Reports
Where in Prompt do we go to run the Cockpit
The Reports Tab
Medicare
Red
If you have a question, where do you first look for your answer?
The PAC Survival Guide aka PSG! If you still cannot find your answer, please reach out to the trainers.
What is a premium
The amount you pay to your insurance company to be covered by your insurance
When are the weekly deposits for your Monday packet due?
By 11:59 pm Tuesday!
How Often do we run the contact to admit? What is the date range?
Once a month
The first full Monday of the month to the Sunday before the next first Monday of the next month
BCBS
Blue
What are the contents of policy notes
Where you got the information
Active/Eff Date
DD, MOOP, CP or CI, VL, Auth
What is a CP
A flat rate amount that the patient is responsible for at every visit.
How often do we have to re-send unsigned POC's ?
Once every 2 weeks for 6 months. After 6 months you can make a case note and remove the needs signing tag.
Where do we find the unsigned documents report and what is its purpose?
The Dashboard
To keep track of getting the POCs signed---we need these for authorizations, and to get paid by insurance
Anything Besides BCBS and WC that does NOT need auth
Yellow
What Report do we run to make sure that all insurances that require auth have it selected in Prompt?
Incomplete Cases!
What is a CI
A percentage of our billed charges that the patient is responsible for
What reports are on the Pac Weekly Checklist every day?
Till Reconciliation
Unsigned Docs
Authorization
Incomplete patients and cases
Where do we check our authorizations? Why is it important to run this report every day?
Dashboard---Eligibility
Because if we are missing authorization claims won't go out and we won't get paid
Anything besides WC that needs auth
Green
If a patient comes to us and we are OON with their insurance and they have no OON benefits, what are our options? Who makes that decision?
Self Pay (SP) or Professional Courtesy (PC)
It is always the CDs choice
What is a DD
The amount the patient has to pay before insurance will pick up anything
What do we need to check for both active and discharged patients while running the Incomplete Cases report?
The referring provider! After we check this we can filter the rest of the report to only view active patients!
What do you do if your till report is off and you can't figure out where the missing money is?
Email deposits
WC
Purple
What is the difference between an HRA and an FSA?
HRA-Employer controlled, we will not collect in the clinic while there are funds remaining in the account
FSA-Patient controlled, we will collect in the clinic as usual
What is a VL (Visit Limit)
The amount of visits an insurance will cover in a calendar year
What 3 spreadsheets make up the Visit Capture report?
Lost Patients, Last Scheduled Visit, POC Compliance