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|February 21, 2019
MEDICARE ADVANTAGE PROCESS EXPECTATIONS – NOMNC TIMELY RESPONSE
Medicare Advantage Plans Review Requirements and Expectations
The Medicare Advantage plans are highly regulated with stringent reporting requirements via their contract with the federal government. Because of these requirements the health plans are diligent about requesting data and responses in a timely fashion. One such requirement, is the NOMNC (Notice of Medicare Non-Coverage) completed form that must be delivered to beneficiaries receiving covered skilled nursing services at lease two calendar days prior to the Medicare covered services ending.
If you are having problems accessing the health plans provider portals or electronic claims systems, please contact Dana McHugh via email or by calling her at (850) 339-2909.
RIPPED FROM THE HEADLINES
CVS drops $7B in Market Cap as it Predicts Rough Year Ahead - Coming off a $69 billion merger with national insurer Aetna, CVS is predicting a difficult year ahead, and investors aren’t happy. Read more...
Drive to Home, Medicare Changes Are Creating More Integrated Senior Care - In the years to come, cross-continuum collaboration and the formation of integrated care delivery models that keep people away from the hospitals will be the main catalysts for lowering U.S. health care spending. For senior housing, assisted living and independent living providers, in particular, that makes establishing relationships with home-and-community based partners all the more important. Read more...
Health plan updates
Update Your Information - FCC’s provider manual is offered as a reference guide to assist with many items including information on how to file claims and enroll in the provider portal. Read more...
UnitedHealthcare Network Bulletin, February 2019 - Front and Center. Stay up to date with the latest news and information. Read more...
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