PATOS
What does PATOS stand for?
Payment At Time Of Service
What is Easy Pay?
EZ pay is the opportunity for patients to pre-authorize payment for the estimated balance of their visit after insurance has been billed.
What is Open Invoice?
A balance owed from a previous encounter.
What is Past Due?
A balance owed from a previous visit that has gone unpaid by the patient. Patient was sent multiple invoices over a 3-month period.
What is Self-Pay?
Patients that do not have insurance and must pay for testing at the time of service.
Should you ask the patient "Would you like to take care of this today?
NO ask the patient "How would you like to take of this today".
Do NOT give the option to not pay but the option how to pay.
What is Mock Adjudication/Real Time Estimation (RTE)
A patient responsibility that is determined by the insurance in real time. It can be the exact amount the patient is responsible for.
What are forms of payments that are not accepted to be used to make a payment on an invoice?
Cash, Checks and Money Orders.
What should occur if the patient states they are unable to pay for the whole amount on the invoice and you are at a PSC that invokes the turn away policy?
Print the invoice and instruct the patient to call Billing. Inform the patient we will not be able to provide service until payment is received.
What forms of payments do we accept?
Payment Methods are MC, VISA, AMEX, Discover, Prepaid Cards, FSA and HSA.
What is the benefit to collecting payments from patients?
Collecting payments help reduce bad debt and INCREASE our yearly bonus.
How does Easy Pay/Mock Adjudication/RTE work in Quanum ?
Quanum is connected to the insurance that will inform us of the patient's responsibility. Ensure the group number is entered correctly.
Can we still service a patient if they are unwilling to pay for a CURRENT Open Invoice?
yes, because it is a current invoice and not a Past Due invoice.
Do we invoke the turn away policy at PSCs and IOPs?
No, we invoke the turn away policy at PSCs only not IOPs.
What is entered into the insurance carrier field when patient requests financial assistance?
Indigent Patient
What is the required capture rate for every PSR for Easy Pay working at a PSC or IOP?
PSC 57.8%
IOP 35.4%
What prompts Easy Pay/Mock Adjudication/RTE?
The correct insurance ID and group number (if applicable), entered into Quanum
What should you do if the patient has any questions concerning their invoice?
Print the invoice and direct the patient to call the Billing Customer Service number located on the invoice.
What is the average number of times a patient will received an invoice and what is the cost for each mailing?
3 times with a cost of $1.54 for each mailing.
What is UPP?
Uninsured Patient Pricing-contracted with a client.
Prices are discounted up to 40-50% off list price on most tests given to patients.
PSR's will collect the amount due at time of service.
Patient will present with a requisition that is stamped with the UPP stamp or UPP is noted in the comment field on a Hold Order.
How much $$$ did we lose last year mailing invoices to patients in the North region.
$5,583,778.20
Is it optional to ask a patient for Easy Pay or Mock Adjudication (Estimated Patient Responsibility).
NO, it is the responsibility of the PSR to ask when Quanum prompts to ask for patient responsibility.
What should occur if the patient states the invoice was billed to the wrong insurance?
Update the insurance on the invoice pop-up. Click on "update insurance " if the insurance in the "insurance name sections " is incorrect.
Name 3 exceptions for the turn away policy.
What is entered in the insurance ID field for Indigent Patients?
Fin Asst