ACO Provider Scheduling Parameters

Fill out the form in the next steps to set your practice's scheduling parameters

Step Progress

Provider Information

Clinical Escalation Contact

Report Vetting Requirements

Practice Visit Parameters

Scheduling

Review & Submit

Contact Preferences

If applicable, are we permitted to work Prominence patients?

Permission to contact via EMR Patient Portal

Are we permitted to contact patients via EMR Patient Portals? e.g. MyChart

Patient Contact Rules

After how many years of no visit should a patient not be called? *

EMR No Contact Indicator *

If there is an indicator in the EMR that lets users know which patients they should not call, where would this message be found and if chart active, what will be noted in the EMR? Please provide as much detail as possible (e.g. inactive, collections, discharged from practice, etc)

Special Notes

Are there any special notes that should be added to the form?

Visit Requirements

Wellness Visit Time Allotment*

Maximum Wellness Visits Per Day*

Is bloodwork Required prior?

Can we change Appointments to Wellness Visits?

Time allotted for regular follow up, sick, and urgent visits? *

Can we schedule Same Day Appointments?

Telehealth

Report Type	All	Medicare	BCBS	CIGNA	UHC	OSCAR
DROPPED
ICD10
At-Risk
TCM / PDV

ACO Provider Scheduling Parameters

Step Progress

Reports & Payors

Contact Preferences

Patient Contact Rules

Visit Requirements