ELEMENTS REQUIRED
Date Policy
Must be within 12 months
ELEMENTS REQUIRED
Date Policy
Must be within 12 months
ELEMENTS REQUIRED
Date Policy
Must be completed within six (6) months after the required F2F
ELEMENTS REQUIRED
Date Policy
Must be within 12 months
Verify Doctor
Ordering doctor MUST be a RI Medicaid provider
Verify here: https://providersearch.riproviderportal.org/ProviderSearchEOHHS/ProviderSearch.aspx
ELEMENTS REQUIRED
Date Policy
Must be within 12 months
Verify Doctor
Ordering doctor MUST be a NH Medicaid provider
Verify here: https://nhmmis.nh.gov/portals/wps/portal/FindaHealthCareProvider
ELEMENTS REQUIRED
Date Policy
Must be within 12 months
Verify Doctor
Ordering doctor MUST be a Husky approved provider for CT
ELEMENTS REQUIRED
Date Policy
Must be within 12 months
ELEMENTS REQUIRED
Date Policy
Must be within 90 Days of setup date (DOS)
Verify Doctor
Ordering doctor MUST be a MA Medicaid provider
Verify here: https://masshealth.ehs.state.ma.us/providerdirectory/
ELEMENTS REQUIRED
Date Policy
Must be within 12 months
IF PATIENT REQUESTING MASK WITHIN INITIAL 90-DAY PERIOD (day 31-90)
Insurance will NOT cover a new mask (within 30 days = mask guarantee)
If patient wants to purchase out of pocket - review patient usage data
ENTER "PATIENT NOTE" - PAP Resupply: Patient Within Initial 90-Day Period
Purpose/Role | Group/Name | Group Email | Phone | |
---|---|---|---|---|
Routine audits or records requests | AdaptHealth Audit Team | audits@adapthealth.com | ||
Manager of RCM (1BT and OHH DB's) | Amanda Bryant | abryant@adapthealth.com | ||
Supervisor of RCM (Non-Medicare) | Amber Simpson | asimpson@ppsc.com | ||
Machine recovery/returns for balances, noncompliance | Asset Recovery | assetrecovery@adapthealth.com | 877-313-1259 | |
Payments: EOB or Credit Card | Central Processing | cashapp@adapthealth.com | ||
Patient questions/escalations: First 90-Days | Compliance Team | cpapcompliance@adapthealth.com | ||
Download and Tagging requests | Compliance Team | sleepdownload@adapthealth.com | ||
Pressure change request | Compliance Team | montpapcompliance@adapthealth.com | ||
Requests to update MD information in BT/Snap Sites | Doctor Adds/Revisions | doctor_adds@adapthealth.com | ||
Add patient to Airview-Care Orch-iCode (3B) requests | Global Patient Creation | globalpatientcreation@adapthealth.com | ||
Issues with your computer | IT (Fresh Services) | 484-556-8679 | ||
Incontinence/Ostomy/Wound Care/Urological | Incontinence/Ostomy/Wound Care/Urological | 800-523-1300 | ||
Director of RCM | Kelly Bratz | kbratz@adapthealth.com | insurancechange@adapthealth.com | |
VP of RCM | Nikki Krakauer | nikki@oceanhomehealth.com | confescalation@adapthealth.com | |
Patient billing issues/invoice inquiries, payment plans | Patient Financial Services | patientfinancialservices@adapthealth.com | ||
Manager of RCM (Aerocare DB) | Pearl Busel | pearl@oceanhomehealth.com | ||
Patient complaints/compliance issues | Quality Resolutions | resolutions@adapthealth.com | ||
Manager of RCM (New to Medicare and Requalification's) | Renee Thompson | carolrenee.thompson@adapthealth.com | medicarerequalifications@adapthealth.com | |
Patient pay retail requests | Retail Department | papretailorders@adapthealth.com | 484-567-7718 | |
For employment verifications | The Work Number | www.theworknumber.com | 800-660-339 | |
Manager of RCM (Non-Medicare) | Tia Myers | tiam@ppsc.com |
Work In Progress WIP State | Owner |
---|---|
*7.1 Autoconfirm Pushback | Nikki Krakauer |
.1 - CS Pending Order | Branch Manager |
.3 - OC Pre confirmation | No Action |
.3.1.1 Snap Ops Pushback | Jaime Martin |
.3.1-OC Pushback to CS | Move to .3.1.1 |
.3.3 - OC Tracking Info Incomplete | Bianca Lehman |
.3.3.1 - OC Pending Delivery Confirmation | Nikki Krakauer |
.3.4 - Need Prior Authorization | Katie Norris |
.4 - BILLING Ready to bill | Nikki Krakauer |
NEED PRIOR AUTH | Katie Norris |
PTAN Not Licensed in State - Correction Needed | Branch Manager |
Product Category | Upstate NY | Downstate NY | CT | MA | ME | NH | VT | RI | NJ |
---|---|---|---|---|---|---|---|---|---|
Ambulatory Aides | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Apnea Monitors & Supplies | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Commodes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Compression Equipment & Supplies | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
CPM | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Electrical Stimulation | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Enteral Nutrition | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Gastric Suction | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Hospital Beds & Accessories | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Infusion Therapy | Yes | No | No | No | No | No | No | No | Yes |
Miscellaneous | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Oxygen | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
PAP | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Respiratory Aerosol | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Respiratory Nebulizers & Supplies | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Respiratory Other | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Respiratory Suction Equipment & Supplies | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Respiratory Trach Equipment & Supplies | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Scooters | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Ventilators & Accessories | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Wheelchairs & Accessories | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Wheelchairs Power & Accessories | Yes | No | No | No | No | No | No | No | Yes |
Woundcare NPWT | No | No | No | No | No | No | No | No | No |