Core Values
Serving others: our reason for existing. We continually seek to understand the needs of those who depend on us (our patients, doctors and our fellow team members) and then to exceed their expectations.
Service Excellence
W
Welcome
Working with medical partners to place patients
ADMISSIONS
A Social Security Beneficiary is Medicare eligible upon:
A. Attaining age 65, B. Qualification for disability benefits, prior to attaining age 65, or C. Diagnosed with ESRD or Lou Gehrig’s disease (ALS), regardless of age.
These plans are controlled by the employer
Self funded
We never stand still; we are never satisfied. Individually and as teams, we constantly look at what we do and ask, “How can we do this better?” Then we use a systematic approach to take action.
Continuous Improvement
E
Empathize
Setting coverage in our billing system
PATIENT REGISTRATION
Calculated using the FDODE, the payment of any Medicare benefits due to an ESRD entitlement may be subject to this
3 month wait period
Often more than 1, attempt to resolve all of these in 1 dispute/appeal
root cause
We don’t say “It’s not my fault” or “It’s not my job.” We take responsibility for meeting our commitments - our personal ones as well as those of the entire organization. We take ownership of the results
Accountability
C
Connect
Generating claims and sending them to payers
CLAIM GENERATION
It's against the law for someone to knowingly sell or issue this to someone who already has Medicare coverage
Exchange Plan
Included at the end of a protection note to pull entire account protection as opposed to claim by claim
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We enjoy what we do. We know healthcare is hard work, but even hard work can be fun. We take our jobs seriously, but we feel a fun environment delivers better care to our patients while creating a better work environment for our teammates. We strive for excellence and we have fun
Fun
R
Respect
Working with patients to find the best insurance
IMT
Less than 6 months and considered active employment
Short Term disability
Benefits handbook employer provides, document outlines benefits and requirements which often supersedes DVA contract with payer
SPD (summary plan description)
We say what we believe and we do what we say. We are trusted because we are trustworthy. In our personal, team and organizational values, we strive for alignment in what we say and do
Integrity
E
Following up on payments
CLAIM COLLECTIONS
Key to determining COB. This is not the same as an active EGHP
Active employment
Credit Balance Policy for Non-Gov’t Non-Primary to Medicare and Medicare Advantage COB related
3-08-100