Monday, July 30, 2012
Saturday, July 28, 2012
Doulas getting paid for a job well done.
The times are changing!
Please read and re-read carefully.
Doulas do see the landscape changing in regard to our services being covered through our expectant moms health insurance.
Your mom should still pay you for your services then you can repay her if you do get reimbursed. It may take several attempts to submit and resubmit until our services become customary and routine as other providers.
Here are the steps.
Do not take any short cuts!
One needs to obtain :
Obtain a national 1500 claim form to be completed with your assistance and client go to:
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/form_cms-1500_fact_sheet.pdf
1.a copy of their clients health insurance card front and back.
2. Get pre-authorization from individual health insurance company. You need to call several times be persistent.
3. Obtain your NPI # and https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do
4. Include a copy of your Doula certification
5. Complete their state uniform Credentialing form (I have the name and address of the director) to be sent certified mail return receipt.
.http://www.caqh.org/pdf/CAQH_Provider_Applicationv5_2006-10-31.pdf
6. Once you have your CAQH # it will follow you through your career as a Doula. So does your NPI #.
Http://www.cms.gov/Outreach-and-Education/Medicare-Learning-NetworkMLN/MLNProducts/downloads/form_cms-1500_fact_sheet.pdfr update at
I am in direct contact with Dona International and their 3rd party reimbursement department. Showing our mass numbers of nationwide doulas we need to unite and show the insurance companies we make difference in the quality of care for our moms.
When a women becomes pregnant she immediately chooses a good OBGYN,
a pediatrician, or midwife.
The Doula should be as important and your mom and her family deserve your best professional support.
For one to be in network means less financial outlay for your moms. How fabulous would that be?
Your input and attention to becoming a provider will be recognized on a national level.
Whatever it takes to be available and make it easier for an expectant mom is most important to me.
I realize the process is extensive, but having the ability to be an in network provider has many advantages not only for your moms but for yourself.
Contact me for further information.
I have an important address where your NPI and CAHQ number need to sent register mail with a return receipt.
Please share this post with your sister doulas.
We have such a wonderful opportunity to make a real difference in an expectant moms labor, delivery and future health care.
Email me: deva428@comcast.net
Please call be as a "back up" Doula.
Regards,
Dale Kaplan
Coola Doula
Happiest Baby on the Block instructor
www.cooladoula.com
Please read and re-read carefully.
Doulas do see the landscape changing in regard to our services being covered through our expectant moms health insurance.
Your mom should still pay you for your services then you can repay her if you do get reimbursed. It may take several attempts to submit and resubmit until our services become customary and routine as other providers.
Here are the steps.
Do not take any short cuts!
One needs to obtain :
Obtain a national 1500 claim form to be completed with your assistance and client go to:
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/form_cms-1500_fact_sheet.pdf
1.a copy of their clients health insurance card front and back.
2. Get pre-authorization from individual health insurance company. You need to call several times be persistent.
3. Obtain your NPI # and https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do
4. Include a copy of your Doula certification
5. Complete their state uniform Credentialing form (I have the name and address of the director) to be sent certified mail return receipt.
.http://www.caqh.org/pdf/CAQH_Provider_Applicationv5_2006-10-31.pdf
6. Once you have your CAQH # it will follow you through your career as a Doula. So does your NPI #.
Http://www.cms.gov/Outreach-and-Education/Medicare-Learning-NetworkMLN/MLNProducts/downloads/form_cms-1500_fact_sheet.pdfr update at
I am in direct contact with Dona International and their 3rd party reimbursement department. Showing our mass numbers of nationwide doulas we need to unite and show the insurance companies we make difference in the quality of care for our moms.
When a women becomes pregnant she immediately chooses a good OBGYN,
a pediatrician, or midwife.
The Doula should be as important and your mom and her family deserve your best professional support.
For one to be in network means less financial outlay for your moms. How fabulous would that be?
Your input and attention to becoming a provider will be recognized on a national level.
Whatever it takes to be available and make it easier for an expectant mom is most important to me.
I realize the process is extensive, but having the ability to be an in network provider has many advantages not only for your moms but for yourself.
Contact me for further information.
I have an important address where your NPI and CAHQ number need to sent register mail with a return receipt.
Please share this post with your sister doulas.
We have such a wonderful opportunity to make a real difference in an expectant moms labor, delivery and future health care.
Email me: deva428@comcast.net
Please call be as a "back up" Doula.
Regards,
Dale Kaplan
Coola Doula
Happiest Baby on the Block instructor
www.cooladoula.com
Ms. Rose's "Church Pin"
Mixed metals balanced with delicate detail go elegantly on any suit or sweater you desire. 
Trust
"Trust each other again and again. When the level gets high enough, people transcend apparent limits, discovering new and awesome abilities for which they were previously unaware"
Working with Eileen Snyder aka www. dorsethillbeads.Etsy.com has been such a rewarding experience. Both of us are mixed media artist creating individually and when we do create our one of a kind works of art we come together as "One"...the results are spectacular. We are so proud to share our love of crafting together with you.
The giggles are extra!!!
Working with Eileen Snyder aka www. dorsethillbeads.Etsy.com has been such a rewarding experience. Both of us are mixed media artist creating individually and when we do create our one of a kind works of art we come together as "One"...the results are spectacular. We are so proud to share our love of crafting together with you.
The giggles are extra!!!
Doulas Unite!
Tammy Ryan is the third party
Reimbursent coordinator from Dona International.
Please download her forms and please go to your own state website for the Uniform Credentialing application. We Need the masses to submit to receive their CAQH ID number! All forms should be mailed certified receipt and addressed to
Julie Hill
United Health Care
6095 Marshalee Drive
STE 200
Elkridge MD 20173
Julie will send your application to the director of credentializing
The future looks bright.
Any questions contact me at
Deva428@comcast.net
Or Tammy Ryan
Servanthands123@aol.com
Reimbursent coordinator from Dona International.
Please download her forms and please go to your own state website for the Uniform Credentialing application. We Need the masses to submit to receive their CAQH ID number! All forms should be mailed certified receipt and addressed to
Julie Hill
United Health Care
6095 Marshalee Drive
STE 200
Elkridge MD 20173
Julie will send your application to the director of credentializing
The future looks bright.
Any questions contact me at
Deva428@comcast.net
Or Tammy Ryan
Servanthands123@aol.com
Wednesday, July 25, 2012
Welcome to my first post!
Thank you to all of the women I met at Mercy Medical Center last night at the maternity tour. I hope to speak to each of you individually within the next few days. You have all chosen a wonderful hospital to deliver your future babies.
The Coola Doula
Dale Kaplan
The Coola Doula
Dale Kaplan
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