MRC Methods
This MRC method requires that we visit the provider to receive the MR
F2F - Face to Face
This is the language that all MRs must be in before submission to the client.
Airman Weathers has seen his GP about a sore throat. What is the KPI for any MRs for this case?
Routine outpatient: 30 business days
This is the uncollectable code used when the MR has been destroyed and is no longer available.
DES
This MRC method involves having a physical copy of the MR delivered to our office
Snail mail (postal mail)
An automatic 'Chase Appointment Date' task will be created 28 days after the authorization was issued.
Petty Officer Graham had a torn ligament and has been receiving physical therapy. What are the KPIs for the MRs from his sessions?
30 business days
This is the uncollectable code used when we receive a record for a different beneficiary.
WRO
This MRC method involves digitally transferring the MR through the phone lines
Fax
Should you tick the "Active" box in the List of Files before validating a file?
No, only tick "Active" after the MR has been validated.
Captain Winters has just been released from the hospital. He was admitted for 5 days for a tonsillectomy.
15 business days
This is the uncollectable code used when we are unable to collect a ROMIF
ROM
This MRC method works best when used with a UIN (Unique Identifying Number)
Is a MR that has Page 2 of 3 at the bottom of the last page considered complete?
No
PFC Milhouse has seen a neurosurgeon for an evaluation. His MTF indicates that they require the MR right away to determine his fitness for duty.
5 calendar days
This is the uncollectable code used when only some of the medical records can be collected.
PAR
This MRC method requires the provider to register for an account.
Provider Portal
Give an example of a beneficiary detail in an MR that can be used to locate a relevant case when a MR is received outside of an MRC case:
Full name
Date of Birth
SSN/DBN/DoD ID
Provider name
Specialty/procedure
Authorization number
Warrant Officer O'Brien was involved in a car accident and has been admitted to the hospital. He is being transferred to a different hospital.
5 calendar days (trauma case)
This is the uncollectable code used when the provider will not release the records despite having a ROMIF signed.
NOT