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Kelly Shea
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IBCLC- BILLING, CREDENTIALING, LICENSURE. GEORGIA 7.1.16!!!! hide this posting

Licensing- IBCLC's and LC's

International Breastfeeding Consultants and Lactation Consultants


EFFECTIVE JULY 1 2016-

The Law provides licensure to lactation consultants in Georgia, thereby protecting the public from unqualified providers and enabling reimbursement from insurance companies!!.


IBLCE International Board Certified Lactation Consultants Licensure, Billing and Credentialing

We offer assistance to Lactation consultants towards becoming licensed to provide, but not limited to, the following services:

1. Lactation assessment through the systematic collection of subjective and objective data
2. Analysis of data and creation of a plan of care
3. Implementation of a lactation care plan with demonstration and instruction to parents and communication to the primary health care provider
4. Evaluation of outcomes
5. Provision of lactation education to parents and health care providers; and
6. The recommendation and use of assistive devices.

IBCLCs must be contracted with a given insurer before services are covered.
Reimbursement/Credentialing activities change periodically, it is our pleasure, and responsibility to ensure that credentialing processes are applicable, and that they meet the requirements of individual health insurance companies for which IBCLC's and LC's apply as providers.

What you get with our IBCLC Credentialing services:

• An "All Purpose" credentialing manager to represent you with commercial and government payors.

• We complete all applications and necessary paperwork on your behalf with the chosen payor networks and government entities.

• We maintain all of your documents on our secured database, in which you have access to 24/ 7.

• Maintain and update CAQH profile.

• Complete all necessary credentialing requirements for each payor and follow through to completion.

• Follow all payor contracts through to contract load date and provide copy of fully executed contract and fee schedules to your practice or billing company.

• Obtain National Provider Identification Number (NPI)


What comes with our IBCLC and LC Billing Service?

• comprehensive billing services and collections.
• Initial evaluation of your practice and AR is included before we move forward.
• We make it easy to get started and we are serious about getting IBCLC's and LC's paid
• Patient input, statements and follow up is included in our service.
• Full electronic claims and AR management is also included.
• HCPCS/CPT Codes & Diagnosis Codes Available

Tele Health Lactation Consult

• Virtual lactation Telehealth services

• "New" Options for Health Education Telehealth/Telemedicine- We offer assistance with providing Virtual telehealth lactation services, and billing for those Virtual telehealth services.

Fair Market Value Agreement/employment structures-

• We offer assistance with negotiating employment agreements, be it contractor, employee, private practice, or hospital based opportunities.

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IBCLC- BILLING, CREDENTIALING, LICENSURE. GEORGIA 7.1.16!!!! hide this posting

Licensing- IBCLC's and LC's

International Breastfeeding Consultants and Lactation Consultants


EFFECTIVE JULY 1 2016-

The Law provides licensure to lactation consultants in Georgia, thereby protecting the public from unqualified providers and enabling reimbursement from insurance companies!!.


IBLCE International Board Certified Lactation Consultants Licensure, Billing and Credentialing

We offer assistance to Lactation consultants towards becoming licensed to provide, but not limited to, the following services:

1. Lactation assessment through the systematic collection of subjective and objective data
2. Analysis of data and creation of a plan of care
3. Implementation of a lactation care plan with demonstration and instruction to parents and communication to the primary health care provider
4. Evaluation of outcomes
5. Provision of lactation education to parents and health care providers; and
6. The recommendation and use of assistive devices.

IBCLCs must be contracted with a given insurer before services are covered.
Reimbursement/Credentialing activities change periodically, it is our pleasure, and responsibility to ensure that credentialing processes are applicable, and that they meet the requirements of individual health insurance companies for which IBCLC's and LC's apply as providers.

What you get with our IBCLC Credentialing services:

• An "All Purpose" credentialing manager to represent you with commercial and government payors.

• We complete all applications and necessary paperwork on your behalf with the chosen payor networks and government entities.

• We maintain all of your documents on our secured database, in which you have access to 24/ 7.

• Maintain and update CAQH profile.

• Complete all necessary credentialing requirements for each payor and follow through to completion.

• Follow all payor contracts through to contract load date and provide copy of fully executed contract and fee schedules to your practice or billing company.

• Obtain National Provider Identification Number (NPI)


What comes with our IBCLC and LC Billing Service?

• comprehensive billing services and collections.
• Initial evaluation of your practice and AR is included before we move forward.
• We make it easy to get started and we are serious about getting IBCLC's and LC's paid
• Patient input, statements and follow up is included in our service.
• Full electronic claims and AR management is also included.
• HCPCS/CPT Codes & Diagnosis Codes Available

Tele Health Lactation Consult

• Virtual lactation Telehealth services

• "New" Options for Health Education Telehealth/Telemedicine- We offer assistance with providing Virtual telehealth lactation services, and billing for those Virtual telehealth services.

Fair Market Value Agreement/employment structures-

• We offer assistance with negotiating employment agreements, be it contractor, employee, private practice, or hospital based opportunities.

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For patients with chronic conditions, video-based follow-up appointments often involve medication adjustments, monitoring of side effects, lab/imaging result reviews, and overall treatment plan management.

Chronic conditions commonly managed through telemedicine include:

Diabetes
Hypertension
Coronary artery disease
Cardiac arrhythmia
End stage renal disease
Hepatitis
Asthma / COPD
Obesity
Oncologic co-morbidities
Neurodegenerative diseases
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Telemedicine services provided by PCPs Billable and Payable by Insurance companies- Call us today to assess your average amount of billables by adding telemedicine visits.

Provide ongoing care

For patients suffering from chronic conditions like diabetes, hypertension, or heart disease, telehealth helps keep patients better engaged in their care. PCPs are able to monitor symptom progression, adjust medications, and modify treatment plans without asking patients to return to the office.

Offer counseling services

PCPs dedicate a lot of time and energy to mapping out self-care plans for managing depression, weight loss, and smoking cessation. Telemedicine allows physicians to conveniently check in with patients, provide counseling, and ensure treatment plans are still working well.

Review screenings and lab results

Providers order multiple lab tests and screenings each day, whether it be CBCs, blood glucose levels, or other tests. For abnormal lab results, remote video allows PCPs to discuss results with their patients face-to-face without losing money on follow-up phone calls.

Manage medications

Whether it’s birth control, blood pressure medication, or antidepressants, remote video appointments are an ideal solution for adjusting patient medications. 
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It’s no secret that Primary Care practices spend a lot amount of time following up with patients. Asking patients to come into the office for follow-ups is inconvenient, but phone calls to patients aren’t reimbursable. For appointments that don’t require a physical examination, offering telemedicine solves this dilemma!
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For patients with chronic conditions, video-based follow-up appointments often involve medication adjustments, monitoring of side effects, lab/imaging result reviews, and overall treatment plan management.

Chronic conditions commonly managed through telemedicine include:

Diabetes
Hypertension
Coronary artery disease
Cardiac arrhythmia
End stage renal disease
Hepatitis
Asthma / COPD
Obesity
Oncologic co-morbidities
Neurodegenerative diseases
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Telemedicine reimbursement can be both complex and ambiguous. The good news is that Physician Fees First LLC has an experienced team That handles these complexities, especially as they apply to outpatient physician practices. We can provide your practice with an overview of reimbursements on a federal and state level, covering both Medicare and Medicaid as well as private payer insurances.We look forward to assisting your practice towards streamlined added revenue options.
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WOW!
One market Microsoft will be losing: the medical community. If a doctor installs Windows 10, they are violating doctor-patient confidentiality. The Windows 10 EULA gives Microsoft permission to take any data on your computer. And they do - some times intentionally and sometimes accidentally. Microsoft will sometimes take snapshots of your RAM to diagnose problems. There may be other stuff in there too...

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ICD 9 codes will not be accepted after October 1 2015!! Failure to launch means LOST REVENUE!          

Corporate America is investing billions of dollars into the telemedicine industry. Investors are closely monitoring medical devices and understand that telemedicine is essential to the future of healthcare, largely due to changing demographics and reimbursement models such as value reimbursement models.
The healthcare industry is experiencing an intense change in treatment, reporting, and payment processes as the ICD-10 Compliance date approaches. 

While the ICD-10 is definitely necessary to reflect advances in medicine and detailed diagnoses, the change is extremely disruptive for healthcare providers. 

The switch from the ICD-9 to the ICD-10 coding for medical diagnoses and procedures requires the transfer of Approximately 68,000 diagnoses codes and nearly 87,000 procedure codes added to your EMR/ by October 1st 2015;

After October 1, any ICD-9 codes used in transactions will not be accepted for services and will be rejected for payment. 

Failure to audit your credentialing contracts versus contracting needs, in consideration of value reimbursement structures, will affect your outcomes. 

Failure to provide effective care through integrated care such as telemedicine services, could affect your business objectives.
 Don’t unnecessarily place your organization in a position of failing to launch on October 1 2015.

We can help! Give us a call today. 770-896-0846

• ICD-10 transition assistance
• Telehealth/Telemedicine set up
• Provider, and payer credentialing 
• Relative Value Contracting
• Medical Billing, Payer, and Accounts receivable Audits

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Surveying the telehealth landscape 

Health care organizations are incorporating telehealth technologies to manage costs, broaden access and improve patient care. 

Here are a few examples of how the technology is being used today: 

• WellPoint offers employer and individual plans remote consultations with physicians using laptop webcams and video-enabled smartphones and tablets. Its LiveHealth Online program is included in employer plans in California and Ohio and was expanded to commercial plans late 2014. 

• UnitedHealth offers NowClinic telehealth consultations in 22 states. 

• Blue Cross Blue Shield’s Online Care Anywhere is currently available to residents in 30 states. 

• Humana has launched a year-long pilot program to measure the effects of its “Healthsense eNeighbor” in-home monitoring technologies on improving health outcomes and reducing readmissions. 

• A growing number of large businesses, such as Home Depot, Booz & Co. and Westinghouse Electric, are offering more remote health care consultations in their employee benefit packages. 

• Beth Israel Medical Center in New York offers “Teledoc,” 24/7 access to physicians by phone or video consultation. 

• Mercy Health Systems in Missouri is building a $90 million Virtual Care Center, the first facility of its kind in the nation. Staffed by hundreds of health care providers, the center will expand Mercy’s telehealth capabilities to outlying care centers across a four-state region. 

• In Mississippi, the Diabetes Telehealth Network has launched an 18-month remote care management program, enabling people with diabetes to have more consistent and timely access to clinicians via telehealth technology in their homes.

 • The University of California, Berkeley School of Optometry uses telehealth technology to perform retinal scan evaluations for thousands of low-income diabetic patients in a rural part of California. 

• A growing number of hospitals are using telehealth systems for local and off-site staff to continually monitor ICU patients’ vital signs. System users report lower ICU staffing requirements, along with reduced length of stay and risk of mortality among ICU patients.

 • “Virtual Tumor Boards” — groups of cancer specialists — are using telehealth technology for virtual meetings to review cancer patient treatment options. 

• Through telestroke programs around the country — for example, at Mayo Clinic, Dartmouth-Hitchcock and University of Virginia Health System — experts use videoconferencing technology to consult with emergency department staff at community hospitals in diagnosing patients with suspected strokes and conferring on best treatment options. 

• A number of health care providers are consulting with patients through Google’s Helpouts, a video-chat platform that supports HIPAA compliance.
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