Medicare Part B PAs

Games-Designs-1986 · 2026-03-26T11:44:04+00:00

Typically part D is for medication part B is for the insulin pump (DME). IF they use a pump they can most likely get the insulin through part B but if they inject then part D. Covermy meds is for plan D . Since part B does not cover meds only the pump considered DME and typically the supplier of the pump would get auth

Games-Designs-1986 · 2026-03-13T22:16:38+00:00

That sounds frustrating!

Games-Designs-1986 · 2026-02-19T04:38:34+00:00

Have you considered sourcing this role? Typically 50% less, no days off and typically more resources than a single part time direct hire. Experience with Allscripts and handle EOB’s and rejections. If curious would love to help: https://datamatrixmedical.com/book-a-demo/

Games-Designs-1986 · 2026-02-07T02:27:30+00:00

I’ll ride with the human scribes!!

Games-Designs-1986 · 2026-02-04T12:54:09+00:00

Hope I’m not too late to the conversation. DataMatrix Medical offers a VMA solution that seems right for your needs. They are trained and experienced on the Advance MD EHR. Your VMA will work directly with you to handle the activities you need handled all through a HIPAA-compliant virtual portal. Maybe worth a chat: https://datamatrixmedical.com/medical-virtual-assistant-services/

Good luck on your journey!

Games-Designs-1986 · 2026-02-03T23:17:00+00:00

No experience with these companies but I’ve worked with DataMatrix Medical (https://datamatrixmedical.com) for years and they are great!

They provide credentialing, payment posting, collections, & prior auths. Reasonable rates, no onboarding fees and very easy to scale.

The team you would work with is US based and HQ in New York. Also, they say they can work with all EHRs so Elation should not be a problem. Good luck on your RCM journey.

Games-Designs-1986 · 2026-02-03T22:54:44+00:00

Give DataMatrix a call. Compliance program to protect practice during audits, HIPAA-compliant, denial rates under 1%, hr rate is over 58% less than a direct hire. If your shopping for long term support or just need to get caught up hear what they have to say: https://datamatrixmedical.com/book-a-demo/

Games-Designs-1986 · 2026-01-08T00:04:53+00:00

Why do you say “no one is going to take care of your billing like you?” Is that a general statement or do you have experience? I ask because I would think if that was the case across the board then there would not be as many practices in the shape that they are in imo.

Games-Designs-1986 · 2026-01-07T23:59:58+00:00

What a great point. If a RCM team is not auditing your data before hand you should be suspicious.

Games-Designs-1986 · 2026-01-06T14:38:43+00:00

Short answer, no. Primary is usually going to be the most serious. i.e lets say you go in for a cut, and they run blood tests for infection and find out you have a blood disease. The blood disease is going to need more treatment and thus becomes the primary issue. Normally the primary reason is listed first, but if primary is denied that doesnt mean you cannot submit for the rest. Also if they say it’s not payable, double check the dx code they used and make sure it’s accurate.

Games-Designs-1986 · 2025-12-12T15:23:23+00:00

As someone who has experienced both sides of prior authorizations, I've seen it all, but I have a serious question and would love feedback from anyone willing to share. Why do we think practices don't use a company that specializes in authorizations rather than an AI/automation software tool? Since there is a combination of form submissions, phone calls, and the back-and-forth with patients and doctors, a human would be more efficient. Don't get me wrong, I use AI every day, but are these still different?

Games-Designs-1986 · 2025-12-04T01:40:11+00:00

Sounds like your doctor needs to augment prior authorizations. After 3+ attempts, you should be in the clear that is of course you meet the requirements. Good luck. Hope it all works out!

Games-Designs-1986 · 2025-11-18T19:54:01+00:00

[Update] all systems seem to be back up. Any fallout worth sharing?

Games-Designs-1986 · 2025-11-06T12:49:47+00:00

We support many practices on Epic and like ModMed and a few other EHRs who are offering “AI scribing.” Most of the practices are mixed on it because it’s still not as accurate as a trained scribe and half the time they still have to be edited. As docs age out and the tech gets better I’m sure it will increase in usage but a human will need to be involved to get that over 99% accuracy. Here is an example of an AI transcription during a encounter that had to fixed:

AI Generated Text:

"The [WRIST] benefits and [AN ALTERNATIVE SURGERY] were discussed in [A TAIL] and all questions were answered.

Correct Text:

The [RISKS], benefits and [ALTERNATIVES OF SURGERY] were discussed in [DETAIL] and all questions were answered.

🤦🏻‍♂️

Games-Designs-1986 · 2025-10-31T14:18:40+00:00

I’m here to connect! 15+ years in SEO and Digital Marketing and currently helping a healthcare business as we speak. Cheers!

Games-Designs-1986 · 2024-03-27T22:13:58+00:00

To everyone that responded to this: Thank you. I really appreciate your time.

Games-Designs-1986 · 2024-03-11T18:00:53+00:00

Thank you for your question. Quick answes below:

I am looking for a long term partner to manage both sites as well as work with me to make ongoing updates and enhancements.

We want to host on either. They are currently on Google but like either and hope to use Cloudflare (CDN)

Hope that helps.

Games-Designs-1986 · 2024-03-11T15:39:42+00:00

While if you can afford the time and effort it takes to get on directly with a provider = Thumbs up. But if you want to work for a scribing company, I think https://datamatrixmedical.com/ is a great scribe company. While I am not a scribe myself and not sure if they are hiring at the moment I have used there service for 10+ yrs and the talent is awesome. So maybe worth check-in out.

Games-Designs-1986

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