Texas Society of the American College of Osteopathic Family Physicians

Practice Management

Trailblazer-Medicare

www.trailblazerhealth.com

From this website you can enroll as a Medicare participating provider, view current and previous Part B Newsletters to view the most current information for medical billing as Medicare sets the standards for commercial health insurance policies and practices.

When visiting this website, for those practicing in Texas click on the link for Texas located under the “Explore” portion of the home page.  Here you can find Newsletters, staff training, and under LCD (local coverage determination) you can receive fee schedules and search CPT codes for invaluable information.

Supporting Medical Necessity

For help in determining the level of medical necessity required to support a particular CPT code you can view the LCD portion of the Medicare website for approved ICD9 codes, global coverage period and other pertinent information.   Follow these steps;

1. Log on to www.trailblazerhealth.com

2. Under the "Explore" portion of the website on the left of your screen, click on the link for Texas.

3. Read the disclaimer and then click accept to proceed

4. Scroll down the page under the "Explore" portion will be a link for LCD (local coverage determination)

5. Now you can search by CPT code or by description for detailed information on each CPT code including ICD9 codes that support medical necessity, fee schedule, global period and other information.

Texas Department of Insurance

www.tdi.state.tx.us

From this website you can receive information on standards for billing medical claims.  For “clean claims” filed with insurance companies that remain unpaid you can submit a complaint using their on-line complaint form by using the following link.  Your unpaid claim will then be investigated by the TDI at no charge to you.

https://wwwapps.tdi.state.us/inter/perlroot/consumer/prcompform/prcompform.html

To utilize the Texas Standard Credentialing Form recognized by most major insurance companies for insurance provider enrollment and renewal purposes click on the following link;

www.texasonline.state.tx.us/NASApp/tdi/TdiARManager

Business Resources

Dean Jacobson Financial Services, LLC A Registered Investment Advisor

3112 West 4^th Street (76107)

P.O. Box 470185

Fort Worth, TX 76147

817-335-3214

www.deanjacobson.com

Medical Coding and Billing Tutorials

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