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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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Why Choosing a PCP is Important
https://www.caresource.com/members/tools-resources/why-choosing-a-pcp-is-important/...of providers: Family practice providers: Providers who care for children and adults of all ages and may include obstetrics and minor surgery. Nurse practitioners (NP) and physician assistants (PA):Providers who...
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Fraud, Waste and Abuse (FWA)
https://www.caresource.com/about-us/legal/corporate-compliance/vendor-compliance/fraud-waste-and-abuse-fwa/CareSource is required to prevent, identify, investigate, correct and report (FWA). As a CareSource FDR, you share these same responsibilities and requirements. In order for you to be able to...
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Accreditations
https://www.caresource.com/about-us/accreditations/...evaluations of over 60 standards and selected HEDIS® measures. A team of physicians and health plan experts conduct accreditation surveys. A national oversight committee of physicians analyzes the team’s findings...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/These reimbursement policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. Reimbursement policies are designed to assist you when submitting claims to us. They are routinely...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...
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Press Release
https://www.caresource.com/about-mstc/mississippi-news/key-executive-appointments-announced/...Mississippi Academy of Family Physicians and the American Academy of Pediatrics – Mississippi Chapter. She served as an attorney and lobbyist with Jones Walker LLP early in her career. She...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...to ask that the record be changed/corrected if needed in accordance with federal privacy law. The right to ask at any time, information on our physician incentive plan, marketing materials...
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About
https://www.caresource.com/about-caresource-passe/...Medical Association and in 2002 the AOMA established the James E Zini, D.O. “Young Physician Award” given to young physicians for significant contributions to the osteopathic profession. Throughout his career...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/As a CareSource member, you get extra benefits. These are for Georgia Families®, Georgia Pathways to CoverageTM, or PeachCare for Kids®, unless stated. For a full list of benefits and...
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physician