Surgery scheduling form 2025

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  1. Click ‘Get Form’ to open the surgery scheduling form in the editor.
  2. Begin by entering the 'Date of Surgery' and 'Requested Time' in military format. Specify the expected length of the procedure in minutes.
  3. Indicate the 'Admit Status' by selecting either OP (SDS) or IP (Inpatient).
  4. Fill out the 'Patient Demographics Section' with the patient's last name, first name, date of birth, gender, social security number, address, phone numbers, primary language, and any known allergies.
  5. Complete the 'Insurance / Authorization Section' by providing details about primary and secondary insurance names and policy numbers. Include authorization information if applicable.
  6. In the 'Procedure/Consent/Equipment Section', enter surgeon details, diagnosis codes (ICD-10), procedure type, anesthesia type, and any special equipment needed.
  7. Lastly, fill out the 'Pre-Op Test Results Section' with relevant testing information to ensure timely processing.

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After you have let your physician know that you would like to move forward with surgery, your care team will begin the surgery scheduling process. The team will submit a surgery order form to be reviewed by our coding team, which typically takes 1-3 business days.
A surgery scheduling coordinator is responsible for ensuring that all aspects of a surgical operation are properly scheduled.
The Best Surgery Scheduler Checklist For Ensuring a Successful Operation Gather Patient Information. Verify Insurance Coverage. Coordinate with Surgeon and Anesthesiologist. Schedule Pre-Op Appointments. Communicate with Patient. Prepare Necessary Paperwork. Follow Up After Surgery. How HUB Healthcare Can Help.
The medical staff will carefully explain the surgery to you before you have it. This includes why you are having it, any risks of the surgery, and what you can expect afterward. You will also be asked to sign an informed consent form. It explains the procedure and its risks and benefits.
High school diploma or equivalent required. Must have a minimum of one (1) year of experience as a referral care coordinator or equivalent. Two years work experience in a medical environment is preferred. Knowledge and understanding of medical terminology, critical thinking and problem solving required.