Hello, i work for a global medical device company and am looking for assistance on medicare billing codes. Essentially, i am trying to do a crosswalk of what drg, icd9, icd10 and cpt codes our product offerings would be used in. My end goal is to understand volumes of procedures conducted to get an idea of market size within a hospital system based on what is submitted to cms for claims.+undefined Other Responses
We are seeking a consultant who is well-versed in medicare insurance compliance issues...We are a direct marketing agency who will be producing direct mail packages to acquire & retain members...
The consultant would insure the accuracy of our materials, identify hipaa compliant printers, mail shops and call centers...
We have worked with health insurers for over 12 years but lack in-depth knowledge of medicare-specific compliance issues...+11 Other Responses
Medicare Advantage: Special Needs Plans Policy And Coding
Our company offers medicare advantage special needs plans to beneficiaries in 12 states in the us. We currently have a need for an expert medicare policy and coding consultant. Please let me know if you are interested in hearing more about this opportunity.+7 Other Responses
I am in need a consultant to complete the medicare idtf enrollment process for a mri, ct facility. We meet all the medicare requirements including accred, techs, supervising, interpreting physicians, etc.
Please advise of total cost and your experience.+5 Other Responses
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.+4 Other Responses
Coding for medicare reimbursement for substance abuse, mental health in california+4 Other Responses
Problem faced by my 66 year old wife - the reset of the 100days of sub-acute care coverage under medicare when the covered person has had a trach and a g-tube since oct 2011 yet was out of medicare coverage for more than 4 months, being under nursing care, after using up her 100 days recovering from neurosurgery and now recovering from cancer.+2 Other Responses
Independent Diagnostic Testing Facility (idtf)
i’m interested in setting up an independent diagnostic testing facility (idtf) in the nyc market.
i am looking to speak to individuals who:+9 Other Responses
- have experience forming an idtf
- have an understanding of the nyc market
Looking for compliance officer with experience to consult on medicare request for self audit and voluntary refund. Our medicare carrier palmetto gba did a post payment review of cpt code ***** on six in-patients. Upon review of our records, we were denied payment because their audit said our dr's handwriting was not legible.Now we have received a letter from medicare asking us to do a self audit and voluntary refund. We are a 1 physician internal medicine/infect disease consultant practice located in san bernardino county california and would prefer someone local within driving distance. My name is elaine. Thank you.+7 Other Responses
Medicare Advantage Plans
My firm is working on a project looking into the use of 3rd party prospective risk assessment providers for medicare advantage plans and we are looking to speak with experts responsible for decision making surrounding medicare advantage plans and any choosing any outsourced vendors used for prospective or retrospective risk assessment in relation to medicare advantage members and plans. Please only respond to this inquiry if you can answer the following questions:
• what is the current size of the market for risk scoring assessment services for medicare advantage members? Is there an optimal plan size for these types of services? How are these services are currently priced?
• are there any emerging business models or regulatory changes that would change the current way that these services are provided?
• how important do decision makers view these assessments? Who are the decision makers for vendor selection, what are the selection criteria, and what are retention dynamics in the marketplace? How likely are non-adopters to use prospective risk assessments in the future?
• what is the competitive landscape like for risk scoring assessment providers? What plans are using what vendors? Is it possible to differentiate on any dimension other than price?
Thank you.+15 Other Responses
Medicare Requirements Compliance
I need info regarding the medicare requirements for a written code of conduct and a written compliance program. I am a chiropractor with 2 staff and need a written policy to comply with chapter 21 of the cms managed care manual.+3 Other Responses
Need to have manual for our office to show we are meeting all medicare compliance and security guidelines. Need to have evaluation of our office that we are compliant. We are psychiatry office+9 Other Responses