Medicare, Medicaid, Insurance, HMO problems/Expert Profile


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Expertise

Any questions related to Revenue Cycle Management and homecare/facilities operation processes.

Experience in the area

I have been in the healthcare industry since 1992. My experience comes from working in a multi-physician practice setting, homecare, ambulatory care and consulting engagements with a "Big 5" firm.

Education/Credentials

Management

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Recent Reviews from Users

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    K = Knowledgeability    C = Clarity of Response    T = Timeliness    P = Politeness
UserDateKCTPComments
Dona10/29/0910101010I was extremely pleased as to how .....
lyra10/22/0910101010 
bryan10/08/0910101010Thanks so much, Ms. Rose. You clearly .....
Sujit09/08/0910101010 
Billie08/28/0910101010 

Recent Answers from Adelaide Rose

2009-10-29 insurance refusal to pay for hip replacement:

Dona, I would have your doctor write a letter of medical necessity (if it's warranted) and have the insurance company do another evaluation of the situation. The insurance company also have physicians

2009-10-06 medicaid:

Bryan, If your children are covered under your insurance, then your insurance is primary. Mediaid is always deemed to be the last payer of resort. You are correct, the primary insurance should be

2009-09-23 i need a pcp for my daughter asap:

Amber, I'm sorry but I can't give you a list or website...but I was wondering if the problem is that you're looking for a PCP instead of a Pediatrician? Although the pediatrician acts as a PCP for

2009-09-16 lap-band surgery:

Sherry, if your doctor can deem this surgery medically necessary, Medicare and Medicaid may cover. You will have to do some work to make sure you don't get stuck with the bill. What I would suggest

2009-07-27 mother:

Marsha, I took the following information right from the CMS (Center for Medicare/Medicaid Services): Qualified Medicare Beneficiaries (QMBs), with resources at or below twice the standard allowed

 

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