I specialize in Home Infusion therapy, Specialty Pharmacy, nursing and Home Health. I am equipped to work remotely.
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Tag Archives: Pharmacy
CPC & CPhT w/billing and pharmacy experience…..looking for remote position
Deann May, CPC, BBA
Wills Point, TX 75169
[email protected]
214-549-9138
Wills Point, TX 75169
[email protected]
214-549-9138
Summary:
I have 22 years of healthcare experience. I am incredibly organized and detail oriented with a keen ability to handle multiple tasks at a time. I work well under time constraints and pressure.
Education:
AAPC Certified CPC # 01574712
HIPAA Certified (Exp 12-2018)
Certified Pharmacy Technician (CPhT)
Almeda University–BBA (GPA 3.98)
North Central Texas CollegeAS
Skills:
Coding/Billing:
Coded w/ICD-9 and ICD-10-CM, CPT, and HCPCS level II codes. Maintained all legal records for a medical billing company, filed insurance claims and appeals, completed insurance contracts, consultations, and ensured all legal aspects of this field were meet.
Completed AAPCs CPC certification course, exam, and Practicode classes.
Completed CCOs CPT coding blitz.
Accounting:
Accounts receivable/payable, payroll, and inventory.
Prepared 941s, TWCC, franchise, and corporate taxes.
Familiar with QuickBooks for estimates and invoicing.
Customer Relations:
Managed customer satisfaction resulting in a business growth at every job.
Familiar with enough Spanish to get by in many situations.
Business:
Microsoft Office, Office Suite, Open Office. Managed credit card contracts, and advertising.
Managed inventory, employee training, personnel conflicts, and hiring/firing.
Maintained customer scheduling and Project Manager scheduling.
Ensured federal and state compliance, and licensees.
Completed all paperwork to open & close three pharmacies from ground up, including re-zoning.
Work History:
January 2018-Present Prism Construction (Administrative Assistant)
June 2012-Present Starburst Fireworks June (Owner)
July 2016-December 2016 LI Services (Administrative Assistant)
October 1996-April 2008 Urban Pharmacy/Jackrabbit Pharmacy (Manager, COO, Technician)
January 1999-May 2004 May’s Medical Billing (Owner)
Additional Activities:
AAPC Member
Assist with Special Olympics.
Phi Theta Kappa member
Pharmacy Billing
Hi, I work for a Family Planning Provider. We normally bill all contraceptives and Medications to the RX payer if the patient has one. They are now looking into billing the Commercial insurance first BEFORE billing the RX because of a higher level of reimbursement. I do not think they are able to do this. Can anyone assist me in where I can go to get back up that this should not be done? Thanks Much
Mississippi Physician Convicted in $3 Million TRICARE Pharmacy Fraud
A federal jury found a 78-year-old Biloxi, Mississippi physician guilty for his role in a $ 3 million pharmacy fraud scheme, which included military healthcare funds. According to the Department of Justice (DOJ) press release on March 5, the 78-year-old physician, Albert Diaz, was convicted of: One count of conspiracy to commit healthcare fraud; Four counts of distributing […]
AAPC Knowledge Center
Billing incident to Bill for on-site Pharmacy
I am wondering if anyone has had any experience about billing for on-site pharmacist claims, billed under "incident to" physician claims. Such as medication management, smoking cessation, weight management, etc. Any information is helpful. thank you.
Need Guidance on Setting up new organization? Lab? Non Pharmacy or DME???
I have been approached by a company to start coding for them however I am questioning the start up classification.
It is being set up as a lab however he states a "full service tissue/blood bank that works in the areas of stem cell collection, process, preservation and delivery of products to hospitals and physicians.
I am not familiar, at all, with NON-pharmacy set ups and health insurance companies.
My main issue is keeping my certification and leading this guy in the right direction. He informed me the prior billing company could not obtain a BC/BS provider number just to submit claims because his company wasn’t required by the state to have a Laboratory license since blood was not being mixed or manipulated etc. and the product is not considered a DME therefore BC/BS did not have a classification for his entity. He was told to obtain a CLIA/CLIA waiver and CAP certificate,to set up a lab. A blood bank does not fall under any of BC/BS categories and an independent lab was the closest category they could associate his services with. He provided BC/BS the documentation from the state clearly showing there is no equivalent license for a blood/tissue bank as FDA requires therefore no CAP certificate or CLIA/CLIA waiver could be issued. The Chief Compliance Officer of the State clearly wrote "Since your organization is not manipulating the cells collected to make a pharmaceutical drug nor supplying the patient or doctor with a medical device, no drug or device distributor or manufacturer license is required! He had no problems previously with Cigna or UHC so I’m not sure what to do.
I have done some investigation and I have seen where companies have registered as NON Pharmacy, DME and also Lab? I’m curious because the prior company he worked with, same scenario, BC/BS would not pay because he couldn’t obtain a provider number with BC/BS. The reason was BC/BS states your a clinic or lab. He wrote to the state as he would purchase it from another company and sell it to the surgeon therefore since he wasn’t officially manipulating blood products, he wasn’t classified as a lab and this type of product is also not considered DME.
If you have any knowledge, please let me know as I’d like to get this contract but do not want to mislead him. Thanks s