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EMPLOYEE PURCHASES OF OPTICAL GOODS

2/28/2014

 
From: Jerry Orloff
Sent: Friday, February 28, 2014 1:36 PM

Whenever a staff member is seeking to purchase any goods at the Optical – frames, lenses, contacts, sunglasses, devices, etc. – payment must either be made in full or a signed payment arrangement must be made in order for the Optician to order and deliver the goods to the staff member.
 
If the staff member is not planning to make payment in full at the time of the order, no goods are to be ordered or delivered to the staff member until the following has occurred:
 
1.  The staff member must see HR and complete paperwork, whereby the purchaser authorizes that payment be deducted via payroll.
2.  Once this paperwork is completed, HR will scan the form back to you (the Optician) via email.
3.  As soon as you have received this paperwork, you may order and dispense the products requested.
4.  There should be no exceptions.
 
If an Optician desires to make a purchase for themselves, the same rules apply.  In the case of an Optician’s purchase, another Optician must enter the charges and provide all applicable paperwork to HR.
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EMPLOYEES ACCESSING SERVICES AND PRODUCTS

2/28/2014

 
Applies to:  All Employees
 
Employees must sign a document stating that they authorize payroll deduction of any unpaid charges if they do not pay for the services in full at the time services are rendered.  This should be signed BEFORE they receive services or products so that HR can deduct any remaining balances from their final pay if they should leave our employment.  In addition, optical products should be paid in full before the employee receives the item.
 
Scheduling of appointments for employees or their families must be scheduled or approved by HR prior to the appointment being made.
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SCANNING INSURANCE CARDS AT THE BEGINNING OF EACH YEAR AS WELL AS ANNUALLY

2/24/2014

 
From: Front Office Lead
Sent: Monday, February 24, 2014 12:50 PM

Patients frequently receive new insurance cards at the beginning of each year.  Because of this, we should be scanning ALL insurance cards the first time we see patients each calendar year, at the time of check in. 
 
At this time we should be asking patients if they have received a new insurance card or cards recently (in some cases, patients may have multiple insurance cards, and it may not be clear to them which cards are the most current ones).   Whenever you are presented with multiple cards and it is not completely clear as to which is/are the most current, please call the Billing Department at 186 for further assistance in verifying the correct insurance.
 
We should be checking insurance at subsequent visits to ensure that no changes have been made, including new plans, loss of coverage or other circumstances that could impact payment, copays or deductible .
 
Scheduling/telephone staff – be certain that you are asking about insurance and any potential changes.
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POST OPERATIVE PERIODS AND 24 MODIFIERS

2/18/2014

 
Applies to: Doctors, Clinic Supervisors, Surgical Counselors, Front Office Staff

The surgical counselors need to check Allscripts for upcoming appointments at the time surgeries are being scheduled.  It is important to determine if any other physician has a scheduled appointment within the time frame of the post-op period along with the need to move non-critical appointments outside of the post-operative period.

This is important as failure to coordinate the post-operative period with the appointments of non-operating physicians, leaves the second physician in the position of having to use the “24” modifier, or not receiving payment.   While some appointments may be critically time sensitive, for example a 4 – 6 week anti-VEGF treatment could not be pushed out sixty days, other appointments, i.e. a yearly diabetic DFE, may be able to be reasonably moved out thirty days. 

The intention is not to fully eliminate the use of the “24” modifier.  This will not be possible.

The idea is to limit its use to only those circumstances in which it is absolutely necessary.

Front desk staff need to ensure that similar protocols are adhered to regarding lasers and other minor procedures not scheduled by the counselors.

policy_protocol_post_operative_periods_and_24_modifiers_2182014.docx
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ABN PROTOCOL

2/18/2014

 
Please note that the patients name, account number, the option declaring the patient’s intention of having the injection, signature, date, and “copy provided to the patient” area are filled out on every ABN.

Each of these areas except the “Copy Provided to Patient” (at the bottom) are highlighted to help our staff quickly review the areas of the form that must be fully completed, in order for the entire form to be valid.

The only areas to be filled out in advance of providing the form to the patient are the patient’s name and account number.  Filling in any other areas of this ABN is unacceptable and invalidates the form.  (You can point out to the patient that he or she must check the box (OPTION 1) indicating that they desire the service covered by the ABN; you should NOT check the box for the patient).

A key part of your duties at The Eye Institute, when checking patients out, is to carefully look through each patient’s out guide for forms or other documents that may require you to take some action.

If an ABN is present, you must review the form and determine if all of the required areas are completed.


If the patient's identification is not clearly filled out, you must be sure to add information here (name and/or account number) in order that the patient’s identity be clearly established.

When you have verified that all required areas of this form have been appropriately completed, you are to note the portion of the form indicating that the patient has received a copy of it, and provide the patient a copy of this form.

NOTE:  You must look at the OPTIONS box carefully.  If none have been filled out, review this with the patient and politely ask the patient to check OPTION 1.  If the patient refuses to check this box or if any box other than # 1 has been checked, you are to immediately bring this to the attention of an onsite supervisor or manager to address. 

This policy must be strictly adhered to without exception.  
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ALERTS IN MEDFLOW & ALLSCRIPTS

2/10/2014

 
FROM:  Front Office Lead
SENT:   2/19/2014
 
Do not expire any alerts in the system that have been created by Medical Records. Doing so will create a problem for Medical Records.  If you have any further questions please do not hesitate to ask the Medical Records Lead.
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