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Glossary

MOF Glossary


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P

Practice

A place where the services are performed. Sometimes it is same as the name of the Doctor e.g. Dr Mark Spencer Clinic, Pain Management Center of Georgia etc.

Practice Management

Practice Management in healthcare refers to the administrative and business side of running a medical practice—everything that happens behind the scenes to keep a clinic, physician office, or healthcare facility organized, efficient, and financially healthy.

While doctors focus on patient care, practice management focuses on operations, compliance, staffing, scheduling, billing, and overall business performance.



Preferred Provider Organization

Patients have freedom to choose their provider at the cost of higher copays or deductibles.

Provider

Doctor who provides treatment to the patient and charge to their insurance company for payment.

PT

Abbreviation for patient


Push notification

An automated message sent to the user by an app that the user is not actively using (that is, the app is working in the background). These are messages displayed outside the app that remind (or ‘push’) the user to re-engage with the app.


Q

Quality Check

Quality check is done to prepare for a patient engagement call (RPM, CCM or RTM).
It pertains to gathering information on the patients profile to have a better understanding on who you're talking to and what their past with our service may have been.

  1.  Start by checking the device status to see if they have been using their device (whether or not it's been shipped etc). If there are responses, check how frequent the patient is using their device. 
  2. Check patient's last engagement and the last time the patient was called (this can be found on the notes section). 
  3. Ensure that the diagnosis codes are on the patients profile, if the patient does not have a diagnosis code on their profile forward the patient to your star manager, registration team, or billing team to get missing dx codes.
  4. Check the make sure that the patient has qualifying insurance listed on their profile. Eligible insurance can be found here. If the patient is missing the insurance, send a message to the billing team or your star manager requesting the information to be updated. [Located in Care Managers - RPM - Engagement Calling]


R

Rcopia

 the electronic system that AHCSPC uses to send prescriptions to the pharmacies.


Red Carpet Registration

Red Carpet Registration is essentially the rapid enrollment of patients. Typically, this involves someone from our enrollment team to go to the physician’s office to offer in-person training to the staff and physician. Not only that, but they will begin to enroll patients as they come into the physician practices. 


Registration

When patients are registered into the MOF system from their clinic's EHR.



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