United Healthcare/ Optum Payer ID

United Healthcare/ Optum operate many divisions   United Healthcare is a managed health care company based in Minneapolis, Minnesota.  It operates through through the following segments: United Healthcare, OptumHealth, Optum Insught and OptumRX. To submit claims to the below United Healthcare companies, use payer ID 87726 OptumHealth/ OptumHealth Behavioral Health United Behavioral Healthcare or UBH United…

EFT Sign-up with CAQH for multiple insurers

EFT and ERA Enrollment Simplified   If you are submitting claims to insurance, you should be enrolled for EFT payments.  With this, the payments are deposited electronically to you checking account.  With one signup, you may receive electronic payments from many insurers.  A few of the national insurers are listed; Aetna, Cigna, Humana, and selection…

Medicare Reducing providers reimbursement for 2016 for PQRS

Providers with Medicare are having their reimbursements reduced!  If the provider does not meet the satisfactory reporting or participating by submitting data to PQRS quality measures, a 2% payment adjustment will apply in 2016.   Avoiding 2016 PQRS Payment Adjustments For Individual Eligible Professionals Eligible professionals can avoid the 2016 payment adjustment by meeting one…

Private Practice- Marketing #2 “Your mobile website”

Marketing your mobile website Question is your website to be configured via a mobile device?  70-80% of websites are accessed via mobile devices.  This means that your potential customers are accessing your website site via their mobile device (smartphone or tablet.) So, if your potential clients are not able to see you landing page, what…

Children being mislabeled with ADHD

Children being mislabeled with ADHD I volunteer in my child’s school and I have had conversations with many parents at various schools about the children being mislabeled, by untrained behavioral professionals, with ADHD. These parents have had their children tested NOT to have ADHD. The parents’ have a concern that the teachers will treat their…

FYI, If In Network with Humana- HumanaOne LifeSynch not covered

HumanaOne LifeSynch not covered without signing a separate form HumanaOne, LifeSynch is the policy that individuals who sign up through the Affordable Care Act receive. The policy premiums are paid directly by the patient, versus automatically being deducted from their payroll check.  Meaning lack of payment can effect eligibility of policy, therefore claims to be…