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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

HIPAA

A

Health Insurance Portability and Accountability Act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ADSM

A

Active Duty Service Member

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

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

A

Unbooked and unused

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

PBO

A

Provider book only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

A

Telephone contacts made by/to providers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

DEERS

A

Defense Enrollment Eligibility Reporting System

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

A

Walk-in or sick call

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

MCSC

A

Managed Care Support Contractor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ROFR

A

Right of First Refusal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

HAIMS

A

Health Artifact and Image Management Solution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

BHOP

A

Behavioral health optimization program

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ANAM

A

Automated Neuropsychological Assessment Metrics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

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

A

Form 1488

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.?

A

6 months

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
Q

RILO

A

Review In Lieu Of (MEB)

26
Q

HEDIS

A

Healthcare Effectiveness Data and Information Set

27
Q

HIPPA

A

Healthcare Insurance Portability and Accountability Act. Of 1996, secure data privacy.

28
Q

If the work week includes only 4 days, what will appoints per provider be prorated to? 3?

A

72, 54