Last Modified: 1/3/2019 Location: FL, PR, USVI Business: Part A, Part B
The First Coast Fan Files: Jennifer Deaton
The person: Jennifer Deaton, billing specialist at Tallahassee Primary Care Associates in Tallahassee, Fla.
The company: Tallahassee Primary Care Associates is a multi-specialty group of physicians that has been in operation for 20 years. TPCA has an on-site lab, diagnostics center, travel vaccine clinic, infusion clinic and Coumadin clinic.
The work: Jennifer performs Medicare claims reconciliation and responds to additional development requests (ADRs); submits online claims corrections via the Secure Provider Online Tool (SPOT); submits redeterminations; writes up insurance refunds when an overpayment is determined; and responds to patient questions regarding claims and/or bills.
Her toolbox: On a daily basis, she uses the local coverage determination (LCD) lookup, the fee schedule lookup, SPOT and eNews.
Why she loves the tools: Jennifer says SPOT has made correcting claims and submitting documentation extremely easy and much less time consuming. The best part about SPOT for her is being able to make simple corrections to minor clerical errors. In addition, since her office deals with a variety of insurance, she says it can be difficult to get Medicare flu shots coded correctly. But, SPOT makes it easy and quick to fix that issue without impacting her time management.
The message to not-yet-fans: “You’re missing out!”
The shoutout: “It [medicare.fcso.com] is easy to use and has tons of useful information. I have been using this website on a daily basis for over a decade!”
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