Provider Manual & Online Portals

Online Resources A Provider Manual is often made available to the provider once s/he is credentialed with a payer. After that, all updates to the Provider Manual are carried out electronically. It is up to the clinic to stay on top of Provider News and Updates regarding the contract agreement. Because carriers do make changes,...
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Discounting for Federal Patients

The Patient Solicitation Anti-Inducement Provision The Patient Solicitation Anti-Inducement Provision Section 1128A of the Social Security Act, enacted as part of the Health Insurance Portability Act (HIPAA), provides for the imposition of civil monetary penalties against any person who offers or transfers to a Medicare or Medicaid beneficiary any remuneration that the person knows or...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.

What is a QMB?

This short training provides an overview of the concept of QMB. These patients are entitled to different rules within the Medicare process and the collection of copayments and deductibles. It’s an area where a misstep can lead to major compliance issues. Make sure all team members are aware of this important payer class and how...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.