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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.

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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 |Billing Supervisor

    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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Center For Medicare And Medicaid Services

We are looking to speak with 2-3 experts to understand the decision-making processes for cms (centers for medicare and medicaid services) reimbursement, specifically for new prescription medications to treat cough. This would be for a 1-hour phone consultation. Please respond as to your relevance in this space and provide a few brief statements to the questions below: 1. Are you familiar with or cms (centers for medicare and medicaid services) rules at the national level? 2. Do you currently work for cms or serve on a working group? 3. Can you describe your experience with managed medicare lives?

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    Sandy |Director

    I would love to share my skills and expertise on this project....

    12.8 Hours Later
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    Steven |Sr. Account Executive

    I have had significant dealings with multi *****caid decisions and CMS. Would love to chat. ...

    1.6 Days Later
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    Joel |Chief Medical Officer

    see response to question...

    2.7 Days Later
+30 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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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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    Sandra |President

    I would be happy to provide you with this information. I have lots of experience in the neurology a...

    2.7 Hours Later
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    Kevin |President

    I am a partner in a Market Access Consulting firm - Value Genome LLC. Please contact me at 781 752 9...

    3.3 Hours Later
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    Robert |Medical Director

    I am a physician with 30+ years experience in coding/billing/reimbursement as a consultant, medical ...

    3.5 Hours Later
+23 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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    Dasharath |Senior Application Specialist

    I have many years of experience in *****. I can help in this project....

    1 Day Later
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    Larry |R&D Executive and Consultant

    I don't hold either of those types of positions, nor detailed knowledge of reimbursement, so wouldn'...

    1.4 Days Later
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    Floyd |Chief Pathologist

    I am the ***** started Digene, the HPV company. I won't be of much use in helping you ge...

    1.5 Days Later
+25 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

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    Brad |Consultant

    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 |Chief Medical Officer

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

    2.9 Hours Later
+8 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 |Consultant

    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
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    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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Medical Reimbursement

We are a group of consultants with various fields of expertise within the medical technology/medical device industry. We assist/guide medtech companies in going to market (qms, fda, marketing, ..) we are looking for medical device reimbursement experts to work with us on projects wherein new medical device technologies are being introduced onto the usa market.

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    Edward |President, Consultant

    Thank you for inquiry. It sounds like you work with OUS companies. I have a fast growing practice ...

    2.4 Hours Later
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    Mary |Managing Partner MSN

    Medical devices criteria on new products varies with each payer source. What worked in the market f...

    2.4 Hours Later
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    Brad |Consultant

    Hi, this is my area of expertise and I would be able to support your project teams on an ongoing bas...

    2.8 Hours Later
+10 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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    Will |VP & General Counsel

    My name is Will Ronning and I am the owner of a Medical Billing Business. We have handled the billi...

    33 Minutes Later
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    Brad |Consultant

    Hi, I have supported wound care reimbursement for 15 years and am a certified professional coder. I ...

    1 Hour Later
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    Kelly |Managing partner

    Wound care encounters are one of those areas that can be challenging to code and bill. The most imp...

    1.1 Hours Later
+16 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.

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    Leon |President

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

    5.6 Hours Later
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    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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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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Indiana Medicaid

Hello i am seeking a medicaid consultant for for a group practice in indianapolis indiana. We are currently using an electronic health records system to submit to a clearing house, and would like to improve the rate of successful reimbursement.

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    Will |VP & General Counsel

    My name is Will Ronning and I am with Coastal Medical Billing. As our name ***** are a medical ...

    5.5 Hours Later
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    Ray |Founder and CEO

    I am a *****thcare consultant well versed in Medicaid and Medicare. I would be interested ...

    5.5 Hours Later
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    Natasha |Management Consultant

    Hi. I am interested in discussing your inquiry in further details. I have over 14 years of experie...

    6.1 Hours Later
+11 Other Responses
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