The Credentialing Phase Flashcards
True or False: If a Provider-specific task needs to be added to their checklist, this can be added under Setup > Administrative > Checklists/Task Templates. (Explain)
False, you’d go to the Provider’s record. Click their Checklist then Add Task.
How/where can you view a checklist for a Provider’s previous reappointment?
Provider’s record. Click options, then check off the ‘Show Archived Checklists’.
What are two ways I can see an overview of what ‘Tasks’ are assigned to Me/MD-Staff User?
Left Navigation. Click on MD-Staff.
1. Tasks for (Your Name)
2. Tasks by Users.
When a checklist is completed, what data is updated on the Provider’s appointment page?
Application Processed and Credentialing Complete.
What does the comment icon do a Provider’s checklist items?
It allows MD-Staff users to update due dates, completion dates, and leave comments that can be seen by Reviewers.
If a checklist template is set to a ‘MinCount’ of ‘3’ Peer Reference records, but a newly imported provider only has 2 records. What can we expect to see on their checklist?
It will show the names of the 2 Peer References, but the third will be blank/generic.
In order for the checklist to automatically ‘Complete’ a State License Verification task when a license is verified (without needing review), you must properly setup which two fields in the checklist setup?
TaskID and SubTypeID.
If using Aiva Cycles, which two ways can a Provider’s checklist be viewed/edited?
- Credentialing > Aiva Cycles > Choose a cycle. Then click the Credentialing tab and choose a Provider.
- Aiva Dashboard. Credentialing and choose a Provider.
What is a completion rule? (Explain and provide an example)
What step needs to be completed in order for it to kick over to the next step. Ex. As long as Any Reviewer in the Credentialing Committee completes their review, those in the next step MEC can do their review.
In Virtual Committee, what is a ‘Pause’ step?
Where the MSO can look over everything to make sure it looks good before it’s sent off for review.
How can a reviewer edit a previously submitted outcome?
They can’t. Once an outcome is submitted they cannot change it.
What are the four options for a ‘Quorum’ completion rule?
- Any Reviewer
- Majority of Reviewers
- All Reviewers
- Number of Reviewers
To setup a new email template for Virtual Committee, the ‘Module’ for the message template ‘Module’ should be set to which value?
Virtual Committee.
When using Virtual Committee, what are the 3 possible review types?
- FacilityEvent
- CaseReview
- Provider
Where can a Provider’s previous Virtual Committee review outcome(s) be viewed?
Provider’s record.
Virtual Committee > Outcomes
