Provider Scheduling Reference Manual
|
|
- Beverly Cornelius Webster
- 8 years ago
- Views:
Transcription
1 Provider Scheduling Reference Manual Saint Michael s Hospital Outpatient Scheduling Department Main Line: (715) Scheduling Hours: Monday through Friday 8am -5pm Scheduling Coordinators: Judy McDermott Joyce Waite Greta Ladenthin Jacqui Nowak Scheduling Supervisor Jennifer Sniatynski Phone: Scheduling Manager: Karen Ott Phone: For Same Day Testing: Respiratory Care: Imaging Services: o CT: o Echocardiography: o MRI: o Nuclear Medicine: o Radiology: o Ultrasound: o Vascular Lab:
2 IMAGING SERVICES: Special Procedures o Spinal Injections o Kyphoplasty Cat Scans (CT) Echo Magnetic Resonance Imaging (MRIs/MRAs) Nuclear Medicine Scans (NM) Radiology Procedures Ultrasound (US) Vascular Lab Studies (VL) General X-Ray Cardiac Stress Testing RESPIRATORY CARE SERVICES Pulmonary Function Studies Cardiac Monitors Respiratory Treatments EKG s TESTS NOT SCHEDULED IN OUTPATIENT SCHEDULING Cardiopulmonary Rehab (715) EEG/EMG (715) GI Services (715) IV Therapy (715) Laboratory Services (715) Ambulatory Surgery (715) Mammograms - Screening (715) Diagnostic (715) Oncology Services (715) Rehab Services (715) Diabetic Education & Nutrition Counseling (715)
3 GENERAL INFORMATION NEEDED TO SCHEDULE APPOINTMENT **Note: Have patients chart available to answer questions needed to schedule appointment Needed for all appointment types: Patient s Name Patient s Date of Birth Patient s Phone Number Test to be scheduled Diagnosis or reason for visit Ordering provider Patients height & weight Previous films pertaining to diagnosis List of patient medications and allergies Needed for many appointment types: Medical guarantee of non pregnancy Laboratory results Orders must be entered in CMR, sent or faxed to: Radiology Fax: (715) Respiratory Care Fax: (715) Laboratory Fax: (715) *Note: Additional questions may need to be asked depending on information given during scheduling procedures to ensure the patient s safety. 3
4 Sedation Policy Pediatric Oral Sedation: Patient must be over 3 months of age to receive oral sedation. Patient must be NPO 6hrs prior to the procedure. A current H&P is needed (to be done within 30days of procedure). Patient will be monitored by the Radiology RN starting immediately after oral sedation has been given, during the procedure and a minimum of 30 minutes after procedure. Complete two vital sign checks prior to discharge as per SDC protocol. Sedation will be administered by the Radiology RN as per written order by the ordering physician. Adult patients receiving oral anti-anxiety medication as a one time dose prior to ordered radiology procedure will be assessed as needed by the Radiology RN. IV Sedation: Patient must be 17 years of age or older for IV Sedation All patients must be NPO 6hrs prior to procedure. A current H&P is needed (to be done within 30days of procedure). Patients will be monitored by the Radiology RN immediately following start of IV Sedation, during the procedure and a minimum of 30 minutes and will complete two vital sign checks prior to discharge as per SDC protocol. Sedation will be administered by the Radiology RN as per written order by the attending physician. Note: Patients current H&P needs to be sent to the radiology department at least 3days prior to procedure. If H&P is not received by the day of the procedure, the procedure will not be performed. Anticoagulants Policy If patient is on anticoagulants, the following medication protocol applies: o Lovenox: patient must be off for 2 days o Coumadin/Warfarin: patient must be off for 5 days o Plavix/Aggrenox: patient must be off 7 days o Ticlid: patient must off for 14 days o Any aspirin: patient must be off 48 hours o Heparin IV: patient must be off 4-6 days o Heparin Sub Q: patient must be off for 1 day Iodine Allergy Policy If patient allergic to iodine o Patient will need to be pre-medicated according to the following protocol: 32mg Methylprednisolone 2 Doses: 12 hours prior to CT and again 2 hours prior to CT 50mg Benadryl 1 hour prior CT 4
5 Special Procedure / Interventional Radiology Tests: Angiogram, Fistulogram, Kyphoplaty Same day appointment call: (715) Future appointment call: (715) Information Needed To Schedule an Appointment General Information: Name, DOB, Phone Number. Diagnosis. Patients Weight? (Limit 400 lbs) Is patient on any anticoagulation therapy? Any allergies? Medical guarantee of non pregnancy Other Information Needed By Test Type: For Angiogram and Kyphoplasty need H&P within last 30 days For Kyphoplasty: Outpatient Scheduling will schedule a consult with the radiologist For Kyphoplasty: prior films are needed For Fistulogram: Needs radiologist approval prior to scheduling. OPS will obtain pertinent information and send to radiologist, once the sheet is returned from the radiologist, OPS will contact physician s office to schedule appointment, the physician s office will in turn contact the patient with the date, time and prep any for the procedure. *Note: Any procedures that require the patient to go to 5W will need an H&P done within 30 days of the procedure. 5
6 Injections Same day appointments call: (715) Scheduled appointments call: (715) Tests: Lumbar epidural Lumbar transforamenal/nerve Block Lumbar facet injection Caudal epidural Cervical epidural Cervical transforamenal/nerve Block Cervical facet injection S1 sacral nerve root block Si joint injection Pars injection Trigger Point Injection Joint Injections (Hip, knee, shoulder, elbow, etc) Iliopsoas Bursa Injection Tendon Sheath Injection Information Needed To Schedule an Injection Appointment Patient s Weight? Is patient on any anticoagulation therapy? Allergies? If iodine allergy, patient must be pre-medicated per protocol Guarantee of non pregnancy Specific level or area? Previous films relating to current diagnosis? Films must be sent to radiology department prior to date of test if not on PAC system If patient is on anticoagulants: refer to anticoagulant policy on pg: 4 Additional Information Needed For Epidural and Transforamenal Injections: Injections may be given in a series of three injections: Is this the patient s 1 st, 2 nd, or 3 rd injection? o **Injections to be a minimum of 3 weeks apart. If requesting sooner than 3 weeks, Radiologist needs to approve prior to scheduling appointment** 6
7 CT Appointments Same day appointments call: (715) Future appointments call: (715) Note: CT scanner Weight Limit= 450 pounds INFORMATION NEEDED TO SCHEDULE AN APPOINTMENT Name, DOB, Phone Number. Diagnosis. Patient s weight. Medical guarantee of non pregnancy Is test to be done with or without IV contrast? Are there previous films related to this diagnosis? Other Information Needed By Test Type: Studies with IV Contrast: Creatinine in last 6 months? o If not done, this is needed only in the following situations: Patient has diabetes Patient has hypertension or is on anti-hypertensive medications Patient has history of Renal or Cardiac disease Patient has had chemotherapy Is patient allergic to iodine? o If yes, please refer to iodine allergy policy on pg 4 Does patient have diabetes? If yes, what medications is patient on? Certain medications will need to be held after the CT scan and must be approved by the physician managing the patient s diabetes. Studies with Oral Contrast: How would patient like to obtain the Barium if required for CT? Patient has a choice of picking up the barium at SMH prior to the day of the scan and drinking it at home, or arriving 2 hours prior to the CT and drinking at the hospital. Patient will need to be NPO for 8 hours prior to the CT-they may have clear liquids up to 2 hours prior, when they start drinking the barium Biopsies: What area? Current H&P needed-to be faxed or sent to radiology 3days prior to procedure. Is patient on anticoagulation therapy? If yes, refer to anticoagulation policy on pg. 4 Depending on area, may need radiologist approval prior to scheduling. OPS will obtain pertinent information and send to the radiologist. Once sheet is returned from the radiologist, OPS will contact the physician s office to schedule appointment. The physician s office will in turn contact the patient with the date, time and prep if any for the procedure. 7
8 Cardiac Testing Echocardiography Appointments Tests: Echo/Cardiac Ultrasound, Echo with Contrast or Bubble Study Same day appointment call: (715) Future appointment call: (715) Information Needed To Schedule an Appointment Name, DOB, Phone Number Patients height and weight Diagnosis Other Information Needed By Test Type: Echocardiogram (Echo) and Echocardiogram with Contrast or Bubble Study Patients 16 yrs and under will need to be scheduled in Marshfield where there is a pediatric cardiologist available. Stress Testing Regular Treadmill Stress Test w/ EKG Tracing No imaging done Stress with EKG tracing Patient is on the treadmill Beta blockers are held for 24h prior to stress Echo Stress Test Stress with Echo imaging Patient is on the treadmill Beta blockers are held for 24h prior to stress Echo Dobutamine Stress Test Patient is not on a treadmill Patient is given Dobutamine to mimic exercise Beta blockers are held for 24h prior to stress A physician is present for the procedure Nuclear Medicine Stress Test Stress with Nuclear Medicine imaging Appt consists of 2 appointments, a rest study and a stress study o Appt: Cardiolite Sestimibi Stresss Patient is on the treadmill for the stress portion of the test Beta blockers are held 24h prior to the stress study o Appt: Cardiolite Lexiscan Stress Patient is not on the treadmill Patient is given Lexiscan (Regadenoson) to mimic exercise 8
9 Magnetic Resonance Imaging (MRI) Same day appointment call: (715) Future appointment call: (715) Note: Safety questionnaire must be completed prior to scheduling appointment. Note: MRI s are not FDA approved for the first trimester of pregnancy. Information Needed To Schedule Appointment Name, DOB, Phone Number. Diagnosis. Patient s height and weight o Weight limit 350 lbs Is MRI ordered with contrast? If yes, a serum creatinine level is needed. Are there any films relating to the diagnosis? Pacemaker/implanted pumps/defibrillators. o If patient has this-the MRI cannot be performed. If a patient has any implanted devices: will need to know the type and date of placement (must be at least 8 weeks post placement.) Cardiac valves & stents : need make & model # of valve/stent to check if it is MRI compatible. Pt also must be at least 8wks post op, unless approved by Radiologist. 9
10 Nuclear Medicine Appointments Same day appointment call: (715) Future appointment call: (715) Information needed to schedule an appointment Name, DOB, Phone Number. Diagnosis Patient s height and weight. o Scanner weight limits are 350 pounds and 400 pounds Medical guarantee of non pregnancy Any previous films relating to the diagnosis? Note: Patients can have only one Nuclear Medicine exam per day due to the contrast that they receive for the test. Other Information Needed By Test Type: Bone Scan: What area? Bone scans require 2 appointment times 1 for the Injection & 1 for the Scan, usually 2 hours after injection. Hepato-Biliary or HIDA Scan: Is Provider ordering with or without CCK? Gallium Scan: This is a multiple day test it requires 5 different appointment times over the course of 4 days. Gastric Emptying Scan: Must wait a minimum of 1 week after barium contrast exams. Patient will need to be NPO for 8 hours prior. Lung Scan: These usually need to be done the same day that the provider is ordering it; please verify with ordering provider if the scan is needed same day. Meckel s Scan: Patient will need to be NPO 4 hours prior. 10
11 Renal Scans: Is provider ordering the scan with or without Lasix? o If without Lasix, patient will need to be off of Hypertensive meds for 1 week, and off of Ace Inhibitors and Diuretics for 24 hrs prior. Patient must drink 20 oz water 1 hour prior to test. Renal Lasix Scan: Patient must be off Ace Inhibitors for 3 days prior and off of Diuretics from the night before. Renal DMSA and Renal Captopril Scans: May require 2 appointment times. Patient must drink 20 oz water 1 hours prior to test Scheduler will instruct on medication For Lymphoscintigraphy Injection and Lymphoscintigraphy With Imaging Where was Mammography/US done? Is Needle placement needed? If yes, under US or Mammography? What time is the surgery scheduled for? (schedule 2.5 hours prior to surgery) For Lymphoscintigraphy Melanoma: Is surgery scheduled & if yes, what time? Thyroid & Uptake Scan Is patient on any thyroid medications, vitamin complexes or antihistamines? **If yes, patient will need to be off these medications for 10 days prior to scan. Is patient on Amiodarone? (**If yes, patient will need to be off the medication for 6 months prior to scan.) Has patient had IV contrast within the last 6 weeks? (**If yes, the scan needs to be scheduled at least 6 weeks from IV contrast procedure.) Requires 2 appointment times-oral medication and scan the same day, 5hrs apart. Thyroid Uptake 24HR Basic Nuclear Medicine questions Is patient on any thyroid medications, vitamin complexes or antihistamines? **If yes, patient will need to be off these medications for 10 days prior to scan. Is patient on Amiodarone? (**If yes, patient will need to be off the medication for 6 months prior to scan.) Has patient had IV contrast within the last 6 weeks? (**If yes, the scan needs to be scheduled at least 6 weeks from IV contrast procedure.) Requires 2 appointment times-oral medication and uptake 24 hrs apart. 11
12 PET SCAN Same day appointment call: (715) Future appointment call: (715) Information Needed To Schedule Appointment Name, DOB, Phone Number. Patient questionnaire filled out prior to scheduling appointment. PET/CT request form filled out prior to scheduling appointment. Diagnosis. Patient s Height and Weight: table limit of 450 pounds Medical guarantee of non pregnancy. Is patient a Diabetic? Area to be scanned? Does patient have previous CT or MRI films relating to this diagnosis? 12
13 Radiology Appointments Same day appointment call: (715) Future appointment call: (715) INFORMATION NEEDED TO SCHEDULE APPOINTMENT Name, DOB, Phone Number. Height and weight. Diagnosis. Ordering physician. Previous imaging relating to current diagnosis from outside facilities? Medical guarantee of non pregnancy Is patient allergic to Iodine? Is patient on any anticoagulation therapy? Other Information Needed By Test Type: Biopsy Current H&P needed (to be done within 30 days of procedure). Is patient on Insulin, Oral Hypoglycemic meds or Anti-coagulants H&H,HCG Qual, Platelets, PT/PTT within 3 weeks of procedure. If patient on anticoagulants PT/PTT will be drawn day of procedure. Needs radiologist approval prior to scheduling. OPS will obtain pertinent information and send to radiologist. Once the sheet is returned from the radiologist, ops will contract physician s office to schedule appointment. The physician s office will in turn contact the patient with the date, time and prep if any for the procedure. Cystogram Is urinary catheter in place or is catheter placement needed? HSG (Histosalpingogram) Which OB provider will be performing the procedure? IVP (Intravenous Pyelogram) Need creatinine within 6 months, if patient has diabetes, renal or cardiac disease, hypertension, or on antihypertensive meds, or on chemotherapy. If creatinine is > 1.7 must be repeated within one week of exam. Lumbar Puncture Current H&P needed (to be done within 30 days of procedure). If testing needs to be done on the fluid-the order needs to be sent to the lab. Myelograms (Cervical & Lumbar) Current H&P needed (to be done within 30 days of procedure). H&H,HCG Qual, Platelets, PT/PTT within 3 weeks of procedure. If patient on anticoagulants PT/PTT will be drawn day of procedure. Creatinine within 6 month. 13
14 Respiratory Care Department Tests: Arterial Blood Gasses, Pulmonary Function Testing, BronchoChallenge Testing, Pulse Oximetry/O2 Saturation, Spirometry Plus Same day appointment call: (715) Future appointment call: (715) Information Needed To Schedule Appointment Name, DOB, Phone Number. Height and Weight HGB within the 30 days prior to test Is patient a smoker? Diagnosis? Note: Refer to guidelines for medications that need to be held. Arterial blood gases (ABG s) Is patient on home O2? Other Information Needed By Test Type: Pulmonary function test w/methocholine HGB done within the last year. Pulse Oximetry/O2 Saturation To be done on room air or on O2? 14
15 Ultrasound Appointments Same day appointment call: (715) Future appointment call: (715) Note: Breast and OB ultrasounds are performed at MMG. Call Information Needed To Schedule an Appointment Name, DOB, Phone Number. Previous films? Diagnosis? Amniocentesis Number of week s gestation? Biopsies and Aspirations What area? Current H&P needed-to be faxed or sent to radiology 3days prior to procedure. Is patient on anticoagulation therapy? If yes, refer to anticoagulation policy on pg. 4 Depending on area, may need radiologist approval prior to scheduling. OPS will obtain pertinent information and send to the radiologist. Once sheet is returned from the radiologist, OPS will contact the physician s office to schedule appointment. The physician s office will in turn contact the patient with the date, time and prep if any for the procedure. Tenotomy Is patient on Anti-coagulants? (If yes, follow Anti-coagulant guidelines) Ultrasound of Extremities: Is provider ordering for soft tissue or to rule out a DVT? 15
16 Vascular Lab Same day appointment calls: ( ) Future appointment calls: ( ) Information Needed To Schedule Appointments Name, DOB, Phone Number. What area/extremity? Diagnosis Other Information Needed By Test Type: For Renal Artery Study o Patient must be NPO after midnight Vein Mapping Study o Which extremity and which veins are to be mapped? 16
RADIOLOGY HOUSE STAFF MANUAL
RADIOLOGY HOUSE STAFF MANUAL The Department of Radiology offers a wide range of services/procedures and operates 12 divisions/sections, which are listed separately below. The procedures offered are listed
More informationPatient Prep Information
Stereotactic Breast Biopsy Patient Prep Information Imaging Services Cannon Memorial Hospital Watauga Medical Center Table Weight Limits for each facility Cannon Memorial Hospital Watauga Medical Center
More informationFirst floor, Main Hospital North Services provided 24/7 365 days per year
First floor, Main Hospital North Services provided 24/7 365 days per year General Radiology (X-ray) Fluoroscopy Ultrasound (Sonography) Nuclear Medicine P.E.T. imaging Computed Tomography (CT scan) Magnetic
More informationUltrasound or Computed Tomography. PATIENT GUIDE and PREPARATION. Liver Biopsy
Ultrasound or Computed Tomography PATIENT GUIDE and PREPARATION Liver Biopsy What is a Liver Biopsy? A Liver Biopsy is a procedure that involves taking a specimen ( a small amount of tissue) from within
More informationWVP Health Authority - MPCHP Referral/Preauthorization Grid
Referral Preauthorization Contacts Members A thru Em: 503-581-7010 Option 2 Option 1 Members En thru Led 503-581-7010 Option 2 Option 2 Members Lee thru Roa: 503-581-7010 Option 2 Option 3 Members Rob
More informationPositron Emission Tomography - For Patients
Positron Emission Tomography - For Patients A physician s written order is required for any PET-CT tests. How should I prepare for my PET-CT? PET-CT is more complicated than most other tests you may be
More informationBenefit Summary - A, G, C, E, Y, J and M
Benefit Summary - A, G, C, E, Y, J and M Benefit Year: Calendar Year Payment for Services Deductible Individual $600 $1,200 Family (Embedded*) $1,200 $2,400 Coinsurance (the percentage amount the Covered
More informationVACAVILLE MEDICAL CENTER. Staff Navigator
VACAVILLE MEDICAL CENTER Staff Navigator VACAVILLE MEDICAL CENTER Hospital VACAVILLE MEDICAL CENTER - Hospital Department Floor Bldg Pg Administration - HIMS 4 H 9 Admitting 1 H 6 Bed Repair B H 5 Cafeteria
More informationWhat is Radiology and Radiologic Technology?
What is Radiology and Radiologic Technology? Note: Prospective CSI Radiologic Technology students are encouraged to print this document out and study it thoroughly before applying for admission to the
More informationInferior Vena Cava filter and removal
Inferior Vena Cava filter and removal What is Inferior Vena Cava Filter Placement and Removal? An inferior vena cava filter placement procedure involves an interventional radiologist (a specialist doctor)
More informationThe degree of liver inflammation or damage (grade) Presence and extent of fatty liver or other metabolic liver diseases
ilearning about your health Liver Biopsy www.cpmc.org/learning What is a Liver Biopsy? A liver biopsy is a procedure where a specially trained doctor (typically a hepatologist, radiologist, or gastroenterologist)
More informationUltrasound. PATIENT GUIDE and PREPARATION. Thoracentesis
Ultrasound PATIENT GUIDE and PREPARATION Thoracentesis What is a Thoracentesis? A Thoracentesis is a procedure that involves using a needle to drain fluid from either within the lungs or the surrounding
More informationRadiologist Assistant Role Delineation
Radiologist Assistant Role Delineation January 2005 Background The American Registry of Radiologic Technologists (ARRT) is developing a certification program for a new level of imaging technologist called
More informationNorth Division Telephone Directory
MONTEFIORE MEDICAL CENTER NORTH DIVISION 600 E. 233 RD STREET BRONX, NEW YORK 10466 North Division Telephone Directory (When calling internally, use all five digits of the extension. When calling from
More information2009 Cost Center Setup Cross Reference Exhibit 3, 4, 11, 19, 20, 30, 31A, and 46. Exh 4, S-3. 30 & 31A Line
Setup Cross Reference General Service Assignments (95) (38) Standard 001-026, 029-030, 033, 040-047, 095 (57)Variable 027-028, 031-032, 034-039, 048-094 (Program Capabilities 200) 1 0100 Old Capital Related
More informationUreteral Stenting and Nephrostomy
Scan for mobile link. Ureteral Stenting and Nephrostomy Ureteral stenting and nephrostomy help restore urine flow through blocked ureters and return the kidney to normal function. Ureters are long, narrow
More informationSacred Heart Hospital Pensacola
- Cardiovascular Lab (CVL) / Electrophysiology (EP) - Regular Hours: Monday Friday 7:00 am 5:30 pm See (*1) Below Scheduling/Orders: See (*2) Below Test Results/Films: Cardiovascular Lab 416-4864 Julia
More informationHeart Center Packages
Heart Center Packages For more information and appointments, Please contact The Heart Center of Excellence at the American Hospital Dubai Tel: +971-4-377-6571 Email: heartcenter@ahdubai.com www.ahdubai.com
More informationCONSENT FOR MRI SCAN WITH INTRAVENOUS CONTRAST
CONSENT FOR MRI SCAN WITH INTRAVENOUS CONTRAST Your Doctor has asked that an MRI scan be performed using intravenous contrast. This contrast may give the radiologist additional information that may not
More informationSpinal Injections. North American Spine Society Public Education Series
Spinal Injections North American Spine Society Public Education Series What Is a Spinal Injection? Your doctor has suggested that you have a spinal injection to help reduce pain and improve function. This
More informationDelineation Of Privileges Diagnostic Radiology Privileges
DIAGNOSTIC RADIOLOGY - CORE PRIVILEGES Criteria: a) Board certification or qualified for certification by the American Board of Radiology; OR, b) Successful completion of an ACGME or AOA approved Radiology
More informationHow To Be A Successful Doctor
GE Healthcare TiP-Ed SM Online Courses Guide of Online Courses Grouped by Learning Level & Clinical Function table of contents Page 1 Computed Tomography 2 CT Low Dose Webinars 3 Interventional 3 Leadership
More informationGrupo CHRISTUS MUGUERZA
Grupo CHRISTUS MUGUERZA Information about: Laparoscopic Adjustable Gastric Banding (Lap Band Surgery) For International Patients Grupo CHRISTUS MUGUERZA / Pág. 1 INDEX About Lap Band Surgery.... 3 Characteristics..
More informationInpatient Anticoagulation Safety. To provide safe and effective anticoagulation therapy through a collaborative approach.
Inpatient Anticoagulation Safety Purpose: Policy: To provide safe and effective anticoagulation therapy through a collaborative approach. Upon the written order of a physician, Heparin, Low Molecular Weight
More informationU.S. Bureau of Labor Statistics. Radiology Tech
From the: U.S. Bureau of Labor Statistics Radiology Tech What They Do Radiologic technologists (RTs) perform diagnostic imaging examinations, such as x rays, on patients. Duties RTs typically do the following:
More informationSummary of Services and Cost Shares
Summary of Services and Cost Shares This summary does not describe benefits. For the description of a benefit, including any limitations or exclusions, please refer to the identical heading in the Benefits
More informationTHE CLEVELAND CLINIC. personal. Health. Management. Program
THE CLEVELAND CLINIC personal Health Management Program Our Personal Health Management Program offers a comprehensive examination in a package tailored to meet your unique medical needs. Expert Care The
More informationTHORACIC DIAGNOSTIC ASSESMENT PROGRAM (DAP) PATIENT INFORMATION FOR:
central east regional cancer program in partnership with cancer care ontario THORACIC DIAGNOSTIC ASSESMENT PROGRAM (DAP) PATIENT INFORMATION FOR: Thoracic dap booklet March2012.indd 1 SCHEDULED TESTS YOUR
More informationInferior Vena Cava Filter Placement and Removal
Scan for mobile link. Inferior Vena Cava Filter Placement and Removal What is Inferior Vena Cava Filter Placement and Removal? In an inferior vena cava filter placement procedure, interventional radiologists
More informationHawaii Benchmarks Benefits under the Affordable Care Act (ACA)
Hawaii Benchmarks Benefits under the Affordable Care Act (ACA) 10/2012 Coverage for Newborn and Foster Children Coverage Outside the Provider Network Adult Routine Physical Exams Well-Baby and Well-Child
More informationPhysical Rehabilitation Center Outpatient Therapy Medical History Goals and Consent for Treatment
Goals and Consent for Treatment The Physical Rehabilitation Department is here to provide you with the highest quality of care. We treat every patient fairly and with respect, and make sure to protect
More informationClinical Privileges Profile Diagnostic Radiology. Greene Memorial Hospital
Printed Name Clinical Privileges Profile Diagnostic Radiology Greene Memorial Hospital Privileges are covered by an exclusive contract. Practitioners who are not a party to the contract are not eligible
More informationPATIENT PREPARATION FOR RADIOLOGY EXAMINATIONS
Galway Airport Western Motors Galway Clinic N6 To Galway City Quality Inn Hotel N6 Martin Roundabout To Galway City Coast Road To Claregalway (Sligo) To Oranmore To Dublin The Galway Clinic is located
More informationPreauthorization Requirements * (as of January 1, 2016)
OFFICE VISITS Primary Care Office Visits Primary Care Home Visits Specialist Office Visits No Specialist Home Visits PREVENTIVE CARE Well Child Visits and Immunizations Adult Annual Physical Examinations
More informationSacred Heart Hospital Pensacola
Regular Hours: Sacred Heart Hospital Pensacola - EKG/Echo/Pulmonary/Neurodiagnostics - Monday Friday 8:00 am 4:30 pm Scheduling/Orders: Ph 416-2940 Fax Server: 416-7337 (41-ORDER) Results: See (*1) Ph
More informationHEART & VASCULAR SERVICES. Heart & Vascular Services www.mhsystem.org
HEART & VASCULAR SERVICES Heart & Vascular Services www.mhsystem.org Heart Services Testing Before Your Procedure If you are scheduled for a procedure in the catheterization lab, there will be blood work
More informationCost Sharing Definitions
SU Pro ( and ) Annual Deductible 1 Coinsurance Cost Sharing Definitions $200 per individual with a maximum of $400 for a family 5% of allowable amount for inpatient hospitalization - or - 50% of allowable
More informationCancer Care Delivered Locally by Physicians You Know and Trust
West Florida Physician Office Building Johnson Ave. University Pkwy. Olive Road N. Davis Hwy. For more information on West Florida Cancer Center: 850-494-5404 2130 East Johnson Avenue Pensacola, Florida
More informationHEALTH SAVINGS PPO PLAN (WITH HSA) - COLUMBUS PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2016 AETNA INC.
HEALTH SAVINGS PPO PLAN (WITH HSA) - COLUMBUS PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2016 AETNA INC. CPOS II DEDUCTIBLE, COPAYS/COINSURANCE AND DOLLAR MAXIMUMS and Aligned Deductible
More information53 X-rays and Diagnostic Radiology
Learning Outcomes 53.1 Explain how x-rays are used for diagnostic and therapeutic purposes. 53-2 CHAPTER 53 X-rays and Diagnostic Radiology 53.2 Compare invasive and noninvasive diagnostic procedures.
More informationYTTRIUM 90 MICROSPHERES THERAPY OF LIVER TUMORS
YTTRIUM 90 MICROSPHERES THERAPY OF LIVER TUMORS The information regarding placement of Yttrium 90 microsphres for the management of liver tumors on the next several pages includes questions commonly asked
More informationMore local. More locations.
Updated April 2015 Service Sites Directory More local. More locations. Service Area and Locations RHODE ISLAND Pawtucket Providence Warwick Cardiac Testing Center Middletown Swansea (Cardiopulmonary) Portsmouth
More informationCORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY
CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY www.cpmc.org/learning i learning about your health What to Expect During Your Hospital Stay 1 Our Team: Our cardiac surgery specialty team includes nurses,
More informationHeart Attack: What You Need to Know
A WorkLife4You Guide Heart Attack: What You Need to Know What is a Heart Attack? The heart works 24 hours a day, pumping oxygen and nutrient-rich blood to the body. Blood is supplied to the heart through
More informationPhysician Web Scheduler (pws.mhc.net)
General Tips ALWAYS: Create an eorder. Diagnosis: Narrative text is required. Codes can be used in addition to the narrative, if desired. Modifier: PWS Updated demographics, i.e. new phone, contact person.
More informationSmoking and misuse of certain pain medicines can affect the risk of developing renal cell cancer.
Renal cell cancer Renal cell cancer is a disease in which malignant (cancer) cells form in tubules of the kidney. Renal cell cancer (also called kidney cancer or renal adenocarcinoma) is a disease in which
More informationKaiser Permanente 2015 Sample Fee List 1 Members in any deductible plan can use this list to help estimate their charges.
Kaiser Permanente 2015 Sample Fee List 1 Members in any deductible plan can use this list to help estimate their charges. COLORADO As your partner in health, we want to help you manage your health care
More informationRadiology Business Management Association Technology Task Force. Sample Request for Proposal
Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic
More informationCARDIAC REHABILITATION PROGRAM
CARDIAC REHABILITATION PROGRAM Preparation for the Cardiac Rehabilitation Program After your heart problem is stable, your physician or cardiologist will refer you to the Cardiac Rehabilitation program.
More informationPhysician and other health professional services
O n l i n e A p p e n d i x e s 4 Physician and other health professional services 4-A O n l i n e A p p e n d i x Access to physician and other health professional services 4 a1 Access to physician care
More informationPATIENT REFERRAL FORM. Patient Name: DOS: Diagnosis:
Washington Interventional Spine Associates, P.S. Ray Baker, M.D. Paul Dreyfuss, M.D. Doug Burns, M.D. 12301 NE 10 th PL, Suite 101 Bellevue, WA 98005 (425) 454 1111 Fax (425) 454 7653 www.wisaspine.com
More informationOrthopaedic Stem Cell Treatment
Orthopaedic Stem Cell Treatment Stem Cell Injections Surgically Implanted Stem Cells Learn about the treatment option that is best for you. Emory Healthcare patients can benefit from surgical implantation
More informationBefore your child has a stem cell transplant (SCT)
Before your child has a stem cell transplant (SCT) A guide for families The information contained within this leaflet is the property of Imperial College London Healthcare NHS Trust. Introduction This
More informationRENAL ANGIOMYOLIPOMA EMBOLIZATION
RENAL ANGIOMYOLIPOMA EMBOLIZATION The information about renal angiomyolipomas on the next several pages includes questions commonly asked about the embolization procedure. Please take a few moments to
More informationLOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - SHREVEPORT MEDICAL RECORDS CONTENT/DOCUMENTATION
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - SHREVEPORT MEDICAL RECORDS CONTENT/DOCUMENTATION Hospital Policy Manual Purpose: To define the components of the paper and electronic medical record
More informationA Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)
A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) Introduction Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a phenomenon that more commonly affects older males. It is associated
More informationTiP-Ed SM Online Courses
GE Healthcare TiP-Ed SM Online Courses Guide of Online Courses Grouped by Learning Level & Clinical Function table of contents Page 1 Computed Tomography 2 Interventional 3 Leadership 3 Magnetic Resonance
More informationYttrium-90 Radiotherapy Treatment for liver tumors
Patient Education Yttrium-90 Radiotherapy Treatment for liver tumors This handout explains what Yttrium-90 radiotherapy is and what to expect when you have it done. Why do I need this treatment? Your doctors
More information$250 copay per admit. $250 copay per admit
BENEFIT IN- NETWORK OUT- OF- NETWORK Deductible NONE NONE Out- of- Pocket Maximum $6,350 Single/ $12,700 Family NONE HOSPITAL INPATIENT FACILITY - NON MATERNITY Medical/Surgical Skilled Nursing Facility
More informationCT Virtual Colonoscopy
CT Virtual Colonoscopy Ladywell Building Radiology 2 0161 206 1233 All Rights Reserved 2015. Document for issue as handout. This information booklet tells you about virtual colonoscopy, which is a test
More informationThe Executive Physical Program
The Eecutive Physical Program A healthy investment in you! NYU Langone Medical Center s Eecutive Physical Program NYU Langone Medical Center is pleased to offer Eecutive Physicals for New York s business
More informationCharge Master Comprehensive Audit
The PARA charge master audit process utilizes the PARA Data Editor (PDE) to create a series of focused screens and reports utilized by the PARA HIM Coding Staff to identify and correct charge master errors,
More informationSummary of PNM Resources Health Care Benefits Active Employees 2011
of PNM Resources Health Care Benefits Active Employees 2011 The following charts show deductibles, limits, benefit levels and amounts for the PNM Resources medical, dental and vision programs. For more
More informationImaging Technology. Diagnostic Medical Sonographer, Dosimetrist, Nuclear Medicine Technologist, Radiation Therapist, Radiologic Technologist
Imaging Technology Diagnostic Medical Sonographer, Dosimetrist, Nuclear Medicine Technologist, Radiation Therapist, Radiologic Technologist Diagnostic Medical Sonographer, Dosimetrist Diagnostic Medical
More informationIschemic Stroke Clinical Pathway
Ischemic Stroke Clinical Pathway Legal Treatments Advance Directives Refer to the ED Stroke Algorithm Patient exam: review history, Check VS/Neuro every 2 hour or per M.D. order Strict I & O s Cardiac
More informationMRI (Magnetic Resonance Imaging) Arthrogram
MRI (Magnetic Resonance Imaging) Arthrogram MRI is a safe way for your doctor to take pictures of soft tissues and bones in the body. Using radio waves and a magnet field, the pictures provide information
More informationThank you for choosing the Rubin Institute for your orthopedic care. We are looking forward to seeing you soon!
Dear New Patient, Welcome to the Rubin Institute for Advanced Orthopedics! Our goal is to provide you with caring, compassionate and professional service during your visit with us. If you have any questions,
More information8. Strategies in Patients at Risk for Allergic Reactions to IV Contrast for CT
Updated 7/14/09 UAB Department of Radiology Guidelines for Administering Gadolinium-based and Iodine-based Intravenous Contrast Agents in Patients with Renal Dysfunction or at Risk for Adverse Reactions
More informationUnderstanding Coronary Artery Disease, Cardiac Catheterization, and Treatment Options. A Guide for Patients
Understanding Coronary Artery Disease, Cardiac Catheterization, and Treatment Options A Guide for Patients Coronary Artery Disease If you or a member of your family has been diagnosed with coronary artery
More informationWhat are some common uses of the procedure?
Scan for mobile link. Cardiac Nuclear Medicine Cardiac nuclear medicine imaging evaluates the heart for coronary artery disease and cardiomyopathy. It also may be used to help determine whether the heart
More information76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete 76642 limited
2015 CPT Code Update The ACR, either alone or in conjunction with other specialty societies, worked on a number of code proposals for the 2015 code cycle. This update provides a listing of code changes
More informationRadiopharmaceuticals that can be used for alleviating pain caused by bone metastases:
Methodological letter of Nuclear Medicine Professional College and Radiotherapy and Oncology Professional College on the treatment of bone metastases with open radioactive isotopes Bone metastases of tumours
More informationPHYSICIAN ORDERS TRANSIENT ISCHEMIC ATTACK (TIA) OBSERVATION
SCREENING- ABCD-2 Score The ABCD2 score is a risk assessment tool designed to improve the prediction of short-term stroke risk after a transient ischemic attack (TIA). Higher ABCD2 scores are associated
More informationCT scans and IV contrast (radiographic iodinated contrast) utilization in adults
CT scans and IV contrast (radiographic iodinated contrast) utilization in adults At United Radiology Group, a majority of CT exams are performed either with IV contrast or without while just a few exams
More informationMedication Guidelines for LP/Myelograms Medication Recommendation Comments Plavix, Ticlid, other antiplatelet meds
Critical Laboratory Values for Lumbar Puncture/Myelography Lab Test PLT INR PTT Lab Value >25,000
More information2015 Medicare Advantage Summary of Benefits
2015 Medicare Advantage Summary of Benefits HNE Medicare Premium No Rx and HNE Medicare Basic No Rx January 1, 2015 - December 31, 2015 H8578_2015_034 Accepted HNE MEDICARE ADVANTAGE ENROLLMENT KIT 2015
More informationAn ANALYSIS of Medicare Benefits per the 2016 Medicare and You Handbook & The State of Delaware's Special Medicfill Plan Benefits
An ANALYSIS of Medicare Benefits per the 2016 Medicare and You Handbook & The State of Delaware's Special Medicfill Plan Benefits The chart below presents the list of benefits covered by Medicare, and
More informationEVIDENCE-BASED HEALTHCARE SOLUTIONS. CareCore National. Prepared for. Prepared for. October 23, 2009
EVIDENCE-BASED HEALTHCARE SOLUTIONS CareCore National Radiology CARECORE Program NATIONAL RADIOLOGY Frequently BENEFIT Asked MANAGEMENT Questions PROPOSAL Prepared for Prepared for October 23, 2009 March
More informationComputed Tomography (CT) - Spine
Scan for mobile link. Computed Tomography (CT) - Spine Computed tomography (CT) of the spine is a diagnostic imaging test used to help diagnose or rule out spinal column damage in injured patients. CT
More informationPrior Authorization Requirements for Florida Effective March 1, 2015
for Florida Effective March 1, 215 General Information The following list represents our prior authorization requirements for UnitedHealthcare in Florida. All services rendered by a non-contracted physician,
More informationDemonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology
Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology The chart below lists the measures (and specialty exclusions) that eligible providers must demonstrate
More informationPercutaneous Transluminal Angioplasty (PTA) and Stenting For PVS Patients
Percutaneous Transluminal Angioplasty (PTA) and Stenting For PVS Patients There are two types of blood vessels in the body arteries and veins. Arteries carry blood rich in oxygen from the heart to all
More informationCOVERAGE SCHEDULE. The following symbols are used to identify Maximum Benefit Levels, Limitations, and Exclusions:
Exhibit D-3 HMO 1000 Coverage Schedule ROCKY MOUNTAIN HEALTH PLANS GOOD HEALTH HMO $1000 DEDUCTIBLE / 75 PLAN EVIDENCE OF COVERAGE LARGE GROUP Underwritten by Rocky Mountain Health Maintenance Organization,
More informationTreatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only]
NCCT List of Procedures Treatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only] Bariatric Surgery - Laparoscopic Gastric Bypass DRG - 288 MS DRG - 621 Cardiac Angioplasty
More informationUW MEDICINE PATIENT EDUCATION. Aortic Stenosis. What is heart valve disease? What is aortic stenosis?
UW MEDICINE PATIENT EDUCATION Aortic Stenosis Causes, symptoms, diagnosis, and treatment This handout describes aortic stenosis, a narrowing of the aortic valve in your heart. It also explains how this
More informationStage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene
Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary
More informationOregon CPT Preapproval Grid
* The following grid only identifies items that require preapproval from. Breast Pumps Notes: No preapproval required for 1st month rental; beyond one month rental requires preapproval Genetic Testing
More informationBilling, Coding and Documentation for MSK US Ken Mautner, MD Emory Sports Medicine Center Atlanta, GA
Billing, Coding and Documentation for MSK US Ken Mautner, MD Emory Sports Medicine Center Atlanta, GA Disclaimer The following is my opinion ONLY I am a doctor not an expert in billing and coding Even
More informationA Detailed Data Set From the Year 2011
2012 HEDIS 2012 A Detailed Data Set From the Year 2011 Commercial Product We are pleased to present the AvMed HEDIS 2012 Report, a detailed data set designed to give employers and consumers an objective
More informationCH CONSCIOUS SEDATION
Summary: CH CONSCIOUS SEDATION It is the policy of Carondelet Health that moderate conscious sedation of patients will be undertaken with appropriate evaluation and monitoring. Effective Date: 9/4/04 Revision
More informationUltrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete 76642 limited
Radiology CPT Coding Updates for 2015 Note: This article contains coding information from the 2015 Physician's Current Procedural Terminology (CPT ) Manual. CPT is a registered trademark of the American
More informationSchedule of Benefits HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS MEMBER COST SHARING
Schedule of s HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS ID: MD0000003378_ X Please Note: In this plan, Members have access to network benefits only from the providers in the Harvard Pilgrim-Lahey
More informationUC San Diego Health System Intravenous Contrast Media Guidelines Adult Approved by P&T Committee 6/18/2014
UC San Diego Health System Intravenous Contrast Media Guidelines Adult Approved by P&T Committee 6/18/2014 Policy Statement To establish guidelines for the prevention, diagnosis and treatment of contrast
More informationComputed Tomography (CT) - Body
Scan for mobile link. Computed Tomography (CT) - Body Computed tomography (CT) of the body uses special x-ray equipment to help detect a variety of diseases and conditions. CT scanning is fast, painless,
More informationRx Updates New Guidelines, New Medications What You Need to Know
Rx Updates New Guidelines, New Medications What You Need to Know Maria Pruchnicki, PharmD, BCPS, BCACP, CLS Associate Professor of Clinical Pharmacy OSU College of Pharmacy Background scope and impact
More informationPharmacologic Stress Agents: Protocol and Safety
Pharmacologic Stress Agents: Protocol and Safety Donna Lesniak, RN, CCRC Mallinckrodt Institute of Radiology Washington University School of Medicine Saint Louis, Missouri Disclosure Neither I nor my immediate
More informationCONSULTANTS IN PAIN MEDICINE, INC. TELEPHONE (757) 395-6450 FAX (757) 622-2750 INTERNET www.beachpain.com **MEDICATION GUIDELINES PRIOR TO PROCEDURES
CONSULTANTS IN PAIN MEDICINE, INC. TELEPHONE (757) 395-6450 FAX (757) 622-2750 INTERNET www.beachpain.com MARTIN V.T. TON, MD Please call us at 395-6450 at least 24 hours in advance if you cannot make
More informationAdvance Notification Requirements for New York Effective June 1, 2015
Advance Notification Requirements for New York Effective June 1, 2015 General Information This list represents our prior authorization review requirements for UnitedHealthcare Community Plan of New York.
More informationSECTION 5 1 REFERRAL AND AUTHORIZATION PROCESS
SECTION 5 1 REFERRAL AND AUTHORIZATION PROCESS Primary Care Physician Referral Process 1 Referral from PCP to Participating Specialists 1 Referral from Participating Specialist to Participating Specialists
More informationIleoscopy Bowel Preparation Instructions
112509 Ileoscopy Bowel Preparation Instructions Your procedure is scheduled on at AM / PM Please arrive 30 minutes early for registration. PLEASE READ ALL INSTRUCTIONS ON THE DAY YOU RECEIVE THEM About
More information