6 questions
1.What is a referral?
a request that a provider makes for a patient to receive some type of service
a document that tracks patient trends
Extra paper forms for healthcare
A document that anyone creates to justify the visit
2.What are referrals used for? select the correct answers
Tracking patient movement between physicians
Documenting insurance approval for specific types of appointments
Collecting preauthorization numbers for procedures before they are performed
Meaningful use Data
what is the correct order of a referral in Epic
Referral generates order>goes to providers office for scheduling>appointment is scheduled
Order placed>generates referral> Referral goes through Asa>if referral is incomplete goes to incomplete WQ > after completing authorization referral goes to ready to schedule WQ >Appointment is ready to be scheduled
Referral is manually created> goes to the providers office for scheduling> gets approval after being scheduled
Referral generates with the order> provider authorizes specialty visit and procedure> consultation and procedure are scheduled
what are the 3 Referral classes?
Internal Referral /Existing Referral /New Referral
Specialty referral / Consultation Referral /Internal Medicine Referral
Procedure Referral /Test Referral/Specialty Referral
Internal Referral/ Incoming Referral / Outgoing Referral
why is a Referral important ? ( all that apply)
Documents that the insurance company will pay for services (minus co-payment and /or share of cost )
Ensures our organization gets paid for services
Helps provider to advertise his services
Ensures patient does not get a bill
when sending or receiving a referral for a procedure or test ,What is the best practice for our organization ?
Provider Orders the procedure >referral is generated > referral goes through revision > appointment is scheduled
Clerical Staff manually generates a referral > appointment is scheduled> Referral goes through revision