PCPs may request to have a member transferred from their
panel due to the inability to establish a good physician/patient relationship,
including consistent non-compliance with physician instructions/recommendations
or verbally or physically abusive behavior. PCPs are responsible for
providing/arranging medical care to eligible Health Options members. Members
will not be transferred from a physician’s panel based on specific medical
conditions and/or needs, unless such transfer is, in the physician’s medical
judgment, in the patient’s best interest to allow transfer.
Showing posts with label Member Transfers. Show all posts
Showing posts with label Member Transfers. Show all posts
Sunday, 9 March 2014
Subscribe to:
Posts (Atom)
Popular Posts
-
CPT 99212 vs 99213 There is set of Evaluation and Management Guidelines that appear every year that the provider must become aware of. T...
-
I am not getting paid when I submit HCPCS code J3490 with the drug name and NDC number. Why? Answer: HCPCS code J3490 is a ...
-
Insurance ID format - major insurance of Florida Here is the list of some major insurance and insurance id format Insurance name ...
-
Medicare Payment for Clinical Laboratory Services Before Medicare pays for any test or diagnostic service, two basic criteria must be ...
-
Medicare provides coverage of diabetes self-management training (DSMT) services for beneficiaries who have been recently diagnosed with dia...