QueryCAT Logo
Search 5,000,000+ questions and answers.

Frequently Asked Questions

Which of my patients are subject to copayments? Are children subject to these copayments?

Oregon DHS: OHP 2 provider faqs, copayments
The OHP Plus and OHP with Limited Drug benefit packages do not have copayments for specific outpatient services and prescription drugs for some adults. The OMAP Medical Care Identification shows the benefit package and the copayment information for each member of the household. Some adults are exempt from copayments.

Which providers and services are subject to copayments?

Oregon DHS: OHP 2 provider faqs, copayments
A table listing the services for which copayments are to be charged under the OHP Plus and OHP with Limited Drug benefit packages is available here in PDF format. (The OHP Standard benefit package does not have copayments.) It also provides links to the provider rules. Only those provider types listed in the table may charge a copayment. A copayment for an outpatient service will be $3 per visit per day. For prescription drugs, it will be $2 for generic drugs and $3 for brand-name drugs.

Can I refuse to serve OHP patients for not paying their copayments?

Oregon DHS: OHP 2 provider faqs, copayments
No. Your patient may, however, ask for a hearing if he or she thinks you made a mistake in the amount charged. Your patient may also ask for a hearing if he or she thinks DHS made a mistake in his or her eligibility. File Formats | Oregon Administrative Rules | Oregon Revised Statutes | Privacy Policy | Web Site Feedback|

Who will collect the OHP copayments? When will they be collected?

Oregon DHS: OHP 2 provider faqs, copayments
You will collect the copayment. You may collect it at the time of service or during the regular billing cycle.

What is the difference between deductibles and copayments?

Member FAQ HMO
Copayment - the dollar amount you pay for each in-network physician home or office visit. Physician copayments are for in-network care only. Network physicians agree to accept your copayment and UNICARE's reimbursement as payment-in-full for covered services if your plan pays 100% of the covered charge. If your Certificate of Coverage or plan booklet states that your plan pays less than 100% for physician office visits, you may have additional out-of-pocket costs.

How do you account for OHP copayments in your provider reimbursement system?

Oregon DHS: OHP 2 provider faqs, copayments
We compute the total OHP copayment due for services you render. (The OHP Standard benefit package does not have copayments.) We pay the total allowable amount, minus the correct copayments and any third-party payments. Our explanation of benefits (EOB) identifies copayment deductions. Please read our provider rules and draft rules. You should also review our rules for submitting claims for payment.

How are patients referred to the Craniofacial Center at Cincinnati Children's?

Frequent Questions, Cincinnati Children's Hospital Medical C...
Pediatricians or primary surgeons refer patients to the Cincinnati Children's Craniofacial Center. The Craniofacial Center also accepts referrals from other health care professionals, hospitals, school representatives and parents. For more information, please contact Craniofacial Center Administrator Iris Sageser (iris.sageser@cchmc.org), 513-636-4539. Callers outside the Cincinnati area may call toll-free, 1-800-344-2462, and ask for extension 6-4539.

What outcomes do patients have at Children's Hospital Oakland?

Bone & Marrow Transplant Program: Frequently Asked Quest...
of December 2005, the overall survival rate for our patients was 79 percent. Outcomes vary significantly depending on the patient's underlying disease, the genetic match with the donor and the patient's disease status at the time of transplantation. Your transplant physician can discuss this question with you once he or she has reviewed your child's treatment, disease status, source of donated stem cells, and pre-evaluation results.

Will these recent discoveries be important for the children of narcoleptic patients?

Frequently Asked Questions
Still, 1-2% is 20-40 fold the general population risk (0.05%) and some families clearly have a high incidence of narco-lepsy Using the test, it may be possible to better identify family members with high risk and maybe one day to prevent the development of narcolepsy.

Are children allowed to visit patients?

FAQ-Frequently Asked Questions
We strongly discourage visits from children under the age of 12. This not only provides a more restful environment for our patients, but also reduces the risk of infection to both visitors and patients.

Do any of your patients have young children?

FAQ's
In short, the answer to your question is 'yes'. One man, now successfully transplanted after 9 months at home on NHHD has 3 school-aged children. Another, an older single parent male with an intellectually handicapped child (indeed she was the reason he wanted to do NHHD so he could be 'there for her' when she needed him during her waking hours) continues to enjoy good health on NHHD and manage his child where, before NHHD, he had significant management and absenteeism issues with her.

Q: How do copayments apply in the PPO?

FAQs
Copayments are fixed dollar amounts that you pay for some services, usually paid at the time that services are provided. The plan requires that you always pay copayments.

What are copayments and where can I locate the copayment schedule?

Heritage Series Plus Plan - University of Texas System
A copayment is the set fee that you pay to the Plan Dentist at the time of treatment for covered services that are being performed. The copayment schedule is a listing of covered services and copayments for your plan. The detailed dental schedule is included in the Evidence of Coverage. It is helpful to bring your copayment schedule to your dental appointment.

Where can I find other materials, appropriate for children, on this same subject?

FAQs - RideSHARE
On our website, we offer a full list of resources about public transportation, biking, walking, and local efforts to improve transportation and the environment. Your children might find our maps especially interesting and helpful. Our website is www.rideshareinfo.org. Also, check out your local library. Home | About the Program | I Promise | Coloring Activities | Game Zone | Parents & Teachers | Contact Us | Privacy Policy | Disclaimer

Will my patients be subject to phytosterolemia when they use BENECOL? Spreads?

Frequently Asked Questions
Phytosterolemia is an extremely rare inherited disease caused by a high rate of absorption of plant sterols in the intestine and reduced biliary removal of plant sterols from the liver. Plant stanols, like those found in BENECOL? Spreads, are virtually unabsorbed by humans.

Who are your patients?

Frequently Asked Questions About Dr. Thomas Cowan's Pra...
I treat people of all ages with all different health challenges, including but not limited to diabetes, cancer, colitis, allergies, children’s illnesses, digestive disorders, ear infections, heart disease, women’s and men’s diseases, and arthritis, among others.People often ask if I treat a particular disease or type of patient. In fact, I treat everyone, not because I treat all illnesses, but because I treat all people.

What can individual patients do?

GWVRP: Document Detail
Join a reputable support group, educate themselves on the true facts of CFS, become a partner in their health care with their physician, write their local, state and federal congressional representatives requesting additional funding for research into CFS.

Where can you transport patients to?

GCEMS Frequenty Asked Questions
If the call is a 911 emergency, we transport to the nearest medical facility, which around station #1 is Northern Rockies Medical Center. If the call is an interfacility transport, we can go wherever the sending provider wants the patient sent to. We regularly take patients to Kalispell, Shelby, Conrad, Browning, Great Falls, and have gone as far as Calgary (CA), Lethbridge (CA), Missoula, Billings and Havre.

What ages of patients do you see?

Dr. Riegel -- Frequently Asked Questions
Dr. Riegel is not only a board-certified OB/GYN, he also has an additional year of training during which he specialized in pediatric and adolescent gynecology. For that reason, Dr. Riegel sees patients for gynecologic problems form birth through adolescence, reproductive years and menopause into old age. Dr. Riegel has training in Female Sexual Disorders and Menopause from the Berman Center and training in Age Management Medicine at the Cenegenics Medical Institute.
More Questions >>

© Copyright 2007-2012 QueryCAT
About • Webmasters • Contact