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If an emergency or urgent care situation arises, can an “opt out” physician on the “on call” list treat the Medicare patient

“Opt out” physicians should not be listed on the “on call” list for Medicare patients since they are not billing the Medicare program. In rare circumstances, if the "opt out' physician or practitioner provided emergency care in the hospital emergency room and the critical situation continued after admission to the Intensive Care Unit (ICU) or [...]

By |2017-06-08T17:48:46+00:00June 8th, 2017||0 Comments

What does “Opt Out” mean?

If a provider “opts-out” of Medicare, he is permitted to contract privately with Medicare patients or beneficiaries to provide covered services. The beneficiary agrees to pay fully out-of-pocket for a Medicare-covered service after signing a private contract between themselves and the provider/practitioner. They then agree not to submit a claim to Medicare during the prescribed [...]

By |2017-06-08T17:48:43+00:00June 8th, 2017||0 Comments

Does a provider/practitioner have to enroll in Medicare?

Mandatory Claim Submission laws require a provider/practitioner to apply for a Provider Identification Number and file claims on their Medicare patient’s behalf, if they provide services that are eligible for Medicare reimbursement and provide these services to Medicare beneficiaries. If the provider does not perform services for any Medicare patients, enrollment in Medicare is not [...]

By |2017-06-08T17:48:39+00:00June 8th, 2017||0 Comments

What are the requirements for opting out of Medicare? How often can a physician or practitioner “opt out” or return to Medicare?

To opt out of Medicare: Participating providers are only allowed to opt out at the beginning of each calendar quarter. A valid affidavit postmarked 30 days prior to the first day of each new quarter (January, April, July, or October) must be submitted. Non-participating physicians and practitioners have the ability to opt out at any [...]

By |2017-06-08T18:01:40+00:00June 8th, 2017||0 Comments

What are Ban the Box laws?

Ban the Box is the name of an international campaign by civil rights groups and advocates for ex-offenders, aimed at persuading employers to remove from their hiring applications the check box that asks if applicants have a criminal record. Its purpose is to enable ex-offenders to display their qualifications in the hiring process before being [...]

By |2017-05-26T13:57:36+00:00May 26th, 2017||0 Comments

What are hiring laws?

Federal FCRA regulations state that inquiring about past convictions or imprisonment is prohibited and will not be justified by business necessity, UNLESS: Conviction or imprisonment occurred within the last seven years; OR Conviction or imprisonment reasonably related to job duties Federal FCRA regulations state that inquiring about arrests must include inquiry as to whether charges [...]

By |2017-05-26T13:58:19+00:00May 26th, 2017||0 Comments

What recruitment challenges do companies face?

Multiple facilities/jobs nationwide Following Federal/State regulations FCRA (15 states have own FCRA rules) Ban the Box (30 states with some ban type) State-level healthcare regulations Consistency in policies & hiring practices HR partner oversight of applicant status Recruiter involvement and access to results Multiple and different job positions Up to date job descriptions [...]

By |2017-05-26T13:58:56+00:00May 26th, 2017||0 Comments

What will the screening report look like?

The report will either show that no employees are excluded, or it will show a list of the employees that we have confirmed as having excluded status. In the case of excluded employees, you will first receive a phone call from one of our investigators to discuss the situation with you, before we publish the [...]

By |2017-05-17T18:46:37+00:00May 17th, 2017||0 Comments

How do I access the screening results?

A report will be generated each month and uploaded to your account. You will be able to access your reports, including past months’ screenings for 18 months, by logging in on the website. We maintain all screening results and reports for 5 years.

By |2017-05-17T18:46:31+00:00May 17th, 2017||0 Comments
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