Provider Directory Updated 1/31/2020

To view the current Provider Directory please follow this link.

Provider Roster Updated 1/31/20

To view the lasted updated Roster click here.

UnitedHealthcare Out-of-Network Referrals: Prior Approval, Patient Consent

By Ellen Terry, An Article by TMA

If you are a UnitedHealthcare (UHC) participating physician referring a patient out of network in a non-emergency, you’re now required to first obtain either (1) prior approval from UHC; or (2) the patient’s written consent.

 

To review the entire article follow this link.

ALERT – Scam Targeting DEA Registrants & Other Health Professionals

From Texas Medical Board – February 5, 2020

The U.S. Drug Enforcement Administration (DEA) reports that health professionals have been targeted by criminals posing as DEA agents.

In some instances callers may claim to be employees with the Texas Medical Board, DEA, FBI or other law enforcement entity and may even attempt to spoof agency phone numbers or send documents on official-looking letterhead demanding money. 

Please know the TMB would never call and make such requests for sensitive information over the phone or send demand letters for money to reinstate licenses or threaten the arrest of licensees. The TMB does not suspend licenses at the direction of the DEA, FBI or other federal entity. Additionally, the TMB has no authority to issue, cancel, or influence arrest warrants, as some scams have indicated.

Medicare Learning Network (MLN) Learning Management System (LMS) FAQs 8/2019

The Medicare Learning Network® (MLN) offers free educational materials for health care professionals on Centers for Medicare & Medicaid Services (CMS) programs, policies, and initiatives. Find a complete list of MLN educational offerings in the MLN Catalog at http://go.cms.gov/mln-catalog.

For a complete “HOW TO” guide on the MLN and LMS System, including how to set up an account: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/LMPOS-FAQs-Booklet-ICN909182.pdf

BCBSTX March 1, 2020

BCBSTX notified POET of a new fee schedule effective March 1, 2020 a few months back. POET will provide you with the new schedule when BCBSTX provides it to us.

yep…still waiting…..