top of page

MEDICARE PROTOCOL

Physical

If a establish patient is asking to sch,

re sch or cancel appt ... 

Get help from MEDICARE dpt.

New patients cannot perform PX on first appt.

Transportation

If patient is requesting transportation for an appt, claiming still waiting for a ride or cancel reservation...

Get help from MEDICARE dpt.

​

RX Refill

If patient is complaining for not getting his/her medication run out of any chronic disease rx or having issues in general.

Pharmacy

If pharmacy is calling to f/u on prior auth...............................

 

If pharmacy is calling to change rx..............................................

 

If Pharmacy wants to verify qty or instructions....................

Insurance

When patient is calling requesting information about his/her benefits or any issues with their medical plan...........

 

Pt stating wants to change of PCP .........................................................

 

Bills/Letters

If patient claims getting a bill from any of our clinics.................

​

If a patient is getting a bill from anywhere else...........................

 

Get help from MEDICARE dpt.

​

Contact MEDICARE dpt or Back Of.

 

Contact MEDICARE dpt or Back Of

 

Get help from Front Desk

​

Contact Juanita Garcia

 

Get help from Medicare dpt

​

 

Billing department​

 

Contact Juanita Garcia, Alondra Solis or Medicare dpt

​

Diabetic Supplies

If patient or pharmacy is calling to request refill on test strips, lancets or new glucometer ONLY RSW...............................

​

Phx or Pt informs any DM are not covered by insurance........

​

Pt is requesting new glucometer or refill on any DM supplies for RSW ONLY.....................................................................................

​

 

Dentist, Optometrist, Gym and Acupuncture

RSW ONLY

If patient is calling requesting information for optometrist, dentist, gym or acupuncture referral ...................................................

Patient Retention

If Medicare patient is complaining for any reason, problem have not been resolved or complaints

General Inquiries

 

Contact MEDICARE dpt​

​

Ask name of the brand that is covered and contact MEDICARE dpt

Contact MEDICARE dpt 

Contact MEDICARE dpt 

ANYONE

Register a new patient

Register a new patient no matter the insurance or medical plan. Medicare physical cannot be perform at first appt.

ANYONE

Referrals

If patient is calling to f/u on a referral 

 

If patient is claiming referral office has not get authorization

​

If referral office is calling to verify codes, notes, etc.

​

If referral office calling to inform insurance not covering

​

If patient wants to get a closer referral near his/her address

​

Durable Medical Equipment

​

​

If patient wants to request a new referral.........................................................................

​

Referral Dpt

Needs a regular appt with any PA or Dr

Schedule Appoinments

Schedule Regular appts

Schedule labs/imaging appts

​

 

Pt is requesting sooner appt.............................................................................................................

​

ANYONE

Contact MEDICARE dpt 

Contact MEDICARE dpt 

bottom of page