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Are two phone numbers in chart
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Is the e-mail in chart
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Has patient ever cancelled, not showed up for or rescheduled in the past
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Is the patient able to transfer them to and from bed and bathroom independently
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Does the patient have Medicare, Medicare Advantage Plan or Medicaid
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Insurance/Preauthorization
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PREAUTH NOT NEEDED/ HAS BEEN OBTAINED
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Oral Appliance Titration. Protocol Needed
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Preuthorization Cleared
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Oral Appliance Titration Protocol Received from the Dentist Office
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If Medicaid - do we have case manager information
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If NON-Medicaid - do we have a Credit Card on File
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Is there a Sleep Tech Scheduled for the night of test
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If this is MSLT/PAP-NAP is there a Day. Sleep Tech Scheduled for that day
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Location of MSLT/PAP-NAP is the SAME as Day. Sleep Tech location
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Tech: Patient ratio
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Indicate Type of Sleep Study in the Scheduling Section
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Medicaid Patients - No other Medicaid scheduled for the night
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Proper room number assigned
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Financial Policy and Instruction e-mailed to the patient
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Spent time with patient to explain the financial and no show policy
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Non confirmation policy explained
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Patient offered to go on Short List
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If yes, the Short list was updated
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Follow-up appointment in two weeks after the study given to the patient
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