September 2008 Entries
Today is actually a "Good Day" when it comes to insurance and verification of eligibility and benefits. Yesterday, well that is another story and I would have to say it was an "Ugly Day".
Seems that all the insurance verifications that I called about today was in high favor relating to patient benefits and eligibility. One plan actually pays at 90/10 for out of network benefits and another at 95/5 for out of network benefits. These days, those are actually good percentages!
With that being said, there are times when healthcare providers must take the good, bad and the...
Following the CMS conference call last week, I decided to email specific questions to the CMS staff to clarify a few valid points pertaining to FA Exemption. I did receive an email response; however, I also received a telephone call later today to discuss some of my questions and concerns in greater detail. I applaud the CMS staff for taking the initiative to call me to discuss and clarify important facts. After the telephone conversation with a member of the CMS staff, here are some of the facts that you should be aware of:
1. Orthotic Fitters...
I attended a conference call last week, conducted by the CMS staff, relating to Facility Accreditation "Changes and Revisions" of the DMEPOS Quality Standards. Prior to attending the conference call, I received an email alert on August 21, 2008 relating to the open door forum conference call, which included a new subparagraph that was added and would be discussed during the call. Here is the new subparagraph that was added to MIPPA section 154(b)subparagraph(F):
Background:
MIPPA section 154(b) added a new subparagraph (F). This subparagraph states that eligible professionals and other persons are exempt from meeting the September 30,...
How many times have you heard, or even said, “Because I Said So” when asking the question, Why? I know as a child, my parents would simply reply in this same manner when I asked Why. In fact I have to admit that I have even used the response with my children as well, a time or two…although seldom.
The fact is, asking the right questions can sometimes lead to getting the right answers to satisfy the why factor. In addition, when answering the question at once, you leave less room for the same question to come up...