Medical Billing Forum
General Category => General Questions => : Philip July 02, 2009, 05:11:29 PM
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How will I get the contact information of all medicare providers? Is there any provie look-up website ? Is there any database to download from the net? I am new to Billing . Anybody please help? Thanks In advance
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www.cms.gov
Or if you want a particular state/carrier "google" :)
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How will I get the contact information of all medicare providers? Is there any provie look-up website ? Is there any database to download from the net? I am new to Billing . Anybody please help? Thanks In advance
Are you looking for providers that accept medicare??? I'm confused as to your subject is eligibility check. Are you trying to verify if a client has medicare???
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I think I am half brain dead this week. I thought they said "carriers"
I'm going to take a guess that they are looking for a marketing list?
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Guess they are...I know I was baffled!!
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I am actually was trying to check medicare eligibility for Homehealth(using DDE) when a patient choose to transfer their service to us and when they show that patient has another provider, how do I find out the details about that provider? Such as the facility name, contact and phone and fax numbers. Please advice.Thanks
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Not sure on DME ??? but when I dealt with other providers for clients that worked in nursing homes, we got a face sheet with all the referring physician information on it.
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I am actually was trying to check medicare eligibility for Homehealth(using DDE) when a patient choose to transfer their service to us and when they show that patient has another provider, how do I find out the details about that provider? Such as the facility name, contact and phone and fax numbers. Please advice.Thanks
We use the IVR for same or similar equipment (DME) (using HCPCS) codes. When it shows that information I call Medicare provider services and they will give me the date of service, the provider, and the phone number. They are supposed to now list snf, hospice on the IVR, and on their eligibility system, eventually list same or similar.
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Thanks a lot for your Reply. Now I got it . This is the first time I am using medicare DDE( Direct Data Entry) to check eligibility for Homehealth . I am new to billing.In Homehelath, we need to check th eligibility of patients before we admit them in our facility. Sometimes the patient will have HMO or PPO . When I check eligibility, , I was trying to figure out that also ( which HMO or PPO the patient has) . In this case also ,can I call medicare provider services to get the information of that HMO or PPO ? Please advise. Thanks in advance
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Thanks a lot for your Reply. Now I got it . This is the first time I am using medicare DDE( Direct Data Entry) to check eligibility for Homehealth . I am new to billing.In Homehelath, we need to check th eligibility of patients before we admit them in our facility. Sometimes the patient will have HMO or PPO . When I check eligibility, , I was trying to figure out that also ( which HMO or PPO the patient has) . In this case also ,can I call medicare provider services to get the information of that HMO or PPO ? Please advise. Thanks in advance
Yes, you can always call the IVR to obtain that information. It will give you the information about the HMO, PPO's and also other insurance primary. There are other eligibility portals to check medicare. Brightree is free for DME and HME provider, Passports(pay per usage), and the CSI/BE that is offered by Medicare (yearly fee, unlimited usage)
Good blessings to you
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Thanks a lot for your reply. I am going to try that on monday. We have passport. I will get the provider information from the passport. After that I will call the IVR .Thank you. May God Bless you all. Have a nice weekend.
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Thanks a lot for your reply. I am going to try that on monday. We have passport. I will get the provider information from the passport. After that I will call the IVR .Thank you. May God Bless you all. Have a nice weekend.
You are welcome, enjoy as well!
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You can try www.nynpi.com. The only requirement is provider's full name. I did the random check on out of state providers, did able to get the details.
Thanks,
Amit
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You can try www.nynpi.com. The only requirement is provider's full name. I did the random check on out of state providers, did able to get the details.
Thanks,
Amit
That site won't give you eligibility information. He wants to know when a client presents with Medicare if they are enrolled in an HMO or PFFS plan. A lot of time patients still give you the Medicare card and they actually have a PFFS
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Charlene,
Thanks for correcting me. Let me check with my resources to find out the required information.
Amit