Referrals

Scan

Scanning the remittance file before loading it validates some of the information (such as remittance codes) against data in the system (e.g., remittance code mapping) based on settings in the Remittance Option record.

Rule Editor

A module used in many applications to link one or more criteria together to form a rule based on specific items in a record.

Question

A component of a questionnaire. A question record generally consists of one question, its possible responses, and various settings to control its behavior. One or more question records are attached to a questionnaire record to create a questionnaire form.

Referral Type

A description of the kind of service being provided in a referral; use for reporting purposes; can also be use to drive referral workflows.

Referral Class

A description used to indicate the relationship between who is sending the patient and who is receiving the patient.

Order Class

A property of an order that helps determine the purpose of the order, such as internal vs. outgoing referral. It is used to control different aspects or the order.

Questionnaire

A type of form record that contains one or more question records. A variety of patient- and procedure-related information can be captured in a question and answer format and viewed as a questionnaire form in Hyperspace. These can be directed at the patient to help determine a course of care or gauge the effectiveness of treatment.

Adjudication Table

Allows you to link specific formulas and their corresponding variables with individual components and component groups.

Service Level Authorization

Authorization for multiple procedures covered by a single referral. It is not used to identify different authorization numbers depending on which service area the procedures are performed in.

Response Type

Determines the number of values an item can hold per contact. Multiple response items can hold any number of responses.

Item Profile

Defines the properties of a given field in Hyperspace (for example, recommended, required, or read-only); can be specified for different activities and, for certain purposes, at different levels of the facility structure

Referrals Security Classification

Determines whether users with that security classification can: View, edit, and create referrals. Access certain referral workflows in Hyperspace. Alter referral counts or the referral status. Assign referrals to appointments. Approve, deny, pend, price, or assign referrals. Save, edit, and delete report settings for several reports. Access all referral sensitivity types and, if not, which sensitivity types the user can access.

Questionnaire Condition

Disables a question if it does not need to be asked, based on an answer to an earlier question.

In Basket

Electronic messaging system used within Epic applications. With Epic's embedded communication system, users can send messages to one another as well as jump to other parts of the system such as referral orders.

Referral template group

If you want to use multiple referral templates for the same procedure, you can use rules to indicate which row of the Link Referral Templates applies to a specific situation. For example, you might use the age of the patient to determine whether a referral to oncology should use a template with a regular oncology department or a pediatric oncology department.

Referral Sensitivities

Limits access to certain types of referrals such as for behavioral health, drug rehab, and infectious disease.

Appointment List

Lists the patient's scheduled appointments used to assign a referral to an existing appointment or to create a new appointment for the referral you selected in the workqueue.

Referral Note

Notes are stored directly in a referral record on the Notes form. Users with the appropriate security can add notes to a referral manually, but the system can also generate notes automatically based on information entered during the clinical order entry process.

Preauthorization

Preauthorization is the process by which organizations obtain approval from a patient's insurance plan before performing high-dollar procedures.

Referrals workqueue

Provide referrals staff with a consistent tool for maintaining referrals and performing referral-related tasks.

Attachment

Referral attachments are separate documents that are stored on a special server that specializes in handling large objects like documents and images. Attachments are exactly that -- an attachment to a note within the referral record.

Referral template

Referral templates contain information that automatically populates a variety of fields within a referral record.

Template category

Referral templates must be associated with a template category before you can add them to a security class. Template categories are maintained the RTP 5001 category list. Template categories are assigned to a referral template in the referral template record.

Referrals workqueue rule

Rules that appear determine which specific referral records fall onto this workqueue.

Mnemonic

Two or more items grouped together for the purpose of item profiling. For example, if you make a mnemonic required in an item profile, once you enter data in any one of the items belonging to that mnemonic, you have fulfilled the requirement.