Exam (elaborations)
HAS 107F.
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Exam of 8 pages for the course 126 MTTC English as a Second Language at 126 MTTC English as a Second Language (HAS 107F.)
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HAS 107FReferral - ANS-request to evaluate, treat and assume care for the patient
Access to care standard - ANS-set timeframe a beneficiary will be seen based on the
level of care needed
Routine referrals - ANS-28 days from date the referral was written
Emergent and Urgent Referrals - ANS-provider/clinical team will contact the specialist
directly and arrange an appointment
Two tracks a referral can process - ANS-1. appointment available in MTF
2. appointment NOT available in MTF
Who will order the referral in CHCS/AHLTA? - ANS-provider
Who will verify eligibility and verify the patients contact information? - ANS-RMC Staff
What are the referral instructions the RMC will provide the patient with? - ANS-a.
Direction for booking
b. Number of authorized visits
c. Approved timeframe for treatment
Who will book the beneficiary an appointment within ATC standards? - ANS-Referral
Management Center (RMC)
How many days does the referral reviewer have from the date the referral was received
to make a determination on the referral? - ANS-one business day
What are the two reasons referrals are referred out to the network? - ANS-a. Services
are NOT available within the MTF
b. Services are NOT available within ATC standards.
Who assigns an authorization number if the beneficiary is referred to the network? -
ANS-Managed Care Support Contractor (MCSC)
Who may elect to use the Point of Service option in which they are allowed to pick their
own provider? - ANS-Non-Active Duty Prime enrollees.
, Patient's rights - ANS-- RMC is responsible for ensuring patients are informed of any
patient costs related to care
- Informed of resources available to assist with scheduling apps, authorizations, claims
etc
-Ensure patients are aware of any limits on the scope of care
-Not authorized to carry their original record to referral appt.
Where can appointments be booked and linked to the referral? - ANS-CHCS
Referral Management Center (RMC) - ANS-- tracking ALL referrals
- receiving results from network/specialist within 10 calendar days
- close out referral in CHCS, forward to the referring provider for review and signature
If the referral is missing important information and it not known, where does the RMC
send the referral to? - ANS-Originating Provider
Medical Evacuation Board (MEB) - ANS-effective tool used by the DOD to ensure their
members are fit to fight.
What is the purpose of MEB? - ANS-maintain a fit and vital force
Who is charged with assuring the fitness of the Air Force members and separating or
retiring those who become unfit? - ANS-Secretary of the Air Force
Physical Evaluation Board Liaison Officer (PEBLO) - ANS-- appointed by the MTF
Commander
- mature, experienced NCO,SNCO, officer of civilian
- liaison between the service member and boards of the AF IDES
PEBLO responsibilities include: - ANS-- notify patient of their referral to the IDES
- forwards all documents required
- requests the Commander's Impact letter
- requests copt of SF 502 NARSUM
-ensure line of duty determination is completed
- Ensure MEB package is completed
-Counsels service member on
a. MEB process
b. Pt's rights
c. board dispositions
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