Patient Care Correction (PCC) Module

1. Patient Care Correction (PCC) Module Patricia Linton, NP Debra Thiboutot System Support Analysts

2. What is PCC used for? • Patient Care transfers within Research Funds • Transfer of Insurance/Self Pay charges to the • Research Fund • Transfer from the Research Fund to Insurance/Self Pay • Locating missing charges • Correcting charges for incorrect patients on fund • Correcting incorrect charges for study patients • Confirming that the research rate was correctly • charged to the fund • The Insight PCC replaces paper submissions for research charge corrections. 2

3. How does PCC work? Corrections can be initiated by anyone with access to the study fund – Study PI, DA, or Study Coordinator Access to Patient Care Details is required in order to use PCC. You can request access through Research Applications Security via the Insight Help Desk at InsightHelpDesk@partners.org. 3

4. The Patient Care Correction tab is found under Agreements in Insight You will also see your Patient Care Details tab included in the next level options The Patient Care Correction process begins in Patient Care Details for Hospital (technical) charges 4

5. Selecting charges for correction • In your list of charges you will see a new checkbox in the last column on the right (Next slide #1). Checking this box will select that charge and pre-populate the fields in the correction screen. • After identifying the charges that need correction and checking the box, select the Request Patient Care Correction Button at the bottom of the page (Next slide #2). • NOTE: The charges listed in Patient Care Detail will only be Hospital charges, not Professional services. You may request corrections for professional services through a slightly different process in PCC. 5

6. 6

7. 7

8. ProcessingProfessional fee corrections • Transaction detail for Professional fees and • charges missing from a fund are entered directly • into the PCC form by selecting the Request Patient • Care Correction Button 8

9. ProcessingProfessional fee corrections • Choose “yes” after the statement: There are also • Professional Fee(s) that need to be corrected. A • text field will appear requesting an explanation • for the correction. 9

10. ProcessingProfessional fee corrections • Transaction details for Professional fees and • charges missing from a fund are entered manually • into the PCC form using Professional fee detail • found in INSIGHT Patient Care Details- ‘Other • Patient Care Costs’: patient name, MRN, date of • service, CPT (procedure billing code) and charge. • (There is no pre-population of Professional fee • transaction detail onto the PCC Form.) 10

11. Submitting the PCC Request • Once the user hits submit, the form routes Hospital corrections to Patient Accounts and Professional corrections to the MGPO Billing Office. • You can track the status of your request from draft through completion, including who is assigned to your request, in the PCC tab. • Once a request is submitted, it must be completed. You cannot cancel or erase a submitted correction. It will remain open until resolved. 11

12. PCC Resources 1. MGH Clinical Trials Billing Guidelines • CRP System Analysts - Epic Clinical Trial Billing Inquiries • Patricia Linton, NP • Debra Thiboutot • Phone: 617-726-6433 11