Case Management In Racine Wisconsin

NPI list of 6 case management registered providers with a business address in Racine, WI, all registered as organizations. 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
1104169879BABY EXPRESS LLCOrganizationCase Management2725 CARLISLE AVE
RACINE, WI 53404
(800) 579-1145
Non-Participating ProviderNO
1114154341FOUNDATIONS OF LIFE, INCOrganizationCase Management835 WISCONSIN AVE SUITE 104
RACINE, WI 53403
(262) 634-8048
Non-Participating ProviderNO
1245403310SOCIETY'S ASSETS,INC.OrganizationCase Management5200 WASHINGTON AVE SUITE 225
RACINE, WI 53406
(262) 637-9128
Non-Participating ProviderNO
1427412741R. BENJAMIN BEHAVIORAL CONSULTINGOrganizationCase Management233 OHIO ST
RACINE, WI 53405
(262) 989-7748
Non-Participating ProviderNO
1508052085HEALTH & NUTRITION SERVICE OF RACINE, INC.OrganizationCase Management2316 RAPIDS DR
RACINE, WI 53404
(262) 637-7750
Non-Participating ProviderNO
1548451826RACINE COUNTY HUMAN SERVICES DEPARTMENTOrganizationCase Management1717 TAYLOR AVE
RACINE, WI 53403
(262) 638-6353
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.