Jul 11, 2011 | Medical billing basics
There are an overwhelming number of medical billing books available in the market today. The electronic types, popularly known as eBooks are gaining more attention because it can easily be downloaded through the internet. No matter how interesting the...
Jul 10, 2011 | Medical billing basics
Newborn Care Provide the highest level of care for the newborn beginning immediately after birth. Such level of care shall include, but not be limited to, the following: (1) Instilling of prophylactic eye medications into each eye of the newborn; (2) When the mother...
Jul 7, 2011 | Medical billing basics
Pregnancy PCP’s or obstetricians are required to notify SHP of the first prenatal visit and/or positive pregnancy test within two (2) working days by completing the Pregnancy Notification Form (refer to the Forms Section), whether the pregnancy was identified through...
Jul 6, 2011 | Medical billing basics
A medical billing business requires efficient software to be able to perform tasks related to medical insurance and benefits. There are several billing software available in the internet today, finding the right one, however, can be challenging. Below are...
Jul 5, 2011 | Medical billing basics
Requests for a Second Medical Opinion Second Opinion is a consultation by a physician other than the member’s Primary Care Physician, whose specialty is appropriate to the need, and whose services are obtained when the member disputes the appropriateness or necessity...
Jul 2, 2011 | Medical billing basics
Emergency Services Emergency services are not subject to prior authorization requirements and are available to our members 24 hours a day, seven days a week, 365 days a year. An emergency medical condition is a medical condition manifesting itself by acute symptoms of...
