This document is an explanation of the firm billing policies to be sent to the firm's clients. It states the hourly rates for senior attorneys, associates and paralegals. It also explains the services for which the client will be charged, the costs of hiring outside contractors (court reporters, process servers, etc.), payment of the firm invoices, and al other matters related to billing.
Tennessee Firm Billing Policies
Category:
State:
Multi-State
Control #:
US-L03045C
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Word;
PDF;
Rich Text
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FAQ
Q: What is the timely filing deadline? A: TennCare requires claims to be filed within one (1) year from the date of service, or six (6) months from Medicare's pay date.
The cardinal rule is that the funds must be spent on the applicant or their spouse. Money cannot be given away without incurring penalties. Some ideas for spend down include: personal items like clothing or toiletries, home repairs or renovations, vehicle purchases or upgrades, or paying off debt.
Can you be on TennCare and have other insurance? Yes. TennCare will be considered supplementary or secondary insurance.
If the provider informed the enrollee prior to providing the service for which the claim was denied that the service would exceed the enrollee's benefit limit and would not be paid for by TennCare, the provider may bill the enrollee for that service.
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases you shouldn't be charged more than your plan's copayments, coinsurance and/or deductible.
TennCare is the state of Tennessee's Medicaid program. It provides healthcare to mostly low-income pregnant women, parents or caretakers of a minor child, children and individuals who are elderly or have a disability. To get Medicaid, you must meet the income and resource limits. You can apply anytime for TennCare.
TennCare Standard is only available for children under age 19 who are already enrolled in TennCare Medicaid and: Who lack access to group health insurance through their parent's employer, or. Their time of eligibility is ending and they do not qualify anymore for TennCare Medicaid.