ABH MANAGEMENT & CONSULTING, INC

 

The Behavioral Health Billing Specialists

Practice Management Resources

We’re proud to provide you with the following resources:

Professional Organizations


           
News and Information

 


Insurance Carriers and Governmental Agencies

Centers for Medicare and Medicaid Services - CMS          
http://cms.hhs.gov/Medicare/Medicare.html
Department of Labor & Industy - Providers
http://www.lni.wa.gov/ClaimsIns/Providers/
Noridian Administrative Services, Part B WA State
https://www.noridianmedicare.com/partb/
Railroad Medicare Palmetto GBA
http://www.palmettogba.com/palmetto/palmetto.nsf/DocsCat/Home
Washington State Office of Insurance Commissioner
http://www.insurance.wa.gov/
OneHealth Port
http://www.onehealthport.com/services/Old_Platform_redirect.php
Regence Blue Shield
http://www.wa.regence.com/provider/
Premera Blue Cross         
https://www.premera.com/stellent/groups/public/documents/associatedfiles/ProvidersHome.asp
Value Options - Providers
http://www.valueoptions.com/providers/Providers.htm
CIGNA Behavioral Health
http://apps.cignabehavioral.com/web/basicsite/provider/provider.jsp
AETNA
http://www.aetna.com/healthcare-professionals/
First Choice Health
https://www.fchn.com/ForProviders.aspx
Magellan Behavioral Health
https://www.magellanprovider.com/MagellanProvider/do/LoadHome                                 
The NPI Registry
https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do
US Government Official Web Portal
http://www.usa.gov/
Washington State Portal
http://access.wa.gov/





Fraud and Abuse/Compliance

From the Texas Medical Association
http://www.texmed.org/Template.aspx?id=20494

From the AMA
http://www.ama-assn.org/ama/pub/physician-resources/legal-topics/regulatory-compliance-topics/health-care-fraud-abuse.page
           
OIG Compliance Program for Individual and Small-Group Physician Practices
https://oig.hhs.gov/authorities/docs/physician.pdf

OIG Compliance Program for Third Party Medical Billers
https://oig.hhs.gov/fraud/docs/complianceguidance/thirdparty.pdf           
         

FORMS

CMS

http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/index.html

Regence Blue Shield Provider Library
http://www.wa.regence.com/provider/library/

Premera Blue Cross
https://www.premera.com/stellent/groups/public/documents/xcpproject/pvd_forms.asp

Nordian Medicare Part B
https://www.noridianmedicare.com/partb/forms/

Miscellanious

Coding Glossary from AAPC
http://www.aapc.com/medicalcodingglossary/

Incident-Too Billing from WPS Medicare
http://www.wpsmedicare.com/part_b/resources/provider_types/incident_srvs-dx.shtml

CMS Quarterly Updates
http://www.cms.gov/Regulations-and-Guidance/Regulations-and-Policies/QuarterlyProviderUpdates/index.html

Professional Courtesy
http://www.ama-assn.org/ama/pub/physician-resources/legal-topics/regulatory-compliance-topics/health-care-fraud-abuse/professional-courtesy-in-context-health-care.page?

Web-based Courses from WPS Medicare
http://www.wpsmedicare.com/part_b/training/on_demand/cmswebcourses.shtml

Stark Laws
http://www.ama-assn.org/ama/pub/physician-resources/legal-topics/regulatory-compliance-topics/stark-law-rules.page?

Red Flags Rule
http://www.ama-assn.org/ama/pub/physician-resources/practice-management-center/practice-operations/compliance-risk-management/identity-theft/patient-issues/red-flags-rule.page
                      
Collections

Corporate Recovery, Inc.
http://www.corprecoveries.com/

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