by Medical Billing | Oct 12, 2016 | Medicare payment basics
RETROACTIVE ELIGIBILITY Providers should be aware that, since bills have to be incurred before the deductible amount is met, there is always a period of retroactive eligibility. This may be several days or up to a period of three months from the current month. In this...
by Medical Billing | Jul 14, 2014 | Medicare payment basics
Retroactive Disenrollment from a Medicare Advantage plan or Program of All-inclusive Care for the Elderly (PACE) Provider Organization There may be situations where a beneficiary is enrolled in an MA plan or in a PACE provider organization, and later becomes...
by Medical Billing | Jul 29, 2013 | Medicare payment basics
Coordination of Benefits and Patient’s Share Members occasionally have two or more benefit policies. When they do, the insurance carriers take this into consideration and this is known as Coordination of Benefits. Prompt Pay Legislation – Coordination of...
by Lori | Nov 23, 2010 | Medicare payment basics
Aetna US Healthcare (Medicare HMO) Aetna has been one of the leading providers of quality health insurance in the United States for the last 150 years. There dedication to providing families with safe, cost effective health insurance plans places this provider amongst...
by Lori | Nov 23, 2010 | Medicare payment basics
Cigna Health care (Medicare HMO) Cigna Healthcare offers you customized Healthcare plans that are perfectly molded to the specific needs of your company, whilst at the same time allowing the flexibility that is needed in this constantly changing industry. Cigna...
