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Recent Medical Reimbursement 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.

  1. Profile Picture

    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
  3. Profile Picture

    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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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!

    +undefined Other Responses
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    Medical Billing And Coding

    Medical billing and coding determine whether mental health crisis services have been appropriately submitted for medicaid reimbursement.

    1. Profile Picture

      Leon |President

      My consulting firm TPG *****ices, has a doctor on staff whose expertise is medical billing and c...

      5.6 Hours Later
    2. Profile Picture

      Gary |OWNER

      WE are very familiar with these billing issues. Please feel free to contact me....

      5.3 Days Later
    +2 Other Responses
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    Dme Reimbursement

    As far as i can see, in order for a provider to be reimbursed by medicare for issuing a dme, the claim must include a detailed written order. The detailed written order must contain five elements (name of doctor, name of beneficiary, date, description of item, signature of doctor) to be approved for reimbursement. My inquiry is as follows: can progress//chart notes (or other medical records) that contain all of the five aforementioned elements qualify as a detailed written order for medicare reimbursement purposes? There is no statutory or regulatory definition of a detailed written order, so is anything containing those five elements considered a detailed written order by the cms? Thank you for your assistance.

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      Brad |Reimbursement Specialist

      Hello, I have experience in this area. I would need to *****s from the Medicare rules and then...

      54 Minutes Later
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      Pat |Managing Partner

      I am an expert in the area of billing DME and orthotics and we have numerous tools to help your orga...

      2 Hours Later
    3. Profile Picture

      Martin |Owner - Consultant

      We can provide an answer and CMS references for your your question....

      3.4 Hours Later
    +10 Other Responses
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    Medicaid Reimbursement

    I am looking to understand reimbursements for medicaid in california. I am looking at opening a facility that accepts medicaid but j hear horror stories of how long it takes to get paid

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      Michael |Managing Partner

      I can speak to Medi-Cal and how it is structured with regard to reimbursements. Perhaps we should d...

      2.7 Hours Later
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      Lisa |President & CEO

      Med-eHUB Consultants works closely with Medicaid and Medicare. We can help you with all your questio...

      6.8 Hours Later
    3. Profile Picture

      Leon |President

      TPG Consulting has several senior faculty ***** California with extensive experience in Medicai...

      7.9 Hours 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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    Billing And Reimbursement In Connecticut

    Job title: director, billing & reimbursement location: new haven, ct this job post has been authorized by zintro. **candidate must be located in new haven, ct area and/or driving distance to this location** **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 and 8 years revenue cycle experience and 5 years in a leadership role overseeing medical authorizations, managed care and reimbursement employees. This position is not eligible for visa sponsorship.

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      Michael |Managing Partner

      Happy to discuss. I serve as an expert witness in all 50 ***** Third-party reimbursement, Manag...

      4 Hours Later
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      Laura |Director EMR

      Laura Hames EPIC Project Manager PROFESSIONAL SUMMARY An accomplished and *****ect Manager...

      2.5 Days Later
    +4 Other Responses
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    Medicare Value Based Purchasing For Hospitals

    Our professional services company caters to hospitals. Hospitals should have financial incentive to hire our company because we help them raise their hcahps scores, which in turn, will help the hospital receive full financial reimbursements through the value-based purchasing (vbp) program from the centers for medicare and medicaid services (cms). However, our company seeks an expert to help us fully understand the fine details of the developing vbp program by cms, annual gross revenues of hospitals, %'s of revenue from medicare, etc. We are particularly interested in developing a convincing financial value proposition to use in sales efforts. Experts from companies such as press ganey or the studer group or from a hospital or from cms itself would be likley candidates.

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      Suresh |Senior Manager Operations

      I have 16 years experience in RCM process. Pls contact me....

      43.5 Days Later
    +2 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.

      +undefined Other Responses
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      Medicaid

      I need an expert in medicaid and medicare billing procedures to opine on whether certain procedures can be billed when not provided by a physician

      1. Profile Picture

        Brad |Reimbursement Specialist

        Hi, I would be able to assist in this area....

        48 Minutes Later
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        Damon |Managing Member/Founder

        Our consulting company, Pinnacle Life Sciences focuses on government and commercial payer ***** ...

        2.4 Hours Later
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        Mark |President, Medical Directions Corp.

        Experience with Medicare, Medicaid and commercial billing audits....

        2.9 Hours Later
      +8 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 & Coding

      I am looking for healthcare medical coding ad biling

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        Michael |Mr

        Sorry, but I don't have the coding and billing background you are looking for. Best regards, Michael...

        12 Minutes Later
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        Sue |Manager

        I have 35+yrs in medical billing and coding I can help you...

        39 Minutes Later
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        Melissa |CEO, Speaker, Author, Entrepreneur

        Hello, I have 20+ years of medical billing coding and consulting experience and own Mainstream Serv...

        51 Minutes Later
      +13 Other Responses
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