Individuals involved in utilization management and the review process include Cigna employees in the Clinical, Quality Management, and Claim departments. convenience of the location and its accessibility. First, At the time this was written, not being of the same specialty may have been allowed, but since then CMS has stated for example, radiation therapy cases using Intensity Modulated Radiotherapy (IMRT) and Image Guided Radiotherapy (IGRT) the physician must have the appropriately training and expertise acquired within the freamework of an accredited residency and/or fellowship program in the specialty/subspecialty, i.e. As a result, hospitals and emergency room physicians are often not being paid for these services. Locum Tenens Malpractice Insurance: The Basics A locum tenens malpractice policy provides coverage to the physician for damages suffered by a patient resulting from professional healthcare service. EMTALA requires hospitals and emergency room physicians to screen and stabilize emergency room patients regardless of whether the patient is in an emergency situation. Locum Tenens | Blue Cross and Blue Shield of Texas - BCBSTX Fax: 1 (860) 730-6460. Do you use locum tenens or reciprocal billing at your urgent care? Services received after coverage under this Policy ends. Health plan members sometimes request coverage for medical treatment associated with a clinical trial. They also make sure the treatment is medically necessary. Minority Providers/Essential Community ProviderMinority providers concerned about being excluded from health plan provider panels (also known as managed care physician networks) are seeking legislative mandates that would require health plans to contract with them. We are in the same boat however with a NP. Radiation Oncology (CMS Pub. PDF New providers that are Washington Licensed/DOH approved or are The program provides extensive and objective assessments through a network of credentialed, independent medical experts in all domains of medical care.