PSRTL TASKS
How often should the Team Lead work up at the front desk?
What is work up each morning until staff gets in and cover for lunches.
If a Team member comes to ask how to properly code an insurance card, where would you direct them to find the information?
What is the Radnet Insurance Guide?
How often should QA be reviewed with Team members?
What is on a weekly basis?
T/F Team Leads should direct their staff to check PECOS using the website that pops up.
What is False? Team Leads and ICMs should be checking PECOS for staff. If the Team Lead or ICM is unavailable the team should be instructed to reach out to the CRAPSRTeamlead email group.
If a PSR advises you that the patient states they only have Medicare Part A, what are the steps to fix the issue?
What is retrieve the MRN from the PSR, review the info RIS states back, perform the override and then send to Eligibility QA.
How often should the Team Lead count and log the imprest fund and investigate discrepancies?
What is on a daily basis?
Where would the Team Lead direct PSRs to find job aide's and forms needed for directions on how to perform certain tasks?
What is the PSR Resource folder?
T/F. Team Leads should email PSRs their QA.
What is False? Team Leads should be reviewing QA 1:1 with Team members and after the review send an email confirming what was reviewed.
If a patient has a payment for a Diagnostic Mammogram and they are disputing their payment what steps should be taken?
What is see if their insurance has the MIA listed on the back of their card or note the account Patient does not want to pay due to the Maryland rule.
For HRAs and AHFs accounts what are the steps to take?
What is check the API eligibility check mark, scroll down to limitations to see if there are remaining monies in the patient's account. If so, the Team Lead will need to override the account to $0 and make sure that the PSR put notes in that patient has an HRA or AHF plan and no monies taken atos.
How often should the Billing Exception Worklist be worked on?
What is on a daily basis?
Where would the Team Lead direct PSRs to go find links needed for the VWR and TSYS?
What is the Helpful websites?
How often should Team Leads meet with their weekend staff to review their QA?
What is once a month?
If a patient refuses to pay for their Diagnostic Mammograms according to the Maryland Law what should we do?
What is If a patient declines to pay, the PSR will need to document it in the scheduling notes “ Patient declined to pay based on the new MD law” and the Team Lead will escalate the account by sending to the ELigubilityQA@radnet.com
T/F If a patient disputes their payments and provides a reference number with the Insurance Reps name we are to override the payment.
What is True? Team Lead will override the account and send the information to Eligibility QA for them to investigate.
How often should ABNs be reviewed with staff members?
What is on a weekly basis?
Where would the PSRTL go to find emails for Support Groups?
What is go to the Team Lead folder and look into the file for Email Support Groups?
T/F When reviewing QA should PSRs go back and correct their errors.
What is true? PSRs should go back and correct their errors. PSR cannot correct ABN's/PECOS/or missed payments.
How should Team Leads process Money Orders and Traveler checks?
What is process as a cash payment?
If a patient comes in to pay their bill at the office, how should we process the payment?
What is make sure we have the original bill, if paying by Credit Card take payment via TSYS and document on Miscellaneous Cash Log and email copy to Cecilia DelPrado. When making the deposit use a seperate account number listed on the appropriate Miscellaneous cash log.
When should monthly reports be sent to Niki and who do you CC?
What is by the 4th of every month and CC the Regional Lead.
If a team member had a breach where would you go to find the information on how to perform a Breach?
What is look into the PSR resource folder under the PSRTL for aides.
T/F When working with the weekend staff Team Leads should have an agenda already outlined of what needs to be covered.
What is True? Team Leads should have an agenda prepared of items to go over with their weekend staff.
If a PSR advises that an insurance is giving them a pop up in regards to the insurance but everything is correct with the Carrier code/patient's info/etc. what should we do?
What is retrieve the MRN from the PSR, review it all information and then send to Eligibility QA.
If a patient disputes their payment and the ICM is not in the office to give an answer as to whether or not bill the patient what would you do?
What is reach out to Karen/Marli or Brittany for permission to bill the patient.