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You would need to look on the DEA website how they handle these situations as I’m not familiar with this specific circumstance. Good luck and thank you for watching.

You are most welcome! Thank you for watching!

Thank you for sharing your experience. I hope it’s going better for you!

I am sorry you had to endure that, but thank you for sharing. I have not personally experienced this, but it is very important to remember that patients do have rights. I appreciate your input.

Yes, most Medicaid programs have strict guidelines on what they will and will not cover. Reviewing their online policies and guidelines help reduce unnecessary submissions of prior authorizations. Good luck and thank you for watching!

@@zahoorullahminhas8533 thank you!

Thanks for watching

I already have an older video that reviews this. I will look at possibly doing a newer one soon. Thank you!

Your welcome

I have listened to many parts of the video and have no problem hearing the video, although it is definitely an old video, the sound quality is likely not as good as my newer videos. Will definitely consider doing an updated version. Thanks for watching!

@@bertan8510 thanks! That is so awesome! I’m a HUGE Ducks fan!! I’m so ready for this weekend to kick off our first football season in the Big 10. I appreciate you watching my videos. GO DUCKS!!

You are so welcome and I’m glad you found me as well! I couldn’t agree with you more! I understand. There is so much worry and awareness around provider burn out right now but no one wants to talk about the elephant in the room of insurances making things more difficult all the time and the growing compliance and regulations in healthcare. I appreciate your support and for commenting!

Thanks for watching

Yes, I do. I responded to your email as well with more details.

Hi and thank you for watching my videos! It depends on multiple factors. The biggest one is if you have an MD who is listed as the mid-levels (PAs and NPs if you have them) supervising doctor at their boards and what the state’s requirements are for them. It also can be depending on your supervising agreement with the mid-levels and the doctors internally. The insurances in your area may have their own guidelines for this too. You would need to check with each. As far as for billing, if all are individually credentialed and enrolled under the group contract as individuals then you can bill under them and they can sign their own notes for claims purposes. Good luck!

Hi there! The course does not review how to set up fee schedules. Although it does require reviewing contracts with the payers, it is a little separate and usually credentialing specialist. Don’t do this for their clients. In order to figure out the fees, a practice would need to look at all of their payer contracts to see who would be the highest reimbursement and then decide from there. I have a video that goes over this process for you. In regard to your second question, I am not sure if my course covers all of the information that you would be tested on to get certified. I have never taken the test myself so I am not sure what those questions consist of what knowledge they expect you to have. I designed this course to help people decide if they want to pursue a future in credentialing and contracting and also for the person kind of being thrown into these roles and responsibilities who need guidance. I hope this helps. I appreciate your support!

Hi Jennifer, i purchased your beginner course and will get the intermediate and 3rd course as well. I sent you a message through my portal. If you know someone that is looking for part time credentialing let me know I am looking for.

​@navigatingthebusinessofmed8251 Wonderful! It does, tha k you. However, the type of fees I was referring to was how much to charge a physician if I were to set up my own Med/Credentialing business to offer these services to medical practices. I guess kind if what you do. I am looking to know how to approach these practices to gain the business. Is that something you teach or have videos on? Helping other Credentialing Specialists to become equipped enough to possibly do this type of business? I guess was my question. Tha k you again for your amazing videos!

Hi there and thank you so much! Unfortunately, I’m not sure the exact content of the certification test as I have not taken it myself to know what is needed to pass. I can tell you I created this course for people like me who where thrown into this responsibility in a practice and had to learn as I go. It’s the information that should help provide a foundation of building from in this realm of healthcare. Good luck!

@@zahoorullahminhas8533 hi there and thank you for your kind words. I’m so happy to hear my videos have been helpful to you. I would recommend initiating credentialing with the payers ASAP while simultaneously asking for an enrollment contract. You can always let the other insurances know the Medicaid credentialing is in process. Some may require it to be completed before they move forward with their application for their Medicaid lines of service, but at least it would be on its way to completion when that happens. Good luck and I appreciate the support!

@@navigatingthebusinessofmed8251 Thank you so much.

Thanks for visiting

Yes, you usually can request an NPI 2 on behalf of a group. It gives that option when you log-in to NPPES. If everything is completed successfully then the NPI could be assigned almost simultaneously. However, it is easier to work on behalf of the group for other needs too by just getting approval by the owner to have it assigned under your account. Thank you for watch and the kind words. I’m happy to hear my videos have been helpful. I appreciate the support.

You need to go to the Maine Medicaid website for provider enrollment and follow their instructions.

@@mohammadqabir5272 hi there and thank you for watching. I apologize but I’m not aware of any CCM-only/specific software. Although I know expense is a factor and could be an ultimate reason someone may choose one software over another, please keep in mind that you get what you pay for. If it sounds inexpensive, often it’s more of an a la cart system that ends up charging for separate features and may end up costing more in the long run than if you went with a software that is more expensive but all encompassing. Good luck!

Glad it was helpful!

I would like to try and help further, but I would need to know exactly what you are requesting. Thank you.

I’m glad you found it helpful! I appreciate you watching!

Thank you for your support and kind words. I’m happy to hear they have been beneficial! I will see what I can do with the request.

Hi there and thanks for asking. To get your name out there and build your client list that is not a bad idea, although I feel in-person advertising may be a good initial approach. Good luck!

@@navigatingthebusinessofmed8251 thank you for the tip ... I wanted to do it in person originally so I'll do both... Thank you so much for your content ❤️‍🔥🫶🏾❤️‍🔥 I love how you deliver your experience and knowledge!

Glad you found the video helpful!

Thanks for watching!

Hi there and thank you for watching. If there is something like this then I would love to know about it! I only know about the Medicare Physician Fee Schedule and Medicaid state fee schedules that are available to the public. I don’t even know any insurances that you can log-in to their portal to see your individual agreed upon fee schedule so please let me know if/when you find this!

Hi there! Thank you for watching and for asking the question. All credentialing is done exactly the same and you just provide the specialty of behavioral health when you’re working on it with payers. They will also know by the use of taxonomy codes associated to the providers’ and group NPI numbers. My course is for general credentialing and contracting so It should help you. I also can be hired to coach you along the way and teach you what you need to do. If you are interested, you can email me directly jennifer@icsolns.net.

@@user-xu3jk9wr4t Here is a great resource for you regarding billing DME at Medicare under Part B coverage. www.medicare.gov/coverage/durable-medical-equipment-dme-coverage Good luck and thank you for watching!

@@navigatingthebusinessofmed8251 Thanks For Letting Me Know But My Question Is Like A Normal Person Can Bill Medicare ?

@@user-xu3jk9wr4t I’m sorry I don’t understand what you mean by “normal person.” Only doctor offices and healthcare providers credentialed and enrolled with Medicare can bill Medicare directly. Non-healthcare professionals cannot. I hope this helps.

@@jaiminibrahmbhatt8499 that is my understanding, but I recommend everyone to read the policy for themselves and consult an attorney if needed. This video is intended to spread awareness of changes and not give advice. I appreciate you watching!

@@carmenwashington3767 right?! It applies to so many things. I appreciate you watching

Hi there- best practice is having one master fee schedule to bill all insurances the same. Your reimbursement will be different depending on your individual contracts with each insurance. I hope this helps.

Hi there! That does seem really unusual because if it’s not likely you’ll be billing for services rendered in a certain state, or with a specific insurance then I don’t see the need. If it’s highly likely you will, then I would. If you will be growing in those states, then you can work towards that but as long as your schedulers and registration staff know not to schedule patients with those insurances or in those states then you should be fine. Ultimately, you guys would be losing the money because you would not get paid for those services if you’re not participating and it would be an adjustment, and I am sure they see that as money out of their pocket so they must be trying to prevent any issues like that. Thanks for the question! Good luck.

This was helpful! Thank you!

Thank you so much! I like doing them. I appreciate your support!

Hi there. This is a very complex set of questions because every state has different requirements for out of state and telehealth providers. These were triggered due to the pandemic. Most states require the provider to be licensed, but some have an option if it is for telehealth only. We are anticipating Medicare making changes to the telehealth requirements soon that will go into effect 1/1/25. I’m advising everyone to be mindful of this and try to wait on any telehealth-dependent decisions until these are released here in the next few months because states and insurances will change their policies based on these requirements. Behavioral health is the only specialty right now where permanent telehealth guidelines have been established and everyone else is waiting to see what changes will come. Thank you for watching!

@@Cheresify hi and thank you for watching. They most likely will honor each provider’s individual status, but all new companies/groups need a contract (enrollment) with each payer. Then all providers also need to be listed under that group contract as, enrolled and affiliated to work for that practice and claims paid as such. Thank you for watching!

Yes it usually is not to difficult to apply with Medicare. If you’re a DME supplier it may be a bit more complex, but the key is knowing what you’re doing.

I don’t use anyone for billing as I’m a consultant and don’t work at any one office. In the past, my places of employment have used in house billers and hired the EMR company for their billing services. There are also 3rd party billing companies too. Every group has different needs. I appreciate you watching.

Would you recommend a 3rd company please ,we need a billing company now.😊

@@haiyanzhang3974 please email me jennifer@icsolns.net

I don’t have a need for billing. Clients usually already have a billing company lined up when I meet them.

@@lcmd7833 Hi there! Now with the No Surprises Act there is more transparency of what clinics are charging self-pay patients. Most have information on their websites, but there is no single place to reference. I appreciate your support.

@@raheelabbas6457 I’m happy to hear it! Thanks for the support!

Thanks

Hi there! Yes! Every state’s Medicaid plan has their own fee schedule and you should be able to find it on their website. Thanks for watching!

@@sohailabbas3419 thank you for supporting my channel. Unfortunately, I am not familiar with any IPAs in NY. They are usually very regional and I have not worked with many practices in NY. Good luck!

Hi there and good for you! How exciting. Every employer looking to higher billers and coders call their positions something different. Most want at least a billing and/or coding certification or experience equivalent. I would recommend looking for a job to work a front office position or assist an existing experienced biller to gain the foundational knowledge needed to build from in the industry. Understanding insurances, terminology, the revenue cycle as a whole is pertinent to success. Good luck!

Thanks

​@@navigatingthebusinessofmed8251I have learnt a lot from you