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Quivvy Tech is the fastest growing national telemedicine network in the U.S. We have a triage call center where all patients are pre-screened for medical necessity and to confirm compliance with legal and regulatory standards all while ensuring a positive patient experience.
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Provide clear advice to Government Affairs and business clients on key federal and state laws, regulations, and policies, including the Inflation Reduction Act, Medicare and Medicaid laws, the Affordable Care Act, 340B, FDA regulations, OIG guidance, and others.
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Operationalizes and assures compliance with Center for Medicare & Medicaid Services (CMS), Occupational safety and Health Administration (OSHA), Center for Disease Control and Prevention (CDC) and Patient Safety regulations at the service line level.
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Upholds Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information. Upholds Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
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As a Medical Billing Specialist, you will be responsible for generating and submitting Medicare, Medicaid and third-party claims. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, protected genetic information, sex, parental status, national origin, creed, religion, age, sexual orientation, disability, or Veteran status.
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Completes Medicare Compliance and obtains ABN if necessary. Obtains pre-certification, referral or authorization number and updates patients file. Performs required pre-certification, credit referral or deposit collection.
$37,600 - $56,400 a yearPart-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Marshall Dennehey, a leading AM Law 200 civil defense law firm with more than 60 years of dedicated service to our corporate, insurance and individual clients, is seeking a Medicare Attorney with one (1) to four (4) years of experience to join our growing Medicare Compliance group within our Workers' Compensation Department.
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Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements Proficient with QA/ OASIS requirements within Medicare guidelines to support clinical manager as necessary.
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Experience with the Medical Review process within Medicaid or Medicare Managed Care. Proficient in use of Microsoft Word, Excel, and Outlook. Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
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This nurse will be responsible for compliance with all regulations, laws, policies, and procedures, that apply to hospice and Medicare / Medicaid issues. Ensures all hospice policies and procedures for compliance with local, state and federal regulations.
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Accurately documents and monitors activities from data receivedOperationalizes and assures compliance with Center for Medicare & Medicaid Services (CMS), Occupational safety and Health Administration (OSHA), Center for Disease Control and Prevention (CDC) and Patient Safety regulations at the service line level.
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As per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for RN's performing moderately complex point of care testing, a copy of a diploma or transcript of the highest level of academic achievement to be on record with Human Resources upon hire.
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Performs Medicare compliance review on all applicable Medicare accounts to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs.
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The PC is responsible for the day-to-day administration of the training program and assists the Program Director (PD) in developing and maintaining the educational quality of the training program, ensuring compliance with Accreditation Council for Graduate Medical Education (ACGME) accreditation standards, and compliance with institutional policies.
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Responsible for ensuring all requirements are met for Joint Commission and other applicable federal, state, and local regulatory and /or accrediting agencies, i.e. the Board of Registration in Medicine (BORM), the Department of Public Health (DPH), Department of Mental Health (DMH) and Centers for Medicare and Medicaid Services (CMS) on an on-going basis within Mercy Medical Center (MMC) and Johnson Memorial Hospital.
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