True or False
Avg. cost of an MRI is between $600-$700
The average cost of an MRI is $900-$1200
What can diagnostic imaging determine for the PM?
Treatment options.
What types of diagnostic tests can a DCM refer for?
MRI, CT Scan, X-Ray, and U/S
What is Nick's favorite treat?
Dilly Bars or snickers
A PM does not need provide a requestion for a DCM to make a referral?
False.
The plan member needs a requisition form for the test from a physician.
Will the investment in a referral shorten the duration of the claim?
YES!!!!
What does the PM need from their specialist or AP?
A requisition for the test.
What is Brett's favorite saying?
IT DEPENDS :)
Testing can be used for a secondary condition?
False.
The test should be for the primary disabling condition.
When would a DCM request a rush refferal?
PM is reporting financial hardship.
The timing of the service have a negative impact on the plan member?
You consider the standard service time unreasonable for the current situation?
Can a PM decline the option for diagnostic imaging from a private clinic?
Yes
The DCM needs agreement from the PM to engage in privately funded diagnostic imaging service.
What is Elizabeth's favorite saying
Persnickety :)
We will also accept Shenanigans!
The report from the test should be received within 5 business days?
False.
The report should be received within 10 business days of the appointment.
A PM has requested an out of country referral.
No, out of country referrals are not available at this time
Do all provinces allow for private diagnostic testing?
No
Bonus points if you can name which provinces do/do not allow.
What craft did Steve take up last week?
Diamond dot paintings.
DCM would refer if a PM is in Tx, Rehab program or engaged in a GRTW?
False.
Refer when the plan member is not able to participate in treatment, rehabilitation programs and/ or gradual return to work without the test.
What would Steve say is the most important thing we need to check on the plan member statement form when considering a referral?
That we have a signed and valid PM statement on file!!!!!!!!!!!!!!!!!!!!!
Who is everyones favorite RC?
Steve