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ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services.
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In conjunction with Revenue Integrity, responsible for reviewing compliance regulations and coding requirements (primarily Medicare) and incorporates these changes into the coding process. Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present to support selected procedure codes or to code cases as needed.
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View Point Health serves uninsured, underinsured, low-income Medicaid, Medicare, war veterans and some private insurance across multiple locations with a full continuum of behavioral health services and support.
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Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents.
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Mental Health Technician (MHT) FT/PRN - Gwinnett/Rockdale/Dekalb. View Point Health is a community behavioral health center utilizing a team of psychiatrists, nurses, licensed counselors and social workers, and other professionals to provide services to individuals who need treatment and support to cope with mental illness, substance abuse, and intellectual and developmental disabilities.
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The Nurse Planner works autonomously to develop any and/or all of the following: Life Care Plans, Medical Cost Projections, Limited Medical Cost Projections, Medicare Set-Aside Allocations, Legal Nurse Reviews, Complex Nurse Reviews, Bill Reviews and other reports as needed within their scope of licensing and certifications.
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Our Medicare Sales Field Agent sells individual health plan products and educate beneficiaries on our services in a field setting. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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Supervising aides when they are providing modalities for non-Medicare, non-BCBSM patients, and also in their general set up and clean up duties. Supervising aides when they are providing modalities for non-Medicare, non-BCBSM patients, and also in their general set up and clean up duties.
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Educates patients and maintains compliance with Medicare Secondary Payer guidelines through accurate completion of questionnaire for every appropriate patient encounter, and with HIPAA privacy regulations and acknowledgements if applicable.
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Teach patients proper mechanics, ergonomics, and strategies to reduce future incidents. However, with our normal outpatient orthopedic population, Team would expect 55 to 60 treatments plus evaluations a week from a full-time Physical Therapist.
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Access Files To learn more about the TCFR and the MRF provision, refer to this Centers for Medicare & Medicaid Services page [cms.gov]. Must live within 30 minutes of home store location with flexibility to work at multiple locations within a district as needed.
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In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare and other populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid. Provides an overview of the RNAC role to new employees that are involved with the RAI process.
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Working with Medicare, Medicaid, and other commercial payers: 1 year (Required) As a Patient Financial Services Representative in our call center some of the responsibilities are, but not limited too; answering a high volume of inbound calls, researching and responding to billing questions and inquiries.
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Discusses and educates family members on various services offered by the nursing home and methods of payment for those services including but not limited to Medicare, Medicaid, insurance and private pay.
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