can patient change the PCP?

Nov 17, 2010 | Medical billing basics

Member Transfers PCPs may request to have a member transferred from their panel due to the inability to establish a good physician/patient relationship, including consistent non-compliance with physician instructions/recommendations or verbally or physically abusive...

primary care physician responsibility – bcbs

Nov 17, 2010 | Medical billing basics

The PCP is responsible for providing or coordinating medical services, which includes: Inpatient admissions Case management for non-surgical admissions Nursing home visits Physician hospital care Office visits Education on preventive health Injections and...

revision of DX code

Nov 16, 2010 | Medical billing basics

REVISED DIAGNOSIS CODE TITLES – Effective October 1, 2010 The final addendum providing complete information on changes to the diagnosis part of ICD-9-CM Diagnosis Code    Description 307.0*    Adult onset fluency disorder...

List of insurance and IVR phone numbers

Nov 16, 2010 | Medical billing basics

This is basically from Florida state. S.no Insurance Name Telephone Number 1 Medicare 1877-847-4992 2 RR Medicare 1877-288-7600 3 Medicaid 1800-289-7799 and 1800-239-7560 4 AARP 1800-523-5800 5 Aetna 1800-624-0756 6 UMR 1800-826-9781 7 Great West and Cigna baycare...

Medical biller – required skillset

Nov 15, 2010 | Medical billing basics

Besides the above main responsibilities, a medical biller must have or develop the following skills: • Understand and be able to explain insurance terms and benefits to clients and patients • Accurately read and complete claim forms • Perform bookkeeping activities •...