PC - A
What type of business is ProCare Funding?
Medical Lien Funding
This is the department after intake
Underwriting
True or False
The DX Codes on a prescription can be helpful to the selected provider, but are not necessary
False
What is the name of the operating system that we use at ProCare?
ProBase
What is the name of the case status on the ProCare portal that indicates that the intake has NOT been processed?
New
Where do you go in ProBase to identify the assigned Underwriter?
"Open Attorney" or Attorney profile
What is the name of this board in ProBase?
Track Approval Request Board (aka task board)
What are the 2 main reasons why a doctor would prescribe an Open Unit MRI?
claustrophobic patient
patient too large for a closed unit
Approving funding a part of the intake process?
False - this is a part of the underwriting process. The intake process is only meant to enter in the new patient into the system or to enter in the new request for an existing patient.
True or False
You are able to match a ProBase patient account number to the submitted patient in the ProCare portal?
False - you are only able to submit the ProBase Case Number.
This date feature in ProBase allows the user to know which accounts have been worked and which accounts are newly assigned to them that need to be worked.
***HINT
Next Action Date
NAD
True or False
When the patient changes law firms, we create a new case on the Due Diligence board?
DOUBLE JEOPARDY - Why?
False - no we update the law firm to the new law firm on the due diligence board because it is the same DOI/same case.
***We also have to notify the billing team to also update the invoices to new law firm on any existing invoices.
What is the name of the only law firm that is shared by 2 underwriters?
Dominguez
True or False
The reason that we need the attorney information is to send the bill once the patient has treated with the selected provider.
Please explain either if you believe it to be true or false.
False; we also need this information so the underwriter can contact the attorney to obtain case information.
True or False
If a submitter has been contacted to correct missing information on a new request, the ProCare team member should remove the patient's profile from the ProBase until we have received all correct information?
False - you enter the patient into ProBase and add a note in the notes box for that missing information.
Patient Demographics - What are the mandatory fields in ProBase to create a new patient account?
**HINT - you can ask for a hint, but you loose 1/2 the points.
Hint = 5
1. First Name
2. Last Name
3. DOB
4. Telephone number
5. Address
What is a non-contracted provider?
This is a provider that does not sell their liens and only submits to ProCare for treatments they cannot perform.
How many errors are there on the Procedure Request?
DOUBLE JEOPARDY - Name the errors
3
True or False
As long as the patient is created in ProBase the ProCare portal will always find it to match?
DOUBLE JEOPARDY - explain
Double Jeopardy
False
- because if there is any mismatch of information, the system will not identify that is the same patient.
Ex: name mismatch or DOB mismatch
Who on the ProCare team is the only one to underwrite surgical cases?
Claudia La Belle
DOUBLE JEOPARDY
Name all the departments in order
Intake
Underwriting
Scheduling
Medical Records
Processing
Collections
What are the 2 ways in the ProCare portal to get to the Procedure Request window to update the approval status and assign the Underwriter?
1. click on the drop down on the home board and it opens up the request and then select manage procedure button on the right. Click update.
2. click the button with the 3 vertical dots. Select "edit case" and then go to the treatment information tab, then select update.
How many imaging locations do we have contracted that perform 3T DTI of the Brain
DOUBLE JEOPARDY - NAME ALL PROVIDERS
5
Shin
Providence/North OC
Excel
What is the name of the attachment type for a medical report that we receive with a new intake request?
Previous Medical Record (PMR)
On the ProCare map, why do we have 2 separate layers for the contracted imaging providers?
HINT***
because we have contracts directly with imaging companies vs. Precise who has contracts to rent the machine to use from the imaging companies. Precise only has 5 locations they own, vs. the other locations they are contracted with to use their machines only. The Precise Radiologist is the one that will read the images once performed.
HINT: Direct locations and Precise locations