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Recent Medicare Reimbursement Inquiries

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Medicare Reimbursement

Hello, i'm looking for experts familiar with the new (cpt) code 99490, for non-face-to-face care coordination services furnished to medicare beneficiaries with multiple chronic conditions. I am a software entrepreneur and i believe my solution can be billable, but i want to consult with an expert to be 100% positive before launching this new strategy. Thanks in advance, -dan

  1. Profile Picture

    Morris |SVP

    Hello: If the client wants to know if his proposed billing solution will enable the billing provide...

    2.1 Hours Later
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    Troy |CEO and President

    I could help you with this. As I understand it, medicare says that it is Chronic care management s...

    6.4 Hours Later
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    Mary |Managing Partner MSN

    Dan, When you reference software, CMS was very specific on the ***** the Federal Regist...

    10.9 Hours Later
+13 Other Responses
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Medicare Reimbursement

Hello, we are looking to speak to individuals or consultants with knowledge of or experience with medicare reimbursement. We would ideally like someone who has a strong understanding of cms innovation programs on pioneer acos and bundled payment initiatives. This would be a paid 1-hour phone consultation, and we would be asking questions to better understand the current landscape and expected trends in cms reimbursement. Thank you

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    Ed |VP, Healthcare Analytics

    I have spent the last 15 months as the analytics lead for an "awardee convenor" under the Medicare B...

    1.3 Hours Later
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    Lisa |President & CEO

    We are completely familiar with the Partnership for *****: Better Care, Lower Costs program (the ...

    2.3 Hours Later
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    Audrey |Business Unit Lead Health Policy & Econo

    Tiffany, I currently work in the field of CMS reimbursement and am very engaged with the ACO landsca...

    11.7 Hours Later
+4 Other Responses
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Hospital System Trends

We are looking to do multiple paid phone consultations with senior executives with large hospitals in florida and texas. We would like to have a better understanding of trend in inpatient/outpatient volume, bad debt management, contract negotiations with payors, and physicians consolidation. This is a 1-hour paid phone consult. Please consider summarizing your relevant experience with short answers to the questions below: 1. Can you share your insights on the inpatient and outpatient volume trends?(y/n) 2. Can you share your experience on the upside and downside or orthopedics, maternity, and imaging? Please briefly explain. 3. Are you able to discuss the margins between medicare vs medicare advantages? (y/n) 4. Do you have experience with contract negotiations with payors and physician consolidation into larger groups? And how will it impact the hospital's operations? Please answer briefly. *** referrals will be highly appreciated

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    Dr Paul |Clinical Professor

    I am delighted to assist your efforts and have had 20 years experience addressing the issues you are...

    1.4 Hours Later
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    Paula |Senior Managing Consultant

    I have held executive positions with several health systems in both TX and FL. I am currently in a c...

    6.8 Hours Later
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    Kurt |Director of Operations

    Yes, I am interested. 1. Can you share your insights on the ***** *****me trends?...

    4 Days Later
+9 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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Medicare Reimbursement

I am an attorney representing a hospital in contract dispute; involves interpretation of the meaning of medicare's payment methodology for critical access hospitals; seeking expert to educate and testify if needed.

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    Brad |Consultant

    Hi, I am a reimbursement specialist with a decade of experience in the industry. I would know of oth...

    47 Minutes Later
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    Mark |Chief Medical Officer

    Mark L Friedman MD FACEP FACP . Experience with medicare audits including critical access hospitals....

    2.9 Hours Later
+2 Other Responses
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Medicare Advantage Plans

Looking to start a medicare advantage plan/ part d. We would like to speak to consultants who are knowledgable in this area, someone who has processed such plans in the past and well aware with the compliance requirements.

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    Morris |SVP

    A very challenging goal: Besides having enough capital to *****ral and *****irements t...

    49 Minutes Later
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    Michael |Managing Partner

    Here are my *****: I have advised MA plans on *****gement, *****rting...

    1.3 Hours Later
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    Dhun (Dana) |Principal Consultant

    25 years experience with insurance products. Have analyzed financial health of most MAPD plans (AM B...

    23.5 Hours Later
+8 Other Responses
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Clinical Laboratory And/or Genetic Testing Market

We are interested in multiple decision-makers who have knowledge in the clinical laboratory and/or genetic testing space, specifically individuals with expertise in three fields: a. Clinical laboratory operations b. Expected growth in genetic testing c. Medicare reimbursement trends for clinical lab testing / genetic testing this would be for a 1-hour paid phone consultation. To show your relevance in this space, please answer with a few brief statements the questions below. 1. What is your experience with the genetic testing market? 2. What is your experience with cms and medicare reimbursement for clinical laboratories? 3. What is your experience with cms and medicare reimbursement for genetic testing? 4. Describe your experience with the clinical laboratory industry. **please note that we are only interested in your personal point of view and are not seeking confidential information. Referrals are highly appreciated**

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    Kevin |Sr. Manager, Regional Oncology Sales

    1. I have led commercial teams in the launching of genetic testing to healthcare providers 2. I hav...

    1.1 Hours Later
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    Ken |President

    In response to your questions: A. I worked for the largest commercial reference lab (CRL)at the tim...

    1.2 Hours Later
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    Gerald |Owner

    . What is your experience with the genetic testing market? -- I interacted with Elaine Jeter, MD des...

    5.6 Hours Later
+19 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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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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Us Health Plans With Medicare Advantage Programs

We would like to speak with multiple experts that can discuss us health plans offering medicare advantage programs preferably a chief medical officer from health insurance companies and head of employee benefits of large self-insured u.S. Employers with employees performing some physical labor or moving. This would be for a 1 hour paid phone consultation. Please respond with a few brief statements as to your relevance in this space. 1. What is the level or extent of your experience in this space? 2. How many members does your company's health plans cover? 3. Does your company offer medicare advantage programs? **please note that we are only interested in your personal point of view and are not seeking confidential information. ***referrals are highly appreciated

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    David O. |Director

    . What is the level or extent of your experience in this space? I am managing the transition of our ...

    11.7 Hours Later
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    Jane |Associate Director

    I have *****oyer sponsored Medicare Advantage programs for our retiree population. We deci...

    11.7 Hours Later
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    Mary |Managing Partner MSN

    I have built many MA programs. Additionally, I have taken clients from readiness review to licensure...

    12.3 Hours Later
+22 Other Responses
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Medicare Advantage Operations, Start Up

I am looking for somebody who can start a medicare advantage plan company? A lot of details in it. I need somebody to contact me please

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    Navin |Vice President [Sales & Marketing]

    Hello, You can reach me ***** ***** (myndworks). Navin...

    21 Minutes Later
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    Joseph |President & CEO

    I am a former CEO and Regional VP for United Healthcare with significant experience in managed care ...

    6.3 Hours Later
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    Michael |CMSO , Chief Medical Strategies Officer

    My company is involved with virtual medicine from *****, pharma adherence programs and EDUCAT...

    7.4 Hours Later
+10 Other Responses
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Medicare New York

I'm looking for independent medicare advantage consultant and medicare supplement expert to figure our my medicare choices, i'm located in nyc, need to find someone who is familiar with this area, please advise.

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    Wise |President/Principal

    I'm not registered in N.Y....

    41 Minutes Later
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    Michael |CMSO , Chief Medical Strategies Officer

    I am a retired NY Physician who has recently been through the same ***** "pick" should be ...

    3.3 Hours Later
+2 Other Responses
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