Case Management In Hamilton Ohio

NPI list of 4 case management registered providers with a business address in Hamilton, OH of which 2 are registered as organizations and 2 as individuals. An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

NPI Name Type Taxonomy Address Medicare PECOS
1134618028DONALD BEATYIndividualCase Management3101 DIXIE HWY
HAMILTON, OH 45015
(513) 869-4032
Non-Participating ProviderNO
1295134518ST. ALOYSIUSOrganizationCase Management3105 DIXIE HWY
HAMILTON, OH 45015
(513) 869-4021
Non-Participating ProviderNO
1548292469COMMUNITY BEHAVIORAL HEALTH, INC.OrganizationCase Management820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
(513) 887-8500
Non-Participating ProviderNO
1962008177JESSICA LEWISIndividualCase Management439 S 2ND ST
HAMILTON, OH 45011
(513) 863-2975
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.