REGAL MEDICAL GROUP
PROTOCOL
ALL REQUESTS MUST BE SUBMITTED WITHIN A PERIOD OF NO MORE THAN 2 DAYS AFTER YOUR VISIT. THE PATIENT MUST WAIT FOR THE APPROVAL TO ARRIEVE AT HIS OR HER HOME. WAIT PERIOD: 1 TO 2 WEEKS
RADIOLOGY: RX DOES NOT NEED AUTHORIZATION
ABDOMINAL ULTRASOUND: DOES NOT NEED AUTHORIZATION
MAMMOGRAM DIRECT / EKG DIRECT(CT SCAN, MRI, US FROM OTHER AREAS IF YOU NEED AUTHORIZATION).
INLAND EMPIRE HEALTH PLAN
PROTOCOL
ALL REQUESTS MUST BE SUBMITTED WITHIN A PERIOD OF NO MORE THAN 2 DAYS AFTER YOUR VISIT.
RADIOLOGY: EVERYTHING NEEDS AUTHORIZATION
ALTAMED
PROTOCOL
ALL REQUESTS MUST BE SUBMITTED WITHIN A PERIOD OF NO MORE THAN 2 DAYS AFTER YOUR VISIT.
RADIOLOGY: EVERYTHING NEEDS AUTHORIZATION
ALTAMED
PROTOCOL
ALL REQUESTS MUST BE SUBMITTED WITHIN A PERIOD OF NO MORE THAN 2 DAYS AFTER YOUR VISIT.
RADIOLOGY: EVERYTHING NEEDS AUTHORIZATION
PROTOCOL
ALL OF THESE ARE SUBMITTED BY THE MEDICAL ASSISTANT, FROM THE DR WHO LOOKED AT THE PATIENT. YOU CAN FIND THEM IN THE DOCUMENTS IN PRACTICE AREA.
DOCTORS
MOST COMMON CALLS
STATUS OF YOUR AUTHORIZATION
This can be verified either in PRACTICE in the message area (when the authorization is approved, the status is set in messages) or in the LOG DE AUTHORIZATION They are not always approved so in the log you will see the following statuses.
REQUESTED / SUBMITTED / PENDING / CARVEOUT / CANCELL / APPROVED
REDIRECT (REDIRECT TO ANOTHER SUPPLIER)
To redirect if it is a specific doctor what the patient wants, they are asked for their name complete DR, telephone number, address and specialty.
Also you can only lose redirect to any other provider, leaves it toreferral coordinator consideration.
EXTENSION OF AUTHORIZATION
Authorizations have a validity period that varies according to the medical group and specialty.
PETICIÓN DE UN MEDICO ESPECIFICO PER PATIENT REQUEST
FOR SPECIFIC REQUESTS THE PATIENT IS ASKED.
DOCTOR’S FULL NAME /
SPECIALTY / DIAGNOSIS
PHONE NUMBER
ADDRESS
ADD CPT CODE / CHANGE
ADD DIAGNOSIS / CHANGE
CPT CODE : CODIGO DE PROCEDIMIENTO
ICD 10: DIAGNOSTICO
Whether it is a patient or facility call, it is necessaryTake note of the code provided.
Referral Coordinator: Maria Cale
EXTENSIÓN 230
only calls in Spanish
PROCEDURE ELEGIBILITY
TO KNOW IF PEOPLE’S ELIGIBILITIES ARE ACTIVE TO BE ABLE TO FOLLOW THE PROCEDURE OF SCHEDULING AN MEETING.
SCHEDULE AND APPOINTMENT
IN THIS PROCESS YOU WILL FIND HOW TO SCHEDULE APPOINTMENTS IN PRACTICAL SOLUTION AND WHAT ARE STEPS TO CONTINUE WITH CUSTOMER SERVICE
RPM MANUAL
BLOOD PRESSURE PARAMETERS OF A PATIENT
CLICK UP MANUAL
UNDERSTAND THE PROCEDURE WE USE TO WORK WITH THE SOFTWARE AND THE COORDINATION WE USE TO MANAGE PATIENT INFORMATION.