QC Score Card
If a scheduler is on the line with any other than the patient, is E-mail required to be obtained or verified and is it required for the patient to have an E-mail on file?
What is No?
Schedulers should only request or verify the E-mail with the patient and it's not required for patient to have an email on file.
When scheduling a Mammogram and recent breast studies are on file, where would schedulers notate last prior?
What is Order Notes?
The region that requires an injection hold code following their PET/CT exam
What is Arizona?
If a patient has a Medicare Advantage PPO plan, are schedulers required to verify secondary insurance?
What is No?
Advantage plans are not Medicare primary.
The disposition used when auditing calls.
If a patient's exam does NOT require authorization, are schedulers required to update Pre-Cert Detail?
What is No?
If authorization is not required, schedulers are not required to update Pre-cert details but must review Billings Tab.
If a patient is marked STAT for their PET/CT, can schedulers overbook in a CT room where they perform PET/CT?
What is No.?
PET/CT cannot be overbooked. PET/CT marked as STAT can be notified as STAT read.
The region you can schedule PPO patient's on the same day with or without an authorization
What is Texas?
What does U.M stand for when scheduling patients with capitated insurance?
What is Utlilize Management?
The disposition used when evaluating calls
What is Back Office?
An agent lise points i this category for failing to mark STAT Flags
what is Documentation/Notes?
Which type of PET/CT tracer is required for corporate approval?
What is PSMA?
You can only schedule STAT exams until 4pm in these three regions.
What are Orange, Fresno, and Valley Radiology?
If a patient has Medi-cal and wanted to self-pay instead for their exam, can schedulers schedule the patient as cash pay?
What is No.
The time to exactly clock in to prevent Not Ready Time.
What is 9:00 AM and/or 10:00AM
A wrong procedure code but same room duration is what type of error?
What is Procedure Code?
How is an US Inguinal Hernia scheduled in RIS?
What is US Soft Tissue Groin?
La care direct patients can no longer be scheduled in this region.
What is Antelope Valley?
I must be on file to schedule a patient who was just injured in a car wreck.
What is PI Lien?
The minutes daily for personal time use.
7 minutes.
Agents lose the most points for this critical error.
What is 8.5 Scheduling error resulting in patient reschedule?
An exam that requires a FL injection due to Arthritis.
What is Arthrogram?
The Mri full Spine for pediatric patients scheduled in SMIG.
What is Dr. Skaggs Protocol?
If schedulers are unable to locate a patient's insurance with policy ID, what is the carrier name to search for their insurance?
Hint: WFA team
What is "ID- Insurance Discovery"?
A person who is caring and supportive to all of our needs.
What is Westley!