Nov 23, 2010 | Medical billing basics
Initial Health Assessment As a Medicare Advantage Organization, BCBSF must make a reasonable effort to complete an initial health assessment for each BlueMedicare HMO, BlueMedicare PPO and BlueMedicare PFFS member within 90 days of enrollment to identify members with...
Nov 22, 2010 | Medical billing basics
Medical Records System HMO providers must maintain a medical records system that is consistent with professional standards and that: Permits prompt retrieval of information and provides legible and timely information, accurately documented, and readily available to...
Apr 12, 2010 | Medical billing basics
Medicaid Options is a state-sponsored program that helps Medicaid recipients enroll in Medicaid managed care programs: Medicaid Health Maintenance Organizations (HMOs), the Medicaid Provider Access System (MediPass), Provider Service Networks (PSNs), and the...
Feb 25, 2010 | Medical billing basics
How HMOs and PPOs DiffersThe following outline compares some of the features of HMOs and PPOs. These are general rules and you should speak with your human resources office at work or directly with your health plan. If you are in the process of deciding between...
Jan 20, 2010 | Medical billing basics
Universal is pleased to announce a new product under our Medicare HMO line of business for 2010. The name of the new product is the Medicare Masterpiece Premier HMO Plan. The member ID cards will be identified with “HR” as the prefix to the member number on the...
