PSCCR | CIW WGS ACMP OMPTA

A wild card can be used with the search feature by typing three characters and a/an

• asterisk

• exclamation mark

• semi colon

• dash

To create an authorization within ACMP, what should be clicked first

• Create Authorization

• Quick Links

• Global

• Pega CRM Application

To transfer a case within ACMP, click

• Case summary, Clinical Review, Case Details

• Request Details, Case Details, Close Case

• Case Details, Request Details, Transfer Case

• Open request, Search, Clinical Huddle

Enter the non clinical/clinical documentation in...

• Attachments

• Addendum

• Notification

• Notes

What do you click in order to add more detail or edit to an existing note?

• Add and Save

• Append and Save

• Note and Save

• Notification and Save

In sending a case to PCR, set the Status and Status Reason of the case as Pend ______

• For doctors review

• Denied

• Peer Clinical Review

• Partially met the criteria

To add a medical record number click the...

• Alerts Pin Tab

• Fax Pin Tab

• Notifications Pin Tab

• Notes Pin Tab

To add policy in the procedure code, which icon should I select

• dollar sign

• split icon

• pencil/edit icon

• copy icon

When sending a case to the medical director, which two fields must be filled in the clinical review tab?

• Set Status and Set Status Reason

• Clinical Criteria and Criteria Number

• Type of Review and Reason for Review

• Procedure code and Diagnosis code

To close the ACMP case which icon can be used?

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