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Recent Medical Coding Inquiries

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Medical Billing And Reimbursement

This full-time job post has been authorized by zintro. Job position: director, billing & reimbursement position summary: provides effective leadership and management of the reimbursement department in revenue management, medical insurance authorizations and managed care contracting. Essential duties and responsibilities: • develops, implements and manages the policy and procedures to ensure complete, accurate, and compliant processes that result in optimal collections and customer service performance for the organization. • directs the complete revenue cycle process for reimbursement services: ensures timely authorization of tests; initiates prompt calls and manages and monitors contract status and compliance. • is the key interface with xifin, our billing and collection service to ensure pricing is accurate and billing policies are followed. • coaches, trains and mentors team to meet departmental goals. • establishes performance metrics and reporting on progress to management on a weekly basis. • identifies issues and opportunities within the reimbursement process and implements strategies to improve efficiency and effectiveness. Knowledge, skills and abilities: • third-party reimbursement, managed care organizations guidelines, medicaid & medicare regulation experience required, medical terminology experience preferred. • ability to read, analyze and interpret documents, periodicals, professional journals, technical procedures and government regulations. • strong financial, problem solving, and organizational skills. • ability to read, interprets, and analyzes business and accounting documents. • effective communication skills, the ability to provide clear and concise oral/ written information to internal/external customers. • ability to maintain confidentiality and hipaa compliance practices. Education/experience: • bs degree in business or a related field • 8 years revenue cycle experience and 5 years in a leadership role overseeing medical authorizations, managed care and reimbursement employees. Candidate must be authorized to work in the u.S.A.

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    Sue |Manager

    I have 35+ years experience in Medical Management including Coding Billing and all methods necessary...

    1.2 Hours Later
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    Dell |Office Manager, Billing Manager

    To Whom It May Concern: My name is Dell Snellings and I would like to introduce myself to you. I w...

    2.4 Hours Later
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    Dhiraj |Manager

    Hello Respected Sir/Madam, I am Dhiraj Rana from Pune, I came across your advertisement for a job ...

    2.9 Days Later
+11 Other Responses
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Medicare Coding

We are looking for expert witness with at least 5 years experience in the field of medicare coding that is familiar with the coding policies and payment methodologies of the federal centers for medicare and medicaid. Specifically, we are looking for several experts with experience and knowledge of the national correct coding initiative (“ncci”). We need an individual with the credentials and ability to define what a utilization limitation is as defined by medicare. We need this individual to be able to explain clearly what coding policies and payment methodologies are technically considered to be utilization limitations (if any) and what coding policies and payment methodologies are not considered to be utilization limitations. Expert need not be based in florida. The ideal expert will be familiar with florida statute 627.736 (2013) areas of expertise: seeking experts with knowledge of medicare coding; medicare coding; medicaid; medicare; ncci; medical coding; medical billing; reimbursement; utilization limitation; national correct coding initiative

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    Ray |Managing Engineer

    We have published many studies using Medicare *****uding looking at payments, coding and is very...

    4.2 Hours Later
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    John |Director of anesthesia

    For coding issues as a physician I cofounded a billing and collection company. Please let me know ho...

    6.8 Hours Later
+4 Other Responses
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Medical Billing

I have a case that i am prosecuting against a general surgeon for delay in diagnosis of breast cancer. The surgeon performed what he described in a note as a core needle biopsy. I have reviewed his charges for the core needle biopsy and i have questions about his charges. I would like to retain an expert to review the charges and to comment on whether the billing was appropriate. I am happy to pay the reasonable and customary hourly rate for work done on this matter. There is some possibility that the expert i retain would have to testify at deposition and later at trial.

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    Adam |Owner

    Hello, We are an approved Zintro preferred partner. My name is Adam Taranto and I own Mednick Asso...

    1 Minute Later
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    Robert |Medical Director/Managed Care/Reimbursem

    I am a physician board certified in Preventive Medicine, Medical Management and Quality Assurance/Ut...

    1 Minute Later
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    Scott |CEO

    I am a computer and technology forensics expert with significant experience in Billing Systems and E...

    11.4 Days Later
+4 Other Responses
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Medical Reimbursements

Dear all, i am looking for an expert with experience in the reimburstment process from proton therapy and imrt . We are interested in someone with experience in maryland or pennsylvania. If interested, please contact me. Thanks, claudia

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    Rosemary |Principal

    Hi Claudia, I have experience in this area. For the most part, CMS rules are followed by the comme...

    1.3 Hours Later
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    Denise |President

    Hi Claudia, I have done appeals to insurance companies to get different types of ***** when...

    1.6 Hours Later
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    Brad |Reimbursement Specialist

    Hi Claudia, I served as the Mayo Clinic *****logy Financial *****orting Pro...

    1.9 Hours Later
+5 Other Responses
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Reimbursements For Wound Care In Nursing Homes

We are interested in talking with a medical reimbursement expert about "wound care services in nursing homes" (10 "cpt"). Specifically, we are interested in talking with experts about their view on future potential reimbursement trends for these codes. Our assertion is that these procedures are smaller ticket items (~$100-150 a procedure) and thus not on medicare’s radar for cuts, but we would like to try and support this by talking with people who know how medicare thinks and what they may be targeting for potential cuts in the future. We would like to speak with people who have either previously worked in medicare or are at other agencies or organizations who are very close to the pulse of what medicare is thinking. Thanks!

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    Medical Device Reimbursement

    I want to understand how the physician and hospital payment for intracranial hemorrhage treatment for a device used in the angiography suite be different from another device used in the or setting. The scope would include identifying cpt, icd-10 and drg codes for the device used in the angio-suit; codes for the or device are already identified.

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      Reimbursement

      Need to provide customers with a third party reimbursement medicare, cms, private insurance payor billing and coding consultant.

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        Brad |Reimbursement Specialist

        Hi, I could assist. Thanks, brad...

        8.5 Hours Later
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        Martin |Owner - Consultant

        What type of equipment does your company manufacture?...

        12.3 Hours Later
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        Mike |Senior Manager

        Thanks for you inquiry. I have extensive experience with Medicare, CMS, coding and reimbursement wi...

        1.4 Days Later
      +13 Other Responses
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      Coding: Cpt, Hcpcs

      Our company identified cpt codes for a line of products. I need to confirm that the codes are accurate and what the reimbursement range would be. If the code is not accurate, what code can i use. Also need to understand if there is a different hcpcs code.

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        Maria |President

        We can assist you to identify the validity of the codes and to determine whether CPT or HCPCS code h...

        22 Minutes Later
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        Damon |Managing Member/Founder

        I assist companies in this area. My background includes launching multiple healthcare products and ...

        34 Minutes Later
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        D R |Managing Partner

        I can make a ***** the accuracy of the CPT codes for your line of products. The second...

        43 Minutes Later
      +13 Other Responses
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      Digital Pathology Reimbursement

      We are a us based investment firm that is currently researching digital pathology. Ideally, we are looking to speak with an expert in digital pathology with particular experience in pathology labs and reimbursements that could tell us how a new technology might fit into the current reimbursement model. This is an urgent need and so the call will likely take place in the next few days. This would be someone who runs an anatomic pathology lab at an independent lab or as part of companies like labcorp or quest diagnostics. Only us based. You should have knowledge of digital pathology and the procurement and reimbursement of new computer aided diagnosis technology. And specifically, knowledge of cpt code 88361 for digital pathology and how new technologies might be adopted under that or other reimbursement schemes. Thank you in advance.

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        Medicare Coding

        I am doing research for a potential start-up project and i need to know how many times cpt code 91740 and 97124 were used in 2013 and by whom (i.E. Physical therapist, chiropractor, etc.)

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          Kelly |Consultant

          I could help you with this. I have extensive knowledge and resources available. Please contact me ...

          7 Minutes Later
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          Valdamitra |Contract worker

          What or who do you need to get this information?...

          22 Days Later
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          Bobbe |Consultant

          I believe I could help you with this....

          23 Days Later
        +3 Other Responses
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        Medical Device Reimbursement

        We are looking for reimbursement experts also called payers experts who have experience getting a medical device approved with one of the european agences such as with germany's bfarm or emea, aemps in spain, aifa in italy, nice in england, or has in france. You do not have to work for these agencies but we need someone who has worked closely with the process of getting a medical device approved with one of these agencies. The product we are working on is for chronic rhinosinusitis and the device involves a laser for the patient. We would like to interview you for one hour about this process. Please send me a detailed reply on your experience with getting medical devices approved in europe overall or in a particular country. Also do you have experience with rhinosinusitis? Please be very detailed so we can determine if you have the right experience. Janet *****

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          Mathieu |Experts for the medtech industry

          Dear Janet, at MD101 we have different medical device experts that can help you bringing your syste...

          15.7 Days Later
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          Yuri |CEO

          I have developed some medical products, till class III. My last product, developed from idea to cert...

          48.3 Days Later
        +2 Other Responses
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        Medical Coding

        We are looking for experts in the medical coding space in the u.S., preferably with knowledge of and/or experience in high reimbursement specialties. We are interested in learning about future impact of technology/software and potential policy changes on coding generally and specialty coding specifically.

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