Accessibility

Acupuncture

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Balance Billing

BCBSNC Corporate Medical Policy (CMP)

     - Chiropractic

     - DME Vendors

     - EMG/NERVE 

       CONDUCTION

     - VAD

     - Orthotics

     - Spinal Manipulation

       under Anesthesia

Chief Complaint

CIGNA HealthCare Corporate Medical Policy (CMP)

Claims/HNS Payment Protocols

Clinical Examinations/ Re-Examinations

Chiropractic Manipulative Therapies

Coding (ICD, CPT, HCPCS)

Comparative Practice Pattern Reports (CPR) Program & Policies

Confidentiality of Health Care Records

Co-payment/Co-insurance/Deductibles

Covered Services

Diagnostic Impression

DME Services

Documentation Requirements for the Healthcare Record

Electrodes

Evaluation & Management Services (E/M)

Financial Hardship

Frequency of Visits

Group Practices

HNS Credentialing Policies & Procedures

Informed Consent

Insurance ID Cards

Locum Tenens Billing

Maintenance & Supportive Care

Medical Necessity

Modalities/Therapies

NC Board of Examiners Guidelines

Nerve Conduction/EMG

Non-Covered Services

Notifications to/from HNS

Patient Education & Instruction

Prescribing Drugs

Quality Improvement, Comparative Practice Patterns Report (CPR)

Radiology

Refunds/Overpayments

Requests for Patient Records

Retention of Records

Treatment of Family Members

Treatment Plans

Verifying Benefits

Waiving Co-pays, Deductibles & Co-Insurance

Group practices

 

Filing Claims through HNS

When an insurance claim is submitted, the rendering provider’s name/signature is an attestation that he/she provided the services reported on the claim form.   If you are in a group practice or share call coverage with other providers, please make certain of the accuracy of the rendering provider’s name for each claim submitted.  If you discover that a claim (or claims) was submitted incorrectly with the wrong rendering provider’s name, you must promptly correct the error.  Please contact your HNS Provider Representative and she will assist you in correcting this.  Your prompt recognition of this and your immediate correction can reduce payor concerns of suspected fraud and abuse.

 

All providers must be in the HNS Network

If you are in a group practice (a practice with more than one provider filing claims under the same tax ID (EIN)) and/or are considering hiring an additional provider, HNS Credentialing Policies, and the policies of HNS contracted payors, require that all providers in a group practice be part of the HNS network, or none of the providers in the group practice can be in the network.

This is largely to avoid confusion for patients who attempt to obtain care from an "in-network" provider.

 

Independent Contractors

Independent contractors (who file claims under their own EIN) who practice in the office of an HNS provider are not required to participate in the HNS network.


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