Attachment 76 Attachment 76 – MPC Pharmacy Contact Guide

Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC)

Attachment 76 – MPC Pharmacy Contact Guide

MPC Contact Guide/Screening Call

OMB: 0935-0118

Document [docx]
Download: docx | pdf































MEDICAL EXPENDITURE PANEL SURVEY (MEPS) - MEDICAL PROVIDER COMPONENT (MPC)



attachment 76



Contact Guide



FOR



PHARMACY





REFERENCE YEAR 2017























[A]Call PROVIDER



A1. Hello, have I reached [PHARMACY]?



PHONE NUMBER: [PHARMACY TELEPHONE NUMBER]





YES........................= 1

NO, BUT CAN RECORD A NEW NUMBER..........................= 2

NO, NEED TO TRACE THE CASE………............................= 3





[IF A1 = 1 GO TO A2,

IF A1 = 2 GO TO CONTACT BLOCK,

IF A1 = 3 GO TO EXIT]







A2. I have [an] authorization form[s] for the release of patient records and would like to speak to the pharmacist.





  • IF RECORDS ARE KEPT BY A DIFFERENT DEPARTMENT OR CORPORATE OFFICE, ASK TO SPEAK WITH THE PERSON IN THE PHARMACY WHO DEALS WITH THE OTHER DEPARTMENT OR CORPORATE OFFICE.





CONTINUE, THIS PERSON CAN HELP = 1

COLLECT CONTACT INFORMATION FOR SOMEONE ELSE = 2

UNCLEAR WHO HANDLES PATIENT RECORDS = 3





[IF A2= 1 GO TO B1,

IF A2=2, GO TO CONTACT BLOCK

IF A2=3 GO TO EXIT SCREEN]









[B]Identify DC POC





B1. Hello, my name is (YOUR NAME).

I am calling on behalf of the U.S. Department of Health and Human Services.

We are conducting MEPS which is a study about how people in the United States use and pay for health care.

For quality assurance and training purposes, this case may be monitored.



POC: [POC NAME]



READ IF NECESSARY: I have [an] authorization form[s] for the release of patient records and would like to speak to the pharmacist.



  • IF THIS PERSON CANNOT HELP, ASK TO BE TRANSFERRED TO SOMEONE WHO CAN.



CONTINUE, THIS PERSON CAN HELP.........................= 1

COLLECT CONTACT INFORMATION FOR SOMEONE ELSE..........................= 2



[IF B1=1, GO TO B2,

IF B1=2, GO TO CONTACT BLOCK;]







B2. At this time [ ] of your customers signed an authorization form allowing us to contact you for information about prescribed medication for the year [ ]. Do you keep the records in house, or is this handled by another department or a corporate office?





PHARMACY MAINTAINS THE RECORDS = 1

nEED TO CONTACT CORPORATE/other department for authorization =2





[IF B2 = 1 GO TO B2b,

IF B2 = 2 GO TO B2_1]







B2_1. Are you the person who deals with the (other department/corporate office)?



YES = 1

NO = 2



[If b2_1 = 1, go to C2,

if b2_1 = 2, go to b2a]







B2a. I’ll need to collect the name and telephone number for the person in your office who deals with (your corporate office/the other department).







B2b. I would like to send the authorization form[s] to you, along with additional information explaining the study.

I need to be sure I have the correct information for the packet. Should I direct it to you?



  • READ IF THE PERSON ON THE PHONE WOULD LIKE TO PROVIDE THE DATA PRIOR TO RECEIVING AUTHORIZATION FORM(S): In order to remain HIPAA compliant, I need to send you the authorization form[s] first. Once you have received the form[s], then we can arrange for the collection of the data.

YES.........................= 1

NO...........................= 2





[go to contact block]

















[C]Identify Other DepT./Corp.





C1. Hello, my name is (YOUR NAME).

I am calling on behalf of the U.S. Department of Health and Human Services.

We are conducting MEPS which is a study about how people in the United States use and pay for health care.

For quality assurance and training purposes, this call may be monitored.



POC: [POC NAME]



READ IF NECESSARY: I have [an] authorization form[s] for the release of patient records and would like to speak to the person that can help me get in touch with (the department who maintains patient records/your corporate office).

  • IF THIS PERSON CANNOT HELP, ASK TO BE TRANSFERRED TO SOMEONE WHO CAN.





CONTINUE, THIS PERSON CAN HELP.........................= 1

COLLECT CONTACT INFORMATION FOR SOMEONE ELSE........................= 2





[IF C1=1, GO TO C2,

IF C1=2, GO TO CONTACT BLOCK]









C2. (READ IF NECESSARY: At this time, [NUMBER FROM CUSTOMER LIST] customer[s] identified [PHARMACY] as a

place that they received prescribed medication during [FILL_YR]. [The/Each] customer signed an authorization form allowing us to

contact you for the information.



We should be able to get all of the information we need from (the other department/your corporate office).

We can also send you a copy of the authorization form[s] for your files.



I need to be sure I have the correct information for the packet. Should I direct it to you?



  • READ IF THE PERSON ON THE PHONE WOULD LIKE TO PROVIDE THE DATA PRIOR TO RECEIVING AUTHORIZATION FORM(S)]: In order to remain HIPAA compliant, I need to send you the authorization form[s] first. Once you have received the form[s], then we can arrange for the collection of the data.



YES.........................= 1

NO...........................= 2





[GO TO CONTACT BLOCK]







[D]CALL OTHER DEPT./CORP.



D1. Have I reached [OTHER DEPARTMENT/CORPORATE OFFICE]?



PHONE NUMBER: [OTHER DEPARTMENT/CORPORATE OFFICE TELEPHONE NUMBER]



  • IF THE PERSON ON THE PHONE SAYS NO, VERIFY THAT YOU DIALED THE CORRECT NUMBER.



  • IF THE NUMBER IS CORRECT, ASK IF THE PERSON ON THE PHONE KNOWS OF ANOTHER NUMBER FOR THE OTHER DEPARTMENT/CORPORATE OFFICE. IF THEY DO, GO TO THE CONTACT BLOCK AND EDIT THE INFORMATION FOR THE OTHER DEPARTMENT/CORPORATE OFFICE.



  • IF NO BETTER NUMBER IS AVAILABLE, SELECT “NO” BELOW.



YES.........................= 1

NO..........................= 2







[IF D1 = 1 GO TO D2,

IF D1 = 2 GO TO EXIT]







D2. I have [an] authorization form[s] for the release of patient records and would like to speak to the person that

can help me with that process.



READ IF NECESSARY: We are interested in collecting records for each customer that includes the amount paid by the customer and the amount paid by any third party payers for all prescriptions in [FILL_YR]. We are also interested in collecting the NDC, date filled or refilled, and quantity dispensed with dosage form. We would appreciate it if you could also include the types of the third parties.



if the person you need to talk to is unavailable attempt to get THEIR contact information via

the contact block and set an appointment if possible.



CONTINUE = 1

DEPART./CORP. OFC. DOES NOT MAINTAIN 2017 RECORDS FOR PHARMACY = 2

NOT CLEAR WHO TO SPEAK TO; WRONG NUMBER = 3





[IF D2= 1 GO TO E1,

IF D2=2 OR 3, GO TO EXIT SCREEN]



[E]other depT./corp.: Identify POC



E1. Hello, my name is (YOUR NAME).

I am calling on behalf of the U.S. Department of Health and Human Services.

We are conducting MEPS which is a study about how people in the United States use and pay for health care.

For quality assurance and training purposes, this call may be monitored.



POC: [POC NAME]



READ IF NECESSARY: I have [an] authorization form[s] for the release of patient records and would like to speak to the person that can help me with that process.

  • IF THIS PERSON CANNOT HELP, ASK TO BE TRANSFERRED TO SOMEONE WHO CAN.



CONTINUE, THIS PERSON CAN HELP.........................= 1

COLLECT CONTACT INFORMATION FOR SOMEONE ELSE..........................= 2







[IF E1=1, GO TO E2,

IF E1=2, GO TO CONTACT BLOCK;]





E2. (READ IF NECESSARY: At this time, [NUMBER FROM CUSTOMER LIST] customer[s] identified [PHARMACY] as a

place where they received prescribed medication during [FILL_YR]. [The/Each] customer signed an authorization form allowing us to contact you for information about the prescribed medication they received in [FILL_YR].)



I would like to send the authorization form[s] to you, along with additional information explaining the study.

I need to be sure I have the correct information for the packet. Should I direct it to you?



  • READ IF THE PERSON ON THE PHONE WOULD LIKE TO PROVIDE THE DATA PRIOR TO RECEIVING AUTHORIZATION FORM(S): In order to remain HIPAA compliant, I need to send you the authorization form[s] first. Once you have received the form[s], then we can arrange for the collection of the data.

YES.........................= 1

NO..........................= 2









[GO TO CONTACT BLOCK]









[F]DC: Explain Next Steps



F1. Once you have received the authorization form[s] you can send us the patient records by either fax or mail, or we can call back to collect the data over the phone. Remember that we are only asking for prescriptions or supplies that were sold and picked up by your customer in [FILL YR]. The information we need includes date filled, NDC, quantity, days supplied, patient payment, and third party payment and type.

IF POC REQUESTS ELECTRONIC TRANSFER, DISCUSS WITH YOUR SUPERVISOR BEFORE SELECTING THIS OPTION.

PHARMACY WILL RESPOND:

BY PHONE 1

BY FAX 2

BY MAIL 3

ONLY USE OPTION 4 IF APPROVED BY SUPERVISOR

BY ELECTRONIC PORTAL 4



[IF F1 = 1 GO TO F2,

IF F1 = 2 GO TO F2,

IF F1 = 3 GO TO F2

IF F1 = 4 GO TO F2]







F2. Within the next 24 hours we will [fax/mail/electronically upload] the authorization form[s] and provide instructions for sending the records. If you have any questions about what to send us, please call our toll-free number on the instruction sheet. We will call to verify that you received the authorization forms.



We may call again if other customers identify this pharmacy as a source of prescribed medication.]



[Instrument logic will be implemented so text only appears on screen when provider verification has not been completed:  Before we send you the form(s)s I’ll need to determine that all of the providers I have listed were in fact associated with this pharmacy in [FILL_YR].  I’m going to read you a list of providers; please tell me if each one was associated with this pharmacy in [FILL_YR].]







IF CB3=1 OR 2 GO TO EXIT; IF CB3=4 GO TO F3.









F3.

When the authorization form packet is ready, you will receive an email with your unique username to access the electronic portal.  The portal password is the part of your email address before the @ sign and the number 1234. Your password is <fill portal password> all in lower case. It is highly recommended that you change your password after your first log-in.



Each authorization form packet will be encrypted with a password also. Your password for the packet is <fill AF password>. This password is also in lower case.



GO TO EXIT











[G]Verify Receipt OF AFs





G_Intro. May I please speak to [POC NAME]?



PERSON IS ON THE PHONE.........................= 1

PERSON IS NOT AVAILABLE........................= 2





[IF G_Intro=1, GO TO G1,

IF G_Intro =2, GO TO APPOINTMENT SCREEN]









G1. Hello, my name is (YOUR NAME). I am calling on behalf of the U.S. Department of Health and Human Services. For quality assurance and training purposes, this call may be monitored. We previously spoke about the MEPS study.



Did you receive the authorization form[s] we sent to you?



YES, RECEIVED ALL = 1

YES, BUT PROBLEM REPORTED/NEEDS A RE-SEND = 2

NO = 3

[IF G1=1 and F1 = 1 (PHONE) GO TO G2;

IF G1=1 and F1 = 2 (FAX) OR 3 (MAIL) OR 4 (ELECTRONIC PORTAL) GO TO G4;

IF G1=2 OR 3, GO TO G5]







G2. If it is convenient for you, we can just go ahead and complete the data forms together over the phone right now. I’d

be happy to hold on while you get the information you need from your records.



WILL COMPLETE BY PHONE NOW = 1

WILL COMPLETE BY PHONE IN THE FUTURE = 2





[IF G2=1 GO TO EXIT SCREEN;

IF G2=2 GO TO G3]







G3. I understand. What would be the best day and time to call you back to complete the data forms?



    • EARLY MORNING = 9AM

    • LATE MORNING = 11AM

    • EARLY AFTERNOON = 2PM

    • LATE AFTERNOON = 4PM



DATE:_________



R's TIME: AM/PM

TIME ZONE:









G4. Our records indicate that you will [fax/mail/electronically upload] the records to us.



Please send in the complete [FILL_YR] records for each customer listed. The information we are attempting to collect from these records includes NDC, drug name, date filled, quantity dispensed, days supplied, and payments for each prescription.



When will you send us these records?



DATE:_______



IF DATE IS SELECTED REPEAT THE DATE AND THE DAY OF THE WEEK



OR



________ (NUMBER)











G4_1: Thank you. We will call you back if we do not receive the records by [FILL DATE FROM G4 (CALCULATE DATE IF DAYS/WEEKS ENTERED)].



YOUR NEXT STEPS WILL BE TO EXIT THE CONTACT GUIDE AND CODE THE CASE AS “AFs RECEIVED. WAITING FOR RECORDS TO BE SENT”. THEN SET A CALL BACK AFTER THE RECORDS ARE EXPECTED SO WE CAN PROMPT AGAIN IF THEY STILL HAVE NOT BEEN RECEIVED.













G4_2:

INTERVIEWER: USE THIS SCREEN WHEN PROMPTING FOR RECORDS

We were anticipating receiving pharmacy records from you by [DATE/CALCULATED DATE FROM G4], but my records show we have not received them.  Have you sent the records to us? 



YES............................1

NO..............................2



IF G4_2 = 2 GO G4_5









G4_3: How did you send the records? Did you fax, mail hardcopies via express or regular mail, mail CDs via express or regular mail, or use a record service’s portal?



FAX..............................................................1

MAIL HARDCOPIES VIA EXPRESS MAIL...2

MAIL HARDCOPIES VIA REGULAR MAIL...3

MAIL CDs VIA EXPRESS MAIL...................4

MAIL CDs VIA REGULAR MAIL...................5

RECORD SERVICE’S ELECTRONIC PORTAL.............................................6

ELECTRONIC PORTAL.................................8

OTHER (Specify:__________________)…….7



IF POC IS SENDING CD: Was the password provided or did you send it separately?



G4_4: What date did you send them?



DATE:_______



Thank you for sending them. The records are received in a separate department and it can take a few days to upload the documents into our system. We will investigate and call you back if we have further questions. We apologize for any inconvenience.





INTERVIEWER:

  • Disposition the case at Category: Refusals/Problems/Other with Event code 675-Case Requires Supervisor Review

  • Leave a detailed Call History comment after ending the call

  • Use “Difficult Case” sheet to capture Case ID and details and have a team lead or supervisor follow up and resolve within 24 hours





G4_5

We need to obtain these records for the study as soon as possible. Is there something that can be done to speed up (or expedite) the process?

INTERVIEWER: LISTEN TO POC TO DETERMINE IF THERE IS ANYTHING WE CAN DO TO HELP FACILITATE THEM SENDING IN RECORDS. OFFER:

  • FTP AND SECURE E-MAIL

  • A FEDEX PICKUP FOR CASES THAT ARE ABOVE 15 PAIRS

When will you send us these records?



DATE:______________



IF DATE IS SELECTED REPEAT THE DATE AND DAY OF THE WEEK

OR



____________(NUMBER)



Please send in the complete [FILL_YR] records for each customer listed. The information we are attempting to collect from these records includes NDC, drug name, date filled, quantity dispensed, days supplied, and payments for each prescription.









G4_6: Thank you. We will call you back if we do not receive the records by [FILL DATE FROM G4_5 (CALCULATE DATE IF DAYS/WEEKS ENTERED)].



INTERVIEWER: SET A CALL BACK AFTER THE RECORDS ARE EXPECTED SO WE CAN PROMPT AGAIN IF THEY STILLHAVE NOT BEEN RECEIVED.







G5. I'm sorry. Let me re-send the authorization form[s] to you.

I need to be sure I have the correct information for the packet. Should I direct it to you?



YES = 1

NO = 2



  • IF PERSON ON PHONE WANTS TO PROVIDE DATA BEFORE RECEIVING AUTHORIZATION FORMS: In order to remain HIPAA compliant, I need to send you the authorization form[s] first. Once you have received the form[s], then we can arrange for the collection of the data.





[IF G5=1, GO TO CONTACT_BLOCK,

IF G5=2, GO TO CONTACT_BLOCK, ]





G6. Once we verify that you have received the authorization forms, you will receive an email with your unique username to access the electronic portal. The portal password is the part of your email address before the @ sign and the number 1234. Your password is <fill portal password> all in lower case. It is highly recommended that you change your password after your first log-in.



GO TO EXIT







[H]Bad INFO FOR OTHER DepT./corp.





H1. ASK (BY NAME) TO SPEAK WITH THE POC WHO DEALS WITH THE OTHER DEPARTMENT OR CORPORATE OFFICE



This is (YOUR NAME) calling on behalf of the U.S. Department of Health and Human Services.

For quality assurance and training purposes, this call may be monitored.



We previously spoke about the MEPS study. Thank you for providing the contact information for

[CORPORATE/DEPARTMENT NAME]. Unfortunately we were unable to locate [CORPORATE/DEPARTMENT NAME] with the

contact information you provided. Could you please verify the contact information we currently have for

[CORPORATE/DEPARTMENT NAME]?



[PRESENT CORPORATE/DEPARTMENT CONTACT INFO HERE]

OTHER DEPARTMENT/CORPORATE OFFICE CONTACT INFO IS CORRECT =1

OTHER DEPARTMENT/CORPORATE OFFICE CONTACT INFO IS NOT CORRECT =2





[IF H1=1, GO TO H2,

IF H1=2, GO TO CONTACT BLOCK]







H2. That is currently the information we have on file. Do you know of any other way we can get in touch with

[CORPORATE/DEPARTMENT NAME ]?



YES = 1

NO = 2





IF H2 = 1 GO TO CONTACT_BLOCK.

IF H2=2 GO TO EXIT.









[I]Other depT./corp. CONTACT?





I1. ASK (BY NAME) TO SPEAK WITH THE POC WHO DEALS WITH THE OTHER DEPARTMENT OR CORPORATE OFFICE

This is (YOUR NAME) calling on behalf of the U.S. Department of Health and Human Services.

For quality assurance and training purposes, this call may be monitored.



We previously spoke about the MEPS study. Thank you for providing the contact information for

[CORPORATE/DEPARTMENT NAME]. We were able to locate [CORPORATE/DEPARTMENT NAME] with the information you

provided. However, they reported that they did not maintain the patient records for [PHARMACY(S)] in [FILL_YR]. Could you please

check to see if another department maintained patient records for [PHARMACY(S)] in [FILL_YR]?



OTHER DEPARTMENT MAINTAINED RECORDS 1

NO OTHER DEPARTMENT MAINTAINED RECORDS 2









[IF I1=1, GO TO CONTACT BLOCK,

IF I1=2, GOTO EXIT]







CONTACT BLOCK

CB3. Can you provide a fax number to receive the information?

[INTERVIEWER: IF POC ASKS ABOUT MAIL, OFFER THE MAIL OPTION. IF POC REQUESTS ELECTRONIC PORTAL, DISCUSS WITH YOUR SUPERVISOR BEFORE SELECTING THIS OPTION.]





  1. FAX

  2. MAIL

4. ELECTRONIC PORTAL

  1. N/A

Shape1 INDIVIDUALIZED PACKETS NEEDED. (COMMONLY USED FOR VA CASES.)



CB3A: COMMENTS









PHARMACY NAME:

OTHER DEPARTMENT/CORPORATE OFFICE NAME:

POC FIRST NAME:

POC LAST NAME:

PHONE:

EXT:

TIME ZONE:

FAX:

VERIFY FAX:

E-MAIL:

VERIFY E-MAIL:

TITLE:

DEPARTMENT:

ADDRESS:

CITY:

STATE:

ZIP:



CB1. WILL YOU BE CALLING THIS PERSON NEXT

  1. YES

  2. NO







CB2. WHAT TYPE OF POC IS THIS PERSON?

  1. PHARMACY LEVEL GATEKEEPER

  2. HANDLES RELEASE OF IN-HOUSE RECORDS

  3. DEALS WITH OTHER DEPARTMENT/CORPORATE OFFICE

  4. OTHER DEPARTMENT/CORPORATE OFFICE GATEKEEPER

  5. HANDLES RELEASE OF RECORDS FOR OTHER DEPARTMENT/CORPORATE OFFICE

  6. COURTESY PACKET RECIPIENT

  7. PERMISSION PACKET RECIPIENT





CB4. ADD ANTOHER POC?

  1. YES

  2. NO





















































































BRANCH





TYPICAL CONTACT SEQUENCE BY SECTION:

INTERNAL BILLING: A, B, Contact Block, F, end call

EXTERNAL BILLING SERVICE: Call provider: A, B, C, Contact Block, end call

Call billing service: D, E, edit Contact Block, end call

VERIFY AFs WERE RECEIVED: Go to G



CLICK ON YOUR NEXT STEP:

  • IDENTIFY A POC AT THIS PROVIDER’S OFFICE (SECTION B)

  • IDENTIFY A POC WHO WORKS WITH EXTERNAL BILLING SERVICE (SECTION C)

  • CALL THE EXTERNAL BILLING SERVICE (SECTION D)

  • VERIFY AUTHORIZATION FORMS WERE RECEIVED (SECTION G)













CALLBACK/APPOINTMENT



Can you please provide me with a better time to call back in order to reach him/her?



    • EARLY MORNING = 9AM

    • LATE MORNING = 11AM

    • EARLY AFTERNOON = 2PM

    • LATE AFTERNOON = 4PM



DATE:_________



R's TIME: AM/PM

TIMEZONE:









EXIT SCREEN







PRESS FINISH TO EXIT CONTACT GUIDE AND TO GO TO CASE MANAGEMENT SYSTEM.

DO NOT HANG UP UNTIL YOU GET TO CALL DISPOSITION SCREEN.

IF POC RECEIVED AUTHORIZATION FORMS AND CAN REPORT DATA BY PHONE NOW, ENTER EVENT CODE 441: AFs Received-Ready for Data Collection

IF YOU NEED TO SEND A COURTESY OR PERMISSION PACKET:

  1. SAVE EVENT CODE FOR FAX/MAIL PACKET TO THIS POC FIRST

  2. RE-ENTER CONTACT GUIDE AND CALL THE BILLING SERVICE OR PERMISSION POC

  3. SAVE EVENT CODE FOR FAX/MAIL PACKET FOR COURTESY OR PERMISSION PACKET









(J) Gaining Permission: Talking Points









INTRODUCTION:



May I please speak to [POC NAME]?



Hello, my name is (YOUR NAME).

I am calling on behalf of the U.S. Department of Health and Human Services. We are conducting MEPS which is a study about how

people in the United States use and pay for health care. For quality assurance and training purposes, this call may be monitored.



I recently spoke with {POC YOU ARE WORKING WITH FOR DATA COLLECTION} about the study. I explained that at this time, [NUMBER FROM PATIENT LIST] patient[s] identified [PHARMACY] as a place where they received prescribed medication during [FILL_YR]. [The/Each] patient signed an authorization form allowing us to contact you for information about the prescribed medication they received from [PHARMACY] in [FILL_YR]. Much of the information we need is within the patient records.



{POC YOU ARE WORKING WITH FOR DATA COLLECTION} has agreed to participate and provide us with the information we are looking for, but has requested that we first send you a copy of the authorization form[s] in order to receive permission to release the data to us.



I’m calling to confirm that you are in fact the best person to receive the form[s] and information about the study by fax, and confirm your contact information so that I can address the information to you.









GO TO CONTACT BLOCK











VERIFY PERMISSION PACKET RECEIPT:

May I please speak to [POC NAME]?



(Hello, my name is (YOUR NAME).) I am calling on behalf of the U.S. Department of Health and Human Services. We

previously spoke about the MEPS study. For quality assurance and training purposes this call may be monitored. Did you receive the authorization form[s] we sent to you?



  • IF THE PERSON ON THE PHONE DID RECEIVE THE FORMS, ASK:

  • Do you have any questions or concerns about the study information or the forms we sent?

  • At this point may I follow-up with {POC YOU ARE WORKING WITH FOR DATA COLLECTION} about the release of data?

    • IF YOU ARE CLEARED TO SPEAK WITH THE POC YOU ARE WORKING WITH FOR DATA COLLECTION,

      • EXIT TO THE CMS, MAKE THE POC YOU ARE WORKING WITH FOR DATA COLLECTION THE PRIMARY POC ON THE POC SCREEN

      • CALL THEM USING SECTION G: VERIFY RECEIPT OF AFs

    • IF THE PERSON ON THE PHONE DOES NOT GIVE YOU PERMISSION

      • EXIT TO THE CMS TO CODE THE CASE AS “CASE REQUIRES SUPERVISOR REVIEW” AND ENTER A PROBLEM REPORT ON THIS CASE WHEN YOU RETURN TO THE CMS



  • IF THE PERSON ON THE PHONE DID NOT RECEIVE THE FORMS, SAY

  • I'm sorry. Let me re-send the authorization form[s] to you.

    • GO TO THE CONTACT BLOCK BY PRESSING NEXT AND VERIFY THE CONTACT INFORMATION WE HAVE ON FILE, THEN

    • EXIT TO THE CMS AND TRIGGER A RE-SEND OF THE PERMISSION PACKET TO THIS PERSON







GO TO CONTACT BLOCK



Pharmacy Contact Guide Page 29 of 37





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleMEDICAL PROVIDER COMPONENT FOR REFERENCE YEAR 2001
AuthorBRATCHER_J
File Modified0000-00-00
File Created2021-01-20

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