All Entries in the "Training Tools" Category
Training Tool: Medical necessity
Editor’s note: This training tool is provided by Khristine Anderson, training and data integrity specialist at Baptist Health South Florida, which includes seven hospitals in the Miami area. Baptist uses the following script for Medicare compliance and documenting medical necessity, which Medicare defines as services or items reasonable and necessary for the diagnosis or treatment of illness or injury. A provider who bills Medicare for services that Medicare deems not medically necessary can be prosecuted for fraud. This script is only a guide; departmental protocols should be followed for all circumstances not covered.
Training Tool: Scripting for the ABN
It is never too early to look at your scripting policy for the Advanced Beneficiary Notice. CMS is making the revised ABN mandatory by March 1, 2009. The following is a script used by Jennie Jones, supervisor of access management at South Haven (CT) Community Hospital.
Training tool: Scripting tool
Check out this scripting tool used by Houston Medical Center’s patient access team in Warner Robins, GA, for collecting copayments in the ED.
Training tool: Registration assessment test
The following are sample questions from the assessment test new patient access staff members at Boca Raton (FL) Community Hospital take after their four-day training program. The answers to each question are bolded.
Training tool: Q&A on HIPAA
See the answers to important compliance questions for patient access teams regarding HIPAA.
Training tool: Completing the new ABN
The following table, adapted from CMS’ guidelines, outlines the details of filling in each blank on the new Advance Beneficiary Notice (ABN) of Noncoverage form, CMS R-131. The form is used by patient access staff members for Medicare patients.
Medicare secondary payer basics for registration staff
True or false questions to help your patient access staff achieve accuracy.
Training tool: Registration accuracy
The following is a registration accuracy score chart for the patient access team at Dunn Memorial Hospital in Bedford, IN.
Sample Advanced Directives form
Learn how one patient access team uses this crucial form.
Training tool: Sample care management form
Use this sample care management form from Memorial Hospital in York, PA.