Spravato MA Workflow

Screening

If a provider refers a patient to Spravato treatments an Internal Referral https://geodehealth.zohodesk.com/portal/en/kb/articles/internal-pr will be created and routed to the Spravato Coordinator.

·       Once the Internal Referral is received the Spravato MA will schedule a 15 min screening “Spavato Screening 15” [SW1] Appointment type on the Spravato schedule.

·       Missing slips are not required for this appt type. Please select No Services Performed during checkout. (Mark sure that you mark the appointment for NO CHARGE ENTRY)                                                   

·       Screening questionnaire will be documented in a patient case and closed the case for documentation.

·       Subject: Spravato Screening

·       Text macro: .spravato_screening

Spravato Coordinator -Pre Auth:

1.     Select Orders/Auths/Rx inbox to find patients with Spravato Orders under “Authorization Request”

2.     Select Edit Auth to add authorization details.

3.   Click "Save" at the bottom

4.     Submit Prior Authorization outside of Athena

Spravato Coordinator -bApproval & Scheduling

1.     After approved, reopen the authorization task

2.     Select Edit Authorization

3.     Input updated information (including auth number)

4.     To schedule from the authorization, click Save and  

5.     Schedule the patient on the Spravato schedule:

6.     Book a hold on the provider’s calendar at the start time through Manage appointments > Check the slot to book > Select Initial Spravato Treatment OR Subsequent Spravato Treatment in the Change slot Type Dropdown > Select Change

1.     Find your patient on the Spravato schedule calendar. Click the little door next to the patient's name on the homescreen.

2.     Scroll to the bottom and check the visit on the provider’s calendar to check both in at the same time, then click “Start Check-In”:

3.     Change the rendering provider to the provider it will be billed under:

4.     Complete patient check-in

a.    Ensure all yellow fields are filled out

                                      i.     Including Emergency Contact

b.    Ensure Authorization is linked to the visit

c.    Print any needed clinical forms (such as consents)

5.     Take any outstanding payments

a.    Note that you can click "Edit" next to the copay to flip to a different copay.

6.     Once complete, click 

7.     Click "Exam" under patient name at top left to begin the exam

8.     Click  in top right corner to begin

9.     Use "Spravato Administration" reason for visit

      

10.  Use Diagnosis provided by provider.

a.    Open "Problems" from left.

b.    Click arrow to add to encounter.

11.  Select the Procedure Template “Spravato Administration” which will prepopulate the CPT codes for the provider.

12.  You will scan the Spravato REMS Form as an encounter document. You do not need to duplicate any documentation into athena that will be documented on the REMS.

13.  The provider will mark the billing tab as reviewed and close the encounter.

14.  Check out the appointment as usual.

Scanning REMS Form (Post-Encounter)

15.  Navigate to the “Add Document” feature for the patient. There are two ways to get there:

a.    FROM QUICKVIEW, click Clinicals > Add Document

b.    FROM CHART/ENCOUNTER, click  > Add Document

16.  Scan the document, and use and Document Category of ENCOUNTER DOCUMENT – PROCEDURE DOCUMENTATION

17.  Tie the document to the encounter under the billing provider’s name:

18.  Scroll to the bottom and check , then click “Save.