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Click on a title to expand its site list:
- Accrediting Resources
AAAHC Accreditation Assn for Ambulatory Health Care http://www.aaahc.org
College of American Pathologists (CAP) http://www.cap.org
Commission on Accreditation of Rehabilitation Facilities (CARF) http://www.carf.org
Joint Commission on Accreditation of Healthcare Organizations http://www.jcaho.org
National Committee for Quality Assurance http://www.ncqa.org
The Trizetto Group, Inc. http://www.trizetto.com
URAC/American Accreditation Healthcare Commission http://www.urac.org/
- Credentialing Resources
DEA Renewal http://deadiversion.usdoj.gov/
DPS Renewal http://www.txdps.state.tx.us/criminal_law_ enforcement/narcotics/controlled_ substances/index.htm
Federation of State Medical Board http://www/fsmb.org
GSA/EPLS Exclusion List http://epls.gov/
Medical Staff Internet Reference Guide http://medstaffreference.com/default.aspx
National Practitioner Data Bank (NPDB https://www.npdb-hipdb.com
NPI Registry https://nppes.cms.hhs.gov/NPPES/ NPIRegistryHome.do
OIG Exclusion List http://exclusions.oig.hhs.gov/search.html
TDI Application http://www.tdi.state.tx.us/hmo/crform.html
- Government/Regulatory
CDC Centers for Disease Control and Prevention http://www.cdc.gov
Centers for Medicare & Medicaid - CMS http://www.cms.gov/
CMS - Conditions of Participation http://www.cms.hhs.gov/CFCsAndCoPs/01_Overview.asp
Congress http://www.congress.org/
DEA http://www.deadiversion.usdoj.gov
DHHS Excluded Individuals/Entities (Searchable) http://exclusions.oig.hhs.gov/search.aspx
Federal Register - National Archives and Records Administration Office http://www.gpoaccess.gov/nara/index.html
FedWorld Information Network http://www.fedworld.gov/
First Gov - US Government http://www.firstgov.gov/
Food and Drug Administration (FDA) http://www.fda.gov
General Accounting Office http://www.gao.gov/
Library of Congress http://www.lcweb.loc.gov/homepage/
Louisiana CDS http://www.dhh.state.la.us/hss/index.htm
Military Records Request - download form http://www.archives.gov/facilities/mo/st_louis/military_personnel_records/st
National Library of Medicine http://www.nlm.nih.gov/
NPDB-HIPDB Log In https://www.npdb-hipdb.com/
Texas Department of Public Safety: http://www.txdps.state.tx.us/
Texas Department of Insurance http://www.tdi.state.tx.us/
UPIN # Lookup http://upin.ecare.com/
U.S. Department of Justice http://www.usdoj.gov/dea/
W-9: Request for Taxpayer ID Number http://www.irs.gov/formspubs/ lists/0,,id=97817,00.html
- Legal Resources
American Health Lawyers Association http://www.healthlawyers.org/
EMTALA.com http://www.emtala.com/
- Licensing
Alabama State Board of Medical Examiners http://www.albme.org
Alaska State Board of Dental Examiners http://www.dced.state.ak.us/occ/pden.htm
Alaska State Medical Board http://www.dced.state.ak.us/occ/pmed.htm
Arizona State Board of Medical Examiners http://www.bomex.org
Arkansas State Board of Dental Examiners http://www.asbde.org
Arkansas State Medical Board http://www.armedicalboard.org/
Arkansas State Board of Nursing http://www.arsbn.org/registry/index.html
California Medical Board http://www.medbd.ca.gov
California Osteopathic Medical Board http://www.docboard.org/cx/
California State Board of Dental Examiners http://www.dbc.ca.gov/
Colorado State Board of Medical Examiners http://www.dora.state.co.us/medical
Connecticut Department of Public Health http://www.ct-clic.com
Directory of State Medical Boards http://www.fsmb.org/directory_smb.html
Florida Division of Medical Quality Assurance http://www.doh.state.fl.us
Georgia Composite State Board of Medical Examiners http://www.medicalboard.state.ga.us/
Hawaii Division of Professional and Vocational Licensing http://www.hawaii.gov/dcca/areas/pvl
Illinois Department of Professional Regulation http://www.dpr.state.il.us
Indiana Medical Licensing Board http://www.ai.org/hpb
Iowa Board of Medical Examiners http://www.docboard.org/ia/ia_home.htm
Kansas Board of Healing Arts http://www.ink.org/public/boha
Kentucky Board of Medical Licensure http://web1.ky.gov/gensearch/
Louisiana State Board of Medical Examiners http://www.lsbme.org
Maine Board of Licensure in Medicine http://www.maine.gov/osteo/
Maine Board of Osteopathic Licensure http://www.docboard.org/me-osteo/
Maryland Board of Physician Quality Assurance http://www.mbp.state.md.us/
Massachusetts Board of Registration in Medicine http://www.massmedboard.org
Michigan Department of Consumer & Industry Services http://www.cis.state.mi.us/free/
Minnesota Board of Medical Practice http://www.bmp.state.mn.us/
Mississippi State Board of Medical Licensure http://www.msbml.state.ms.us
Missouri Division of Professional Registration http://pr.mo.gov/veterinarian.asp
Montana Board of Medical Examiners http://mt.gov/dli/bsd/license/bsd_boards/med_board/board_page.asp
Nebraska Department of Health and Human Services http://www.hhs.state.ne.us/
New Hampshire State Board of Medicine http://pierce.state.nh.us/MedicineBoard/disclaimer.asp
New Jersey Medical & Mental Health Related Professional Boards http://www.state.nj.us/lps/ca/medical.htm
New Mexico Board of Medical Examiners http://www.state.nm.us/nmbme/
New Mexico Board of Osteopathic Medical Examiners http://www.state.nm.us/rld
New York Office of the Professions - Medical Licensing http://www.nysed.gov/prof/profhome.htm
North Carolina Board of Medical Examiners http://www.ncmedboard.org
North Dakota State Board of Medical Examiners http://www.ndbomex.com
Ohio State Medical Board http://www.state.oh.us/scripts/med/license/query.stm
Oklahoma State Board of Medical Licensure & Supervision http://www.osbmls.state.ok.us
Oklahoma State Board of Osteopathic Examiners http://www.docboard.org/ok/ok.htm
Oregon State Board of Medical Examiners http://egov.oregon.gov/BME/
Pennsylvania State Board of Medicine http://www.dos.state.pa.us/dos/site/default.asp
Rhode Island Board of Medical Licensure & Discipline http://www.health.ri.gov/hsr/bmld/
South Carolina Board of Medical Examiners http://www.llr.state.sc.us
State Licensing Grid http://www.namss.org/ContentStore/medialib/statelic.doc
State Licensing Grid - Compiled by NAMSS
Tennessee Board of Medical Examiners http://www.state.tn.us/health
Texas State Board of Medical Examiners http://www.tmb.state.tx.us/
Texas Board of Nurse Examiners http://www.bne.state.tx.us/
Texas Board of Vocational Nurse Examiners http://www.bvne.state.tx.us/
Texas State Board of Dental Examiners http://www.tsbde.state.tx.us/dbsearch/
Texas State Board of Podiatric Medical Examiners http://www.foot.state.tx.us/
Utah Division of Occupational & Professional Licensure http://www.commerce.state.ut.us
Vermont Board of Medical Practice http://healthvermont.gov/
Vermont Board of Osteopathic Physicians & Surgeons http://www.vtprofessionals.org
Virginia Board of Medicine http://www.dhp.state.va.us
Washington State - Division of Professional Licensing http://www.doh.wa.gov
Wisconsin Department of Regulation & Licensing http://www.drl.state.wi.us/
Wyoming Board of Medicine http://wyomedboard.state.wy.us/roster.asp
- MEDICARE PFFS PLANS
Medicare PFFS Plans do not require a contract, and are not offered through ALT. This information is provided as a courtesy to our ALT Providers. All research listed below was pulled from the CMS website and/or the referenced plans websites. All information given is effective as of March 6th, 2007 for the 2007 plan year. The plans site locations are referenced on the attachments if you would like to research further.
Full Listing of All Types of Medicare Replacement Products for Bowie County
Advantra Freedom 1 CMS Plan Info
Advantra Freedom 2 CMS Plan Info
Advantra Freedom Quick Reference Guide
Advantra Freedom Reimbursement Grid
Advantra Freedom Summary of Benefits
Advantra Freedom Terms and Conditions
Advantura Freedom Frequently Asked Questions
Health Net - Claims Submission and Eligibility
Health Net - Health Net Pearl Option 2 CMS Plan Info
Health Net PFFS Reimbursement Methodology
Health Net PFFS Terms and Conditions
How do PFFS plans work - Advantura
Humana Gold Choice Electronic Filing Info
Humana Gold Choice Frequently Asked Questions
Humana Gold Choice terms and conditions
Humana Insurance Company-Humana Gold Choice PFFS CMS Plan Info
Medi-Pak Advantage - Arkansas Blue Cross CMS Plan Info
Medi-Pak Advantage - Provider Deeming Process
Medi-Pak Advantage Frequently Asked Questions
Medi-PakŪ Advantage Eligibility Inquiries and Claim Submission Guidelines
Medi-PakŪ Advantage Provider Brochure
Medi-PakŪ Advantage Reimbursement Methodology
Medi-PakŪ Advantage Terms and Conditions
Secure Horizons Direct CMS Plan Info
Secure Horizons Direct Quick Reference Guide
Secure Horizons Direct Reimbursement Guide
Secure Horizons Direct Terms and Conditions
Secure Horizons Plan 10 CMS Plan Info
Sierra Optima Card Example and Intro Letter
Sierra Optima Plan Payment.Reimbursement Guide
Sierra Optima Plan Provider Summary Guide
Sierra Optima Plus - CMS Plan Info
Sierra Optima Provider Summary Guide and Terms and Conditions
Sterline Life Insurance Co=Sterling Option II CMS Plan Info
Today's Option- Today's Options Premier CMS Plan Info
Today's Option- Today's Options Premier PLUS CMS Plan Info
- Physician Ranking Payer Sites
- Radiology Notification Programs
Blue Cross of Texas:
- Listing of Affected CPT Codes
Texas Medicaid:
- Texas Medicaid FAQs
- Texas Medicaid Prior AuthorizationTexarkana Community Care Provider Manual
(also Arkansas Community Care and/or Texas Community Care)
The listing below has been compiled with information regarding Radiology Notification Programs for many of the Payors/Insurance companies in the ALT service area. Please keep in mind the below requirements are for fully insured products only, and those plans that fall under ERISA guidelines (self funded, etc.) may have their own restrictions that will vary by employer/plan. Please notify ALT if you have information on additional Payors/Insurance Companies with radiology notification requirements, and we will add to the below listing.
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