GPM Flashcards

1
Q

What is the purpose of access management?

A

The right patient is provided the right healthcare service, at the right time, in the right setting.

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2
Q

HIPAA

A

Health Insurance Portability and Accountability Act

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3
Q

ADSM

A

Active Duty Service Member

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4
Q

ADSMs will not be sent to the network for primary care during when?

A

During duty day unless no other option is available to provide care.

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5
Q

MTF staff will not delete —– appointment slots from the appointing system or remaining schedules.

A

Unbooked and unused

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6
Q

PBO

A

Provider book only

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7
Q

When is a complete DEERS eligibility check not required during a patient interface?

A

Telephone contacts made by/to providers.

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8
Q

DEERS

A

Defense Enrollment Eligibility Reporting System

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9
Q

What appointments will not have their appointment status changed to any other appointment status?

A

Walk-in or sick call

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10
Q

Call trees will not exceed how many options in any given menu? What are the exceptions?

A

5 options not including an option to cancel an appointment, an option to return to option one, or an option to repeat the menu.

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11
Q

MCSC

A

Managed Care Support Contractor

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12
Q

ROFR

A

Right of First Refusal

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13
Q

HAIMS

A

Health Artifact and Image Management Solution

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14
Q

BHOP

A

Behavioral health optimization program

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15
Q

ANAM

A

Automated Neuropsychological Assessment Metrics

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16
Q

What form must be filled out if visit was a result of an injury?

17
Q

SNC

A

Special Needs Coordinator- oversees EFMP program.

18
Q

What is the time that providers need to coordinate their leave, TDY, etc.?

19
Q

Where does it say that providers will have a minimum of 90 centrally bootable appointments?

A

AFI 44-171, 4.2.1

20
Q

MEPRS

A

Medical Expense and Performance Reporting system

21
Q

CHCS

A

Composite Healthcare System

22
Q

CPG

A

Clinical Practice Guidelines

23
Q

PHA

A

Preventive Health Assessment

24
Q

PCM

A

Primary Care Manager

25
RILO
Review In Lieu Of (MEB)
26
HEDIS
Healthcare Effectiveness Data and Information Set
27
HIPPA
Healthcare Insurance Portability and Accountability Act. Of 1996, secure data privacy.
28
If the work week includes only 4 days, what will appoints per provider be prorated to? 3?
72, 54