directives or requests |
| Scheduling | cheduling can be completed in a variety of ways – paper, electronic, self-schedule, and/or providerschedule via centralized or de-centralized models. |
| Robust scheduling | have the ability to schedule a given test, the associated staff resource needed to perform the test and the available locations the test is offered |
| Identifying Insurance Information Authorization | means a determination required under a health benefits plan, which, based on the information provided, satisfies the requirements under the member's health benefits plan for medical necessity |
| Medical necessity" or "medically necessary" | means or describes a healthcare service that a healthcare provider, exercising his prudent clinical judgment, would provide to a covered person for the purpose of evaluating, diagnosing or treating an illness, injury, disease or its symptoms. |
| Referral services | are the parts of the process by which patients are referred to a healthcare provider |
| Clinical Information | Certain procedures require clinical documentation “chart notes” in order to obtain authorization- peer-to-peer review before authorization is given |
Created by:
nancytracy09