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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    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

2009-11-11 claim denied:

Mei, You need to make sure that the blood work your husband's co-worker is getting is the same. If it is, is it possible that the co-worker has a different plan? you must compare apples to apples

2009-11-11 claim denied:

Mei, You don't state the reason why Aetna is not paying the entire bill. However, the first place you should look is to verify with them your lab benefits. Do they pay lab at 100%? Do you have to

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

 

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