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Recent Medicare Inquiries

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Medicare Coding

We need an 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 must be based in florida. The ideal expert will be familiar with florida statute 627.736 (2013)

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    Donald |Director

    Sorry-Not ably to assist here DZ...

    2.3 Hours Later
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    Dawn |Partner

    I have years in the Medicare billing coding and RAC environment. Would enjoy working with you. I ha...

    11.4 Hours Later
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    Paula |Healthcare Revenue Management Consultant

    I would be most happy to assist....

    1.2 Days Later
+4 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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Medicare Billing

Need an expert in a medicare fraud case dealing with adult diapers. Accusations of over billing medicare, of billing for the wrong size, of nondelivery, and delivery of the wrong size.

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    Dorothy |Revenue, Billing/Coding Consultant

    I have worked on several Medicare fraud cases involving suspicious billing. Contact me if I may be...

    2.3 Hours Later
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    Sonja |RN-Clinical Specialist

    Adult diapers are not covered by Medicare.. in any circumstance....

    13.2 Hours Later
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    Sue |Manager

    Who is being accused of fraud an individual, family or a business?...

    2.1 Days Later
+4 Other Responses
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Medicare Coding

We are an accredited, medicare/medicaid-certified home care agency in cleveland, ohio. We seek a certified consultant to review our medicare/medicaid service codes periodically to assure enhanced reimbursements.

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    Dorothy |Revenue, Billing/Coding Consultant

    I have a number of years experience in Medicare billing, coding, reimbursement....

    13.3 Hours Later
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    Peggy |Branch Director

    I took a coding class several years ago, and passed it 100%, and have been coding for homecare ever ...

    15 Hours Later
+3 Other Responses
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Medicare Coding

I need help with the 97750 code

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    Leon |President

    TPG *****ice is a small consulting practice with expertise is coding. Our consultants have in d...

    5.8 Hours Later
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    Sue |Manager

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

    9.7 Hours Later
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    Rob |CEO, Licensed Attorney

    I have 25 years in the billing and coding area, and have access to *****rts in coding and re...

    4.8 Days Later
+4 Other Responses
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Medicare Compliance

I am involved in a fca claim against an acute care hospital involving medicare and medicaid issues-- 1) upcoding, 2) improper status changes for inpatient only procedures, and 3) violations of 3 day inpatient stay rules for transfer to snf facilities. The us attny reviewing the case has hired nurse practitioners to advise the us attny and i would like a medicare coding expert to weigh in and possibly serve as the chief plaintiff's expert in the case.

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    Raymond |CEO

    I am Raymond Cogen MD MBA and head a Medicare conuslting firm (Cogen Medicare Consultants). We do no...

    1.5 Hours Later
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    Dorothy |Revenue, Billing/Coding Consultant

    I can help. 23 years as Medicare specialist. still contract with QIO....

    4.7 Hours Later
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    Robin |CEO

    I received your inquiry. I am an *****r with background and experience in compliance, parti...

    8 Hours Later
+4 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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    Medicare Coding

    I'm looking to start an occupational therapy clinic- specifically a low vision rehabilitation clinic. I will need a medicare expert to help me with this project.

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      Margo |CEO

      I have a medical billing company that specializes in OT/PT/ST www.apsbilling.net. Please email ...

      8 Minutes Later
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      Jennifer |CEO

      Hello, I have muti- speciality experience. I been within the Medical field for over 25 yrs. I have h...

      9.5 Hours Later
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      Sue |Manager

      I have over 30 years experience in medical billing and coding. I can help with setting up medicare p...

      9.8 Hours Later
    +7 Other Responses
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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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    Centers For Medicare & Medicaid Services (cms)

    Need someone who had been will cms or medicare investigations who can review documents in a criminal case. We are located in houston texas

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      Mark |President, Medical Directions Corp.

      I have been medical director for one of the RAC subcontractors and a member of the Massachusetts att...

      2.4 Hours Later
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      Donald |President and CEO

      Depending on the scope of the case, I would be qualified to consult. Can you share more specifics?...

      3.6 Hours Later
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      Dana |Principal

      I was a Medicare auditor for ten years and am currently CFO at a Critical Access Hospital in Alaska...

      15 Hours Later
    +5 Other Responses
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    Medicare Coding

    Need help with properly coding services for a mental health and pain medicine practice. This is a single provider + support staff practice. We provide services in office, assisted living, custodial care and snf settings. Need to properly code e&m and adjunct services for billing to medicare and various california workers compensation payers. Looking for a consultant to assist with coding to maximize revenue while staying within medicare guidelines.

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      Duncan |Medical Coder

      I would be glad to assist you. E & M coding simply requires good abstracting. Many times small off...

      3.1 Hours Later
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      Brij |COO

      Ours is a Florida Based Medical Billing & Coding Company with over a Decade experience in Healthcare...

      155.4 Days Later
    +2 Other Responses
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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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