Category Archives: Health Insurance

Dear Medicare

Dear Medicare,

Do you know why providers don’t want to do business with you? What business has a one hour window that is the “best time” to call each morning? Are you saying you only work one hour of each day? When I call in this one hour window, I still don’t get help. Please help me understand why you would not staff customer service representatives to SERVE your clients all day long. Please help me understand why a minimum 90 minute wait to talk to you is acceptable. Please help me understand why you direct us to your website but the website doesn’t have any information to answer our questions. Please help me understand when the new intermediary took over for the old intermediary why you don’t have access to these files. Please help me understand with the advancement of technology and the ability to do so much online why you haven’t adapted to the year 2014. Please help me understand why we still do business with you…OH, I forgot, you don’t want to know.

Sincerely,

A Healthcare Consultant that seriously feels she is losing her passion for what she does!!!!!

Verifying Texas Medicaid Eligibility

Each person approved for Medicaid benefits gets a Your Texas Benefits Medicaid card. However, having a card does not necessarily mean the patient has current Medicaid coverage. You must still verify eligibility. There are several ways to do this: • Swipe the patient’s Your Texas Benefits Medicaid card through a standard magnetic card reader, ifContinue Reading

Medicare Pay Cut Averted…again

Doctors can breathe a sigh of relief as a Medicare pay cut of nearly 30 percent is narrowly averted — at least temporarily. On New Year’s Day, Congress approved a “fiscal cliff” bill that includes a one-year delay of the scheduled Medicare pay cut — to the tune of 26.5 percent — due to theContinue Reading

Texas Clean Claim Requirements

Each states has its own guidelines and regulations set forth in various forms of the Healthcare Industry.  The Texas Department of Insurance has guidelines on specific requirements that are needed on a HCFA1500 in order for it to be considered as a Clean Claim.  You can review those documents here on the Texas Secretary ofContinue Reading

CMS Important Update regarding 5010

With the implementation of Accredited Standards Committee (ASC) X12 Version 5010, several concerns have been identified that may impact certain activities surrounding the transition.  Medicare has published a Guidance and Clarification for Version 5010 Implementations here.

HSA Data for 2012

Do you have an HSA?  If you do, you will be interested in knowing the information on the update on your contributions for the calendar year of 2012… For 2012, an individual can contribute up to $3,100 to their HSA, and a family can contribute up to $6,250. Minimum high deductible health plan deductible requirementsContinue Reading