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Recent Discussions

  • Hi Vicki, There has not been any word on process changes for the Office of the Ombudsman to deal with provider complaints. TAHC&H is encouraging pediatric therapy providers affected by the rate cut to now send their complaints about the December ...

  • Posted in: Open Forum

    From my experience, Cindy, the Medicare Advantage plan dictates whether you must have the face to face documents in your chart. Best practice is to always have the backup data from your referral source indicating who saw the patient in the date range ...

  • Posted in: Open Forum

    Is the F2F required for insurance plans and/or Medicare Advantage plans?  Can you share the regulation link?  We typically request it for all patients but since it was designed for Medicare patients, we may not need too.  We always obtain the physician ...

  • Posted in: Open Forum

    Dear Open forum: On June 22, 2017, Senate Republicans released a discussion draft of their proposal to repeal and replace the Affordable Care Act (ACA), titled the "Better Care Reconciliation Act of 2017" (BCRA). The proposal retains a number ...

  • Hi JR, Is there any word as to how they will chart the complaints made by providers to the Office of the Ombudsman?  After playing a recording at the STAR Kids hearing, HHSC staff had stated that we as providers should be able to make complaints to the ...

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