- How do I create a log on and password for the GPG web site for "members only" access?
- As an office manager for several physicians, do I need a different log on for each doctor?
- I have forgotten my password. How can I find out what my password is?
- Can I get information for all of the doctors in my office by logging on one time?
- How can I get fee schedules for several payors for the same CPT codes?
- When I run a fee schedule, I don’t get a value for the code and payor that I want. How can I get this data?
- When using the My CPT List application on the website, I click the list or cross-tab format
button and no results are returned. What could I be doing wrong?
- Can I complete membership and credentialing applications on-line and email them to GPG?
- I am an office manager for a new physician, how soon can I access the members only section to obtain information for the new physician?
- As a newly joined physician, when can I get my affiliation reports from the web site?
- Can I find out who my physician services representative is from the web site?
- How can I save the application forms and the contracts from the web site to my computer?
- How often is the information on the web site updated?
- Once I have selected a physician using the GPG Physician Locator, can I send him/her an email?
- Can I print a Genesis roster for a particular specialty only?
- Using the GPG Physician Locator, can I print a roster of Genesis physicians within a certain mileage range from my office or my patient’s home?
- Once I find a specialist to refer my patient to, how can I find out if the specialist accepts my patient’s insurance?
- Can we have one GPG membership for our group?
- What does it mean when you say you have delegated credentialing?
- If I move my practice, do I have to sign up all over again?
- What does bundling mean?
- Are all the fee schedules based on a percentage of the current Dallas RBRVS?
- What does NCQA certification mean to GPG?
Answer 1:
The Member ID and Password are already provided to physicians and office managers upon joining
Genesis Physicians Group. All you will have to do is enter the doctor's last name along with the
last four digits of their Social for the Member ID (ex. Dr. Jane Doe - Doe0001), for the password - enter "temp".
Note: If this is your first time logging in, your password is "temp".
For security purposes, please change your password by clicking the "Web Account Management icon on the members' "
index page, and select the change my password link.
Answer 2:
No, to avoid having to login under multiple doctors, you may create an office manger login, which
will allow you to access all your providers' accounts at once (e.g. Affiliation Reports, Fee Schedules, etc.).
You may create an office manager login by 1) logging in under one of your providers; 2)selecting the "Web Account Management" icon
on the members index page; 3) Click the Maintain Office manager login link, which will direct you
to the section for creating an office manager login.
Answer 3: GPG now offers you the ability to retreive your password
by 1) selecting the "Forgot Password link" >> 2) Entering your username into the textbox provided.
Note: Your Password will then be automatically emailed to your Genesis Physicians
Group email account. If you require further assistance, please call your physician services
representative; our main office number is (972) 419-0000.
Answer 4: Yes, with your office manager login and password, you
may get information for the physicians in your office whom have an existing GPG web account.
Answer 5:
When running fee schedules for a single code across multiple payors, you
may select the "All" option to return all values for that
code.
Answer 6: GPG makes available the best data that we possibly can. However, some
payors do not provide complete fee schedules, which may include the code
in question. Contact GPG for further information and assistance at (972)
419-0000.
Answer 7:
You want to ensure that your CPT code(s) are hightlighted prior to selecting the contract(s)
of interest. Multiple CPT codes may be highlighted by holding down the shift or the ctrl key
on your keyboard and selecting the CPT codes of interest. Once your CPT codes are hightlighted, then
you may select the contracts of interest and click either the list or cross-tab format button.
Answer 8: Membership and Credentialing application forms, plus other necessary
paperwork are available to download to your computer. It is required
that you have Acrobat reader software on your machine in order to
download them. You can also print them directly from the GPG web site.
However, because signatures are required with the application, GPG is
not able to accept completed applications via e-mail. In addition, the applications
also requires a copy of license, DEA, DPS, etc., which necessitates using
a fax or regular mail.
Answer 9:
If the new physician is joining the practice of an existing GPG
physician, you should already be able to access the members section.
However, in order to obtain physician specific information,
(affiliation reports for e.g.) the new physician must have completed
credentialing, the Opt In/Out process and be submitted to plans. Once
submitted to plans, the affiliation report will be available after the
next scheduled update to the web site.
Answer 10:
In order to obtain your affiliation reports, which is a list of all
health plans in which you participate, you must have completed
credentialing, the Opt In/Out process and be submitted to plans. Once
submitted to plans, the affiliation report will be available after the
next scheduled update to the web site.
Answer 11:
Yes, once you log into the member section of the web site, there is an icon in the body
of the index page, which will allow you to view who your GPG Service Representative is and
his or hers contact information.
Answer 12:
Once you have opened the file in Adobe Acrobat Reader, simply click
"File" -> "Save As", and specify a name and path location
for where the file is to be saved.
Answer 13:
The information on the web site is updated once every 24 hours.
Answer 14:
Currently, no. However, if they have provided a web site address, you
may click on that, and go directly to their web site.
Answer 15:
Yes, you may use the "Physician Locator" application to perform this action, but only through
the member section of the web site.
Answer 16:
You may search for physicians within a zip code, or city.
However, we do not currently support searches with mileage
ranges
Answer 17:
Search for the physician by last name, and by product. Please note that
this information is GPG specific only, and is subject to change. Always
confirm with the office before referring in order to verify that the
provider still provides coverage.
Answer 18:
The membership to Genesis Physicians Group is an individual physician
membership. Once the physician has paid the appropriate membership
fees in full, that physician is considered to be a lifetime member of
Genesis, until the physician chooses to terminate his/her GPG
membership or the GPG Peer Review Committee terminates the physician.
Answer 19:
GPG has delegated credentialing status from all of our contracted payors.
With the delegated status and the NCQA certification, GPG credentials the
physician on behalf of the contracted payors. This means the
credentialing process takes place only ONCE to facilitate physician
participation in all of the contracts offered through GPG; only one
application, one copy of documents, one office site visit, (if
applicable) to participate in 40 or more contracts. This allows the
physician to focus more on their respective offices and patients,
reducing office paperwork, time spent, and intrusion.
Answer 20:
If you move your practice, i.e. your primary office location where you
see patients, you must notify GPG in writing of your new address,
phone, fax, etc. You may also notify us of any changes in your practice
via our website (Demographic Updates). You do not need to sign up with GPG or your
contracted payors all over again. GPG will simply forward the
demographic changes to your contracted payors. If you are a PCP,
OB-GYN, or High Volume Behavioral Health Provider, an office site
visit may be required.
Answer 21:
Bundling is the practice of charging an all-inclusive package price,
or global fee, for all medical services associated with selected
procedures.
Answer 22:
The contracted fee schedules are not all based on RBRVS or the current
year. There are multiple methods of calculating a fee schedule
including but not limited to: RBRVS, St. Anthony's or Medical Data
Research (MDR). Each contract has a methodology formula that usually
includes a base year, percentage/percentile and a default rate.
Consequently, the resulting payment is never based on individual CPT
codes, rather a computation that considers all 11,000 CPT codes.
Answer 23:
The National Committee for Quality Assurance (NCQA) certification is a
designation GPG has for meeting all of the NCQA standards and
requirements for credentialing. NCQA is a non-profit independent group
that certifies/accredits physician organizations, credentialing
verification organizations and managed care organizations. The NCQA
certification allows GPG to obtain delegated credentialing status,
which in turn minimizes the hassle factor, the time, paperwork and
intrusion to the provider offices.