Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Hi , She must have received an enrollment letter enrolling her into a closed panel MCO in this case likely Providence MCO. If she is willing have her sign a change of physician 827 and make you the attending and even if you is enrolled you still have 7 days from the date of the enrollment letter (not when the get the letter) to stay with you before she must go to a panel provider. Alternatively, if she wishes to stay with the MD and he remains the attending and she is not enrolled she doesn’t have to see a “ChiroNet”/Providence MCO Chiro she can see you and she can continued even if enrolled for the say 7-day period. Lastly, if she stays with the MD, is not enrolled and wishes to see you the MD’s little script for 6 visits will not be enough to get you paid as the MD must include specific information which they never know to provide nor wish to. I have a canned macro with said info you can use as a template what I recommend is that you call the MD give him/her a heads up that the form is coming to sign off on it and then fax it back. DO NOT rely on the MD and staff to send in this form it is likely not to get done you need to do it….give me your fax number and I’ll fax the MD referral macro to you….Cheers, Vern SaboePS: Don’t forget the free Workers Comp Seminar I and the Gatti Firm will be presenting on Aug. 14 at Western States Hampton Hall we will go over stuff like this and the seminar is FREE! From: [mailto: ] On Behalf Of andrew cha Sent: Friday, June 04, 2010 3:51 PM Cha Subject: quick workcomp question I have a patient who was in a work injury last week. She presented to a medical clinic and has follow ups scheduled. She was perscribed 6 chiropractic visits and handed a list of doctors she could present to. She states that it has the word " Chironet " on the list. I am not on the MCO list. Is it possible that she was MCO' d 1 week post injury? Cha D.C The New Busy think 9 to 5 is a cute idea. Combine multiple calendars with Hotmail. Get busy. No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.437 / Virus Database: 271.1.1/2917 - Release Date: 06/04/10 06:25:00 Quote Link to comment Share on other sites More sharing options...
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