Medicare, Medicaid, Insurance, HMO problems/Expert Profile

Merry Schiff

U.S.
On Vacation
returns 12/15/2009
Expertise

I am very familar with Medicare and general insurance questions. I can answer general questions about HMO's.

Experience in the area

I have been in the medical billing industry for 50 years. I have helped develop software for this industry. I am a consultant to billers and the medical profession.

Organizations

I am the Executive Director of NEBA, a medical billing organization with nearly 1000 members.

Education/Credentials

I have been teaching medical billing for many years as well as being a published author with Pearson Education. One book on medical billing (nearly 800 pages) and one on HIPAA.

Average Ratings

Recent Answers from Merry Schiff

2009-11-11 Offered Medicare B:

All of this depends on how many employees your company has. You cannot have Medicare Part B until you have been on SSDI unless you have certain conditions. You do not determine which is primary and which

2009-11-05 Cobra/Medicare Part A:

http://onque.com/tips/cobraandmedicare.html I really cannot comment as this is too complicated for me. You have Medicare, COBRA and a Group Health plan..Please contact HR through the group health plan

2009-10-30 medicare & hmo's & fee for service plan:

I do not understand why you have Medicare and an HMO. Are you certain that you are not in an Advantage Plan, Medicare Part C. That is my gut feeling as Medicare does pay for PT with a doctor's referral

2009-10-23 Medicare and Cobra Insurance High Copayments:

You need to find out if your UHC COBRA plan covers your drugs and how much it covers. You are probably getting your drugs from their mail order plan which. in your case, may be from Walgreens. You need

2009-10-13 Submitting Bills to Medicare:

David..She had better know how to do it. It is a Federal law that she must submit the claim. And she can only charge the limiting charge. To find out what that is, you will need the CPT code that she is

 

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