Authorizations - Insufficient auth and payors with order driven auth
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Authorizations - Insufficient auth after a TIF - a common cause of this explained
After a TIF, the episode flips from CURRENT status to HOLD. While on hold, auth is "turned off". After the ROC visit is complete, the episode flips back to CURRENT status and auth is "turned back on" Click here for more info.
Payors - HCHB Payor realignment resource
To find out whether you should DC & READMIT at the next visit, or complete a PAYOR REALIGNMENT, click this link to see the Home Health Realignment Resource. It is also attached to this KB.
Payors - Payor Types, Payor Sources, and example ID numbers for each
This was created to help those new to the insurance world with getting an idea of what common insurance ID numbers look like for each payor source. There is a screenshot below and a PDF version here.
Manuals - HCHB Manuals and workflow documents
HCHB Manuals and Workflow documents (These can also be found in the HCHB Customer Experience Portal)
Integumentary Command Center (ICC) and Wound care order guides
Adding and documenting new wounds in the ICC during a SOC, ROC, or Recertification: Adding and documenting new wounds in SOC, ROC, Recert Visits Adding and documenting new wounds in the ICC during a subsequent visit: Adding and documenting new wounds ...