Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT...
-
Upload
clement-hart -
Category
Documents
-
view
215 -
download
0
Transcript of Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT...
![Page 1: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/1.jpg)
Outpatient Rehab Questionnaire
Presented To:
OP Rehab ProvidersMay 2015
INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT
![Page 2: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/2.jpg)
Outpatient Rehab Questionnaire
• When initiating the questionnaire, the first question is “Are you requesting an evaluation?” if the answer is “yes”, the question “Is there a physician's order signed and dated by the physician for the evaluation?”
• Question #2: “Are you requesting outpatient rehab visits?” Answering “yes” to this question will cause a drop down menu to appear.
![Page 3: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/3.jpg)
Outpatient Rehab Questionnaire
![Page 4: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/4.jpg)
Outpatient Rehab Questionnaire
![Page 5: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/5.jpg)
Outpatient Rehab Questionnaire
![Page 6: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/6.jpg)
Outpatient Rehab Questionnaire
![Page 7: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/7.jpg)
Outpatient Rehab Questionnaire
![Page 8: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/8.jpg)
Outpatient Rehab Questionnaire
![Page 9: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/9.jpg)
Outpatient Rehab Questionnaire
![Page 10: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/10.jpg)
Outpatient Rehab Questionnaire
![Page 11: Outpatient Rehab Questionnaire Presented To: OP Rehab Providers May 2015 INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT.](https://reader036.fdocuments.us/reader036/viewer/2022062517/56649f0e5503460f94c221ff/html5/thumbnails/11.jpg)
• All questions require completion for successful submission
• If you have any questions or concerns regarding completion of the questionnaires, please contact KEPRO at 1-888-827-2884
Outpatient Rehab Questionnaire
11