Disclosure of Protected Health Information During Disaster ...



Purpose:To establish guidelines to identify patients eligible for Financial Assistance for medical hospital services according to the provisions of this policy. POLICY INFORMATION:This policy gives information regarding a patient’s application and eligibility Criteria for United Regional Healthcare System’s Financial Assistance Program (“FAP”)(uncompensated services) for services provided by the Hospital. When referencing annual income, gross household annual income will always be applicable for eligibility. United Regional HealthCare System Inc. and (”Hospital”) will be considered interchangeable throughout this Policy. DEFINITION OF POLICY:Financial AssistanceBy virtue of its exemption from federal and state taxes and as a part of the Hospital’s mission to serve the health care needs of the community, United Regional Health Care System Inc. will provide Financial Assistance to patients who meet the criteria of this policy and do not have the financial means to pay for hospital services. Financial Assistance will be provided to patients who present themselves for care at United Regional Health Care System without regard to age, sex, race, creed, color, or national origin and who are classified as financially indigent or medically indigent according to the terms of this policy.In no event will the hospital establish eligibility criteria for Financially Indigent patients by setting the income level for Financial Assistance lower than that required for counties under the Texas Indigent Health Care and Treatment Act, or higher than “200%” of the current Federal Poverty Income Guidelines. The processing of financial assistance applicants, communication methods of availability, and determining patient allowed billable amount will follow the guidelines to meet the requirements of Section 501(r) of the Affordable Care Act. United Regional will use the look back method to establish the percentage amount to be applied for the amount generally billed (AGB) as defined under the 501(r) rule. This amount will be calculated on an annual basis and reflect in the Financial Assistance Policy SummaryThe Hospital reserves the right to limit charity care on a monthly and annual basis consistent with Texas state law and the hospital’s financial resources. The hospital reserves the right to refuse Financial Assistance for elective services. Hospital will proceed in normal collection actions as defined in the Business Office Billing and Collection Practices for non-payment or upon patient’s failure to submit a complete assistance application with required documentation within the designated time frame defined in this policy. Please refer to Business Office Billing and Collection Practices for possible eligibility for other types of discounts for uninsured patients who do not qualify for financial assistance under this policy.DEFINITIONSFinancial Assistance Eligibility: Emergent or Medically Necessary inpatient and outpatient services for uninsured or underinsured patients who cannot afford to pay for hospital services according to the guidelines of this Policy. Financial assistance does not include contractual allowances from government programs and Insurance, or Uninsured Patient Discounts, but may include insurance co-payments or deductibles, or both as well as exhausted benefits. Qualified patients will have no obligation, or a discounted obligation to pay for any services received which are deemed to be eligible under the Hospital’s Financial Assistance Policy.FINANCIALLY INDIGENT A financial indigent patient is a person who is uninsured, underinsured or has total gross household income under 200% of the federal poverty guideline and unable to pay financial responsibility for hospital services. These patients will be accepted for care with no obligation or a discounted obligation to pay for the services rendered based on the hospital’s eligibility criteria set forth in this policy under the income guidelines and documentation requirements.MEDICALLY INDIGENT Patients not qualified for Financial Assistance under the Financially Indigent guidelines but meets the eligibility criteria set forth in this policy and the income and financial obligation threshold as show in 4.0 of this Policy. Amount Generally Billed A method based on actual claims within the designated period paid to the hospital selecting the allowed payers to establish a percentage to apply to gross charges of eligible individuals under the financial assistance policy. Applying the established percentage meets the requirement of eligible applicants being billed the amount generally billed to individuals with insurance coverage.Financial Percentage. The gross charge reduction percent will be calculated on an annual basis based on actual claims paid to the hospital by Medicare and all other private health insurers. This calculation applied to gross charges of eligible financial assistance applicants will ensure the total amount prior to financial assistance percent is not more than the amounts generally billed to individuals having insurance coverage. The look back method will be applied at the end of each selected 12 month period and the amount generally billed percentage will become effective no later than 120 days from the end of the 12 month period utilized for the calculation. The Summary Financial Assistance Policy must reflect any change in the established percentage prior to application. ELECTIVE CARE The patient’s condition permits time for medical services to be scheduled.EMERGENCY CARE The patient requires immediate medical intervention due to a severe, life-threatening, or potentially disabling condition. Generally the patient is admitted through the emergency room.URGENT CARE The patient requires immediate attention for the care and treatment of a physical disorder. Generally the patient is admitted to the first available and suitable accommodation.PATIENT The terms “patient” and “person” are used through this Policy for ease of understanding and drafting. This policy applies to the guarantor of the patient’s account and the term guarantor is interchangeable with the terms patient and person throughout this Policy, when the guarantor is different from the Patient. RETAIL CHARGES The standard rates charged to all patients, which do not reflect any contractual allowances or discounts. These rates are commonly referred to as “gross” charges in the healthcare industry.UNINSURED PATIENT A person receiving healthcare services who does not have private healthcare insurance and is not qualified to participate in a governmental program which provides healthcare benefits to its eligible participants (such as Tricare, Medicare or Medicaid). UNDERINSURED PATIENT A person receiving healthcare services who is not qualified to participate in a governmental program which provides healthcare benefits to its eligible participants (such as Medicare or Medicaid),is not eligible for any type of payer discount and non-discounted payer coverage provides 50% or less reimbursement of total patient charges and/or patient’s financial obligation is at or over 20% of their household gross income if within the set threshold of 400% of Federal Poverty Guidelines.FEDERAL POVERTY GUIDELINES Poverty guidelines published yearly, in the spring, in the Federal Register based upon yearly income levels and number of dependents. For application of this policy, the new guidelines will become effective the first day of the month following the month of publication.FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA Financially Indigent A financially indigent patient is a person who is uninsured or underinsured or has total gross household income under 200% of the FPG and whose bill will result in no obligation or a discounted obligation to pay for the services rendered based on the eligibility set forth in this policy. For eligible applicants, 100 percent of eligible charges will be discounted up to 175% of the federal poverty guideline. For eligible applicants with income 176% up to 200%, the discounted amount will be 65% of gross charges or reduced to no more than 20% of their gross household yearly income whichever is less. The hospital may consider other financial means of the person when determining eligibility. The hospital will use the most current poverty income guidelines issued by the U.S. Department of Health and Human Services to determine an individual’s eligibility for financial assistance as a financially indigent patient. The poverty income guidelines are published in the Federal Register in the spring of each year and for purposes of this policy will become effective the first day of the month following the month of publication.The Hospital may adjust the eligibility criteria from time to time based on financial resources and as necessary to meet the charity care needs of the community. The Hospital may limit financial assistance to only those patients requiring emergency or urgent care. MEDICALLY INDIGENTA Medically Indigent patient is a person with a catastrophic illness or injury whose unpaid hospital charges exceed their ability to pay and their gross household income falls within the threshold outlined in this policy.To be eligible under the Hospital’s Financial Assistance Policy as a Medically Indigent patient, the patient’s gross annual income cannot exceed 400% of the current Federal Poverty Guidelines for the number of eligible dependents and the amount owed by the patient on the hospital bill after payment by third-party payers must meet or exceed 20% of their annual gross household income. Patients completing the Hospital Financial Assistance Application and determined to be eligible as a medically indigent patient will have their financial obligation discounted by 65% or reduced to no more than 20% of their yearly household income.The hospital may adjust the eligibility criteria from time to time based on financial resources and as necessary to meet the charity care needs of the community. The hospital may limit financial assistance to only those patients not requiring emergency or urgent care. At no time will emergency medical care be refused based on a patient’s eligibility under URHCS’s financial assistance policy. All medically indigent patients receiving partial financial assistance are expected to pay their remaining financial obligation within acceptable payment guidelines. Payments must be received every 30 days to meet payment obligations. Normal collection procedures will be followed for each patient to include collection letters and follow up phone calls. At 120 days with no payment or response to normal collection efforts, each account will be placed with an outside collection agency which is applicable for all patient financial obligations. Establishing Amounts Generally Billed (AGB)The Hospital will use the Look Back Method to ensure approved financial assistance applicants are not being billed more than the amounts generally billed to individuals having insurance coverage. Using the Look Back Method, the Hospital will establish an annual percentage to be applied to the billable charges for eligible patient’s under the hospital’s Financial Assistance Policy. Payments from Medicare and other payers (including patient’s share) will be used to determine this percentage. The look back method will be calculated at the end of each selected 12 month period and the AGB percentage will become effective no later than 120 days from the end of the 12 month period. The Hospital is allowed to change the method of determining the amounts generally billed but must ensure the summary financial assistance policy is updated prior to applying any changes. The established percentage will be applied to patient’s full billable charges Methods of Providing Patients Information on Financial Assistance Patients who desire to be considered for eligibility for financial assistance must complete a Financial Assistance Application form and submit it with the required supportive documentation. Each form has the mailing address of the business office or completed forms may be brought to Admissions or Business office of the Hospital.The hospital will use best efforts to inform each patient of the Financial Assistance program and how to apply for financial assistance. This will be done by posting notices in each patient registration area including the emergency room and using best efforts to provide a financial assistance form and summary financial assistance policy to each patient. The Admission Office will attempt to identify all cases that may qualify as needing financial assistance at the time of admission, and ensure that all patients are aware of the financial assistance program as well as offering a financial assistance application and/or assisting in completion of the application. The Business Office Collection Staff will attempt to identify all cases that may qualify as needing financial assistance during phone contact and ensure that all patients are aware of the financial assistance program as well as offering to mail an assistance application and providing additional information for assistance in completion. Patients may also obtain a financial assistance form or financial assistance policy summary or full financial assistance policy through the following methods: All patients receiving a statement will have a financial assistance form on the back of each statement. This includes all statement notifications and not just patient share statements. The front of the statement references the application for assistance on the reverse side. A Financial Assistance Application Form and Summary Financial Assistance Policy will be provided to the Community HealthCare Center and Family Health Center for community education.A Financial Assistance Application Form or copy of the Financial Assistance Policy Summary may be requested from the Business Office on the second floor of the Bethania Campus or Admissions Office on the first floor of the Bridwell Tower. The Financial Assistance Application Form and Summary or detailed policy will be mailed upon request by calling the business office at 940-764-8242.The Financial Assistance Application and Summary Financial Assistance Policy may also be downloaded and printed from the hospital’s website at financial-assistance.Additional information and help will also be provided over the phone by calling the Business Office at 940-764-8242 or visiting the Business Office on the second floor of the Bethania Campus. Eligibility Requirements and Processing for Financial Assistance The Business Office will refer all uninsured patients including those applying for financial assistance who may qualify or who apply for financial assistance for financial coverage from a governmental program to the appropriate program, such as Medicaid, County Indigent, Crime Victims etc., or to the hospital’s contracted eligibility vendor for screening and application assistance for governmental program coverage prior to determining financial assistance eligibility from United Regional. Required information and documentation as noted in this policy must be provided before eligibility for financial assistance will be determined. Once the requirements have been met, a written notice will be mailed to the patient informing them of the determination decision. No collection efforts will be pursued on a Financial Assistance Application for the eligible amount after such determination is made.Patients determined to be eligible under the Hospital’s Financial Assistance Policy for emergency or other medically necessary care will not be charged more than amounts generally billed to patients with insurance coverage as determined by the yearly look back method for calculating the current reduction percentage to be applied.Patients may request information on the amount generally billed calculation by calling the Business Office at 940-764-7937. Patients qualifying for the Hospital’s Financial Assistance within the 240 day notification period will have any associated payments of $5.00 or more refunded if at 100% coverage or if payments made exceed financial obligation. Only the remaining patient balance due will be considered for any outstanding accounts that are past the 240 day application window that were either previously denied or had no financial assistance application submission. Prior payments on the outstanding balances in this category are not eligible for patient payment refunds. Information Required for Consideration for Financial Assistance Eligibility. The following information must be provided and will be factors in determining the eligibility for financial assistance for patient medical services.Gross household incomeFamily sizeEmployment status Other financial resources such as unemployment benefits. Other financial obligationsThe amount and frequency of hospital/medical billsFederal Poverty Income GuidelinesCompletion of the Hospital’s Financial Application Form with supporting documents within required time frame.Most current tax return or current income verificationPaycheck stubsSocial Security Award Letter or copy of SS CheckVeterans Administration Letter or copy of VA CheckBank accounts and other pertinent financial dataDetail or monetary amount of level of support being provided by indigent care providers such as Red Cross and/or household members or letter of gross income from employer. Documentation of indigence such as no phone, unemployed, state correctional institution, living with family member, living at facility for homeless, employment in a position of lower wage earnings. Documentation from the Hospital’s third party eligibility vendor of income amounts and disability status. Payer exhausted benefit coverage for covered services and patient is covered by an indigent care program such as Medicaid or County Indigent. Copies of the following documents must be submitted if associated with your reportable income.Social Security Award Letter of copy of SS Check for all patients receiving this type of income.Copy of Income Tax Filing if Self EmployedCopies of Paycheck Stubs or written and signed statement from employer or most current income tax filing.Copy of death certificate from family member or estate executive. The Hospital will review individual and other related tax return information for self-employed applications in order to determine the income eligibility of the patient to qualify for financial assistance.Qualifying income for self-employed applications will be considered at 30% of gross receipts.Income Tax Schedule C must be provided for accurate determination. Special Consideration with Supportive Information.A determination of eligibility for financial assistance may be made without a completed assessment form if the patient or information is not reasonably available and eligibility is warranted under the circumstances. Circumstances that would be taken into consideration would be a combination of the following:No phone, Unemployed, in state correctional institution, residing in a homeless shelter, exhaustion of Medicaid benefits.Incorrect incarcerated records and patient uncooperative in correcting or incapacitated due to health or mental status and known information indicates indigence.Exclusions from Eligibility for Financial Assistance or other DiscountsPatients whose services are considered to be cosmetic and/or not medically necessary or that is designated as a “Cash” only procedure will not be eligible for the Hospital’s Financial Assistance Program. Patients receiving the hospital’s pre-set “cash only” procedures such as Gastric-Bypass, other reduced Cosmetic procedures, or non-covered screening services are not eligible for Financial Assistance.Patients whose elective services are determined to be out of network with their insurance payer and payer will only pay for services at an in network provider.Patients receiving elective services with an insurance payer that is not accepted by the Hospital due to application of unapproved/contracted discounts.Refunding Patient Payments to Patients determined to be Eligible for Financial AssistancePatient payments made on current services (within the 240 day window) exceeding $5.00 will be refunded to patients determined to be eligible for financial assistance less any amount they are determined to owe.Patients with accounts over 240 days that did not submit a financial assistance application or were determined to be ineligible at the time of prior determination that are determined to be eligible for a current service within the 240 day application window for financial assistance will have any remaining balance on prior accounts included in the current determination but will not be eligible for refunding of patient payments made on the prior accounts. Notification and Application PeriodPatients will have a total of 120 days from the first billing statement received after discharge from the hospital to submit an assistance application before additional collections efforts including placement with an outside collection agency may occur with reporting to their credit file. The patient will have an additional 120 days to submit a completed application for final financial assistance determination.Collection efforts will cease if the assistance application is received at any time within the 240 day period and application information completed prior to the end of the application period which is a total of 240 days from the first billing statement after patient’s discharge.Financial Assistance applications will not be accepted nor processed once all notification and application requirements have been met and 240 days from the first billing statement after the patient discharge date has expired. Incomplete Financial Assistance Application NotificationIn the event of an incomplete financial application form and no response to requests by phone and/or letter, a final notice will be sent identifying the information needed to make a final determination of financial assistance eligibility. A copy of the Financial Assistance Summary Policy with any Extra Collection Actions to be taken will be included in the final notice allowing no less than 30 days for the patient to respond with the required information.If the additional information is received or there is adequate information to make a determination in the patient record, all collection efforts will cease until determination is finalized.If information or payment is not received and there is not adequate information to make a determination in the patient record and 120 days has passed from the first patient statement after discharge, normal collection efforts will resume including referring to an outside collection agency for additional collection efforts and reporting to their credit file.If at any time prior to 240 days from the first patient statement, a completed application or requested information is received, all collection efforts will cease and the financial application processed for final determination.Documentation of Eligibility DeterminationOnce an eligibility determination has been made, the results of the determination will be noted in the comments section of the patient’s financial record. A Letter notifying the patient of their percentage of eligibility and any patient responsibility if applicable will also be mailed upon final determination. Recordkeeping and Reporting of Charity CareAll completed Financial Assistance Applications will be retained and kept on file for five (5) years. A copy of the patient’s Financial Assistance Application and all correspondence with the patient regarding the Financial Assistance Application, approval, denial and appeal will be maintained in the patient’s file or will reflect in the comment section of the patient’s financial record.All Financial Assistance Applications will be reviewed and approved by the level of authority according to the schedule shown on the Financial Assistance Application Form. The Hospital Board will review and approve the Financial Assistance Policy and the Hospital’s Chief Financial Officer will sign the board approved Financial Assistance Policy. Information regarding the amount of charity care provided by the hospital in its’ fiscal year shall be aggregated and included in the hospital’s annual report filed with the Bureau of State Health Data and Policy analysis at the Texas Department of State Health Services. This report will also include information concerning the provision of government-sponsored indigent health care and other community benefits.Example of Federal Poverty Guidelines and the Hospital’s Application for Financial Assistance.Example of Federal Poverty Guideline and Hospital’s Financially Indigent Discount.Financially Indigent No Of Eligible DependentsFederal Poverty Guidelines 100%?United Regional Financially Indigent 150-175%?United Regional Financially Indigent 176% -200% orLesser of Bal Owed after 20% of Gross Yearly Income % of Financial Assistance100%?100%?65%??Patient Share0%?0%?35%??????????1 $ 11,770 $ 20,598 $ 23,540 $ 4,708 2 $ 15,930 $ 27,878 $ 31,860 $ 6,372 3 $ 20,090 $ 35,158 $ 40,180 $ 8,036 4 $ 24,250 $ 42,438 $ 48,500 $ 9,700 5 $ 28,410 $ 49,718 $ 56,820 $ 11,364 6 $ 32,570 $ 56,998 $ 65,140 $ 13,028 7 $ 36,730 $ 64,278 $ 73,460 $ 14,692 8 $ 40,890 $ 71,558 $ 81,780 $ 16,356 Add 4160.00 for each dependent over 8????Example of Federal Poverty Guideline and Hospital’s Medically Indigent Discount.Medically indigentNo Of Eligible DependentsFederal Poverty Base Guideline?United Regional Medically Indigent 201% -400%-?Financial Responsibility Threshold for Medically Indigent ??Patients will owe lesser of 35% of total financial obligation or 20% of gross house hold income??% of Financial Assistance?65%?20% of ???Patient Share0%?35%?Yearly Gross Income??????????????1 $ 11,770 $ 47,080 $ 9,416 Patients income exceeding 200%2 $ 15,930 $ 63,720 $ 12,744 of FPG and meeting the Medically 3 $ 20,090 $ 80,360 $ 16,072 Indigent Threshold will owe either4 $ 24,250 $ 97,000 $ 19,400 35% or up to 20% of their annual 5 $ 28,410 $ 113,640 $ 22,728 gross household income whichever is less6 $ 32,570 $ 130,280 $ 26,056 ?7$ 36,730 $ 146,920 $ 29,384 Patients responsibility must meet or 8 $ 40,890 $ 163,500 $ 32,712 exceed the threshold of 20% of their Add 4160.00 for each dependent over 8gross annual household income to be eligible?????????Special Consideration Financial Assistance for Uninsured ER Patients. Emergency Room patients with one or more of the following indications will be considered for 100% charity as a special consideration when one or more of the following qualifications are met.Low social economic status as indicated by level of employmentUnemployed statusCurrent residence at the mission, Salvation Army, MHMR or any other organization for homeless or indication of government sponsored housingNo home phone or phone disconnectedGuarantor or spouse with same as aboveMarital status of single with dependentsOther indications that would be considered meeting indigent care such as partial coverage for Medicaid programs.Wage and or Disability information obtain from the Hospital’s third party eligibility vendor.No notification letter is mailed on these special considerations for financial assistance.Department Manager and Director will review report and authorize total write off each month. Other Providers delivering emergency or other medically necessary care in United Regional Hospital.Patients may experience a variety of tests, procedures, and services during their visit to the hospital. Many of these services are performed by health-care providers who work in the hospital but bill for their services separately. The patient may receive bills from several health –care providers such as anesthesiologist, radiologist, pathologist, ER Physicians, hospitalist physicians, patient’s primary physician. None of the above providers delivering emergency or other medically necessary care in United Regional are covered under the Hospital’s Financial Assistance Policy. See the last page of this policy for the current listing of all known providers whose services are not covered under the Hospital’s Financial Assistance Policy.Financial Assistance Applications Denied as not Meeting Financial Assistance EligibilityPatients not eligible under our financial assistance policy may be eligible for a prompt pay discount under our uninsured discount outlined in the Business Office Collection PolicyHealthcare Services Provided to Hospital Patients by Other HealthCare Providers not Covered under the Hospital’s Financial Assistance Policy.Listing of Providers seeing patients in the Hospital and providing services billed by the individual providers and not the Hospital. These providers and their associated Hospital Services separately billable are not covered under the Hospital’s Financial Assistance PolicyListing of Medical Staff that Do not Follow the Hospital’s Financial Assistance Policy:NumberNameStatCertification BoardAnesthesiology869Bolnick, Harold L, MDCONSAmerican Board of Anesthesiology1226Christiansen, Kripa P, MDACTAmerican Board of Anesthesiology626Daniels, Felicia B, MDACTAmerican Board of Anesthesiology317Godwin, James W, MDACTAmerican Board of Anesthesiology1175Gray, Ryan L, MDACTAmerican Board of Anesthesiology1107Harvey, Ralph C, MDACTAmerican Board of Anesthesiology1130Lam, Christopher N, DOPROVAmerican Board of Anesthesiology562Miller, Daniel M, MDACTAmerican Board of Anesthesiology657Workman, Mark A, MDACTAmerican Board of AnesthesiologyEmergency Medicine1197Brooks, III, Edward O, MDACTAmerican Board of Emergency Medicine1174Caballero, Joshua D, MDACTAmerican Board of Emergency Medicine1152Hilmi, John O, MDACTAmerican Board of Emergency Medicine1159Howard, Tanya D, MDACTAmerican Board of Emergency Medicine229Menchaca, Rodrigo X, MDACTAmerican Board of Physician Specialties396Meyer, Stuart J, MDACTAmerican Board of Emergency Medicine327Moreno, Armando T, MDACTAmerican Board of Physician Specialties653Myers, Alan S, MDACTAmerican Board of Family MedicineACTAmerican Board of Physician Specialties462Ruiz, Ricardo, MDACTAmerican Board of Family MedicineACTAmerican Board of Physician Specialties1198Sautner, Jeremy S, MDACTAmerican Board of Emergency Medicine364Selvaraj, Ramasamy, MDACTAmerican Board of Physician Specialties1151Walker, Cortnie H, MDACTAmerican Board of Emergency Medicine525Zardain, Victor M, MDACTAmerican Board of Family MedicineACTAmerican Board of Physician SpecialtiesFamily MedicineFamily Medicine (Cont'd)474Abad, So Kim Florence H, MDAFFAmerican Board of Family Medicine962Abazid, Ahmad G, MDACTAmerican Board of Family Medicine494DeLizio, Thomas S, MDAFFAmerican Board of Family Medicine911Duhan, Christopher M, MDAFFAmerican Board of Family Medicine989Gonzales, Alma G, MDAFFAmerican Board of Family Medicine483Hanes, Lori L, MDAFFAmerican Board of Family Medicine689Heinis Zardain, Diane V, MDAFFAmerican Board of Family Medicine425Hull, Brian C, DOACTAmerican Board of Family Medicine1135Khan, Tania, MDACTAmerican Board of Family Medicine839Mattar, Ahmed A, MDACTAmerican Board of Family Medicine1215Mijares, Francis, MDACTAmerican Board of Family Medicine436Mitchell, Michael A, DOAFFAmerican Osteopathic Board of Family Medicine601Moisant, Micheal A, DOAFFAmerican Board of Family Medicine8895Mujuruki, Cephas, MDACTAmerican Board of Family Medicine138Owen, Raymond L, MDACTAmerican Board of Family Medicine548Parkey, James R, MDACTAmerican Board of Family MedicineACTAmerican Board of Family Medicine139Serrano, Lesley T, MDAFFAmerican Board of Family Medicine786Shanes, B. Adam, MDACTAmerican Board of Family Medicine1164Skaggs, Tiffany A, MDAFFAmerican Board of Family Medicine835Storseth, Nicole J, MDAFFAmerican Board of Family Medicine1194Swanson, Jeffrey A, DOAFFAmerican Board of Family Medicine555Szczerba, Arthur J, MDACTAmerican Board of Family Medicine461Tadros, Magdi M, MDACTAmerican Board of Family Medicine261Talbert Jr, Tom S, MDACTAmerican Board of Family Medicine463Tan, Lucy, MDACTAmerican Board of Family Medicine1115Tanjavur, Abirami R, MDACTAmerican Board of Family Medicine1193Tezaguic, Olga I, DOAFFAmerican Osteopathic Board of Family MedicineAFFAmerican Osteopathic Board of Family Medicine329Torres Jr, Oscar C, MDACTAmerican Board of Family Medicine233Whittiker, David M, MDAFFAmerican Board of Family Medicine524Williams, Jonathan W, MDACTAmerican Board of Family MedicineFamily Medicine (Cont'd)395Williamson, Keith H, MDACTAmerican Board of Family MedicineMedicine851Anderson, Michael A, MDAFFAmerican Board of Psychiatry and Neurology422Askins, Jack C, MDACTAmerican Board of Internal Medicine471Barnhart, Benny L, MDAFFAmerican Board of Psychiatry and Neurology213Bartel, Danny R, MDACTAmerican Board of Psychiatry and NeurologyACTAmerican Board of Psychiatry and Neurology319Brajer, Allen R, MDAFFAmerican Board of Internal Medicine119Caras, John A, MDACTAmerican Board of Internal Medicine894Chada, Satish C, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine152Chakinala, Chandramouli, MDACTAmerican Board of Internal Medicine611Challagalla, Jagathi D, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine1229Christiansen, Daniel L, MDAFFAmerican Board of Dermatology056DeLizio, P. Robert, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine600Desiré, André P, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal MedicineACTAmerican Board of Vascular Medicine698Djafari, Fardin S, MDACTAmerican Board of Internal Medicine3075Fernandez, Dureshahwar K, MDACTAmerican Board of Internal Medicine154Fitzsimmons, McMurry M, MDHONAmerican Board of Allergy & Immunology580Frando, Virgil G, MDAFFAmerican Board of Physical Medicine & Rehabilitation801Ganeshram, Vedampattu P, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine1196Gomez, Javier, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal MedicineMedicine (Cont'd)608Gonzalez, Ruth E, MDAFFAmerican Board of Internal Medicine186Harvey, Lowell L, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine133Ho, Rick Y, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine363Hoyer, John S, MDACTAmerican Board of Internal Medicine467John, Donald H, MDACTAmerican Board of Internal MedicineACTAmerican Board of Psychiatry and NeurologyACTAmerican Board of Psychiatry and Neurology1227Katkuri, Rajani R, MDACTAmerican Board of Internal Medicine701Kong, Soe-Ni N, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine3315Lucero, Pedro, MDPROVAmerican Board of Internal MedicinePROVAmerican Board of Internal MedicinePROVAmerican Board of Internal Medicine1200Mai, Flower H, DOACTAmerican Osteopathic Board of Internal MedicineACTAmerican Osteopathic Board of Internal Medicine837Malireddy, Srikar R, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine277Martin, Harvey C, MDACTAmerican Board of Psychiatry and NeurologyACTAmerican Board of Psychiatry and Neurology3152Maruthoor, Jim K, MDPROVAmerican Board of Internal Medicine028McBroom, Robert L, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine1176Mohammed, Anwarullah, MDACTAmerican Board of Family Medicine267Murphy, Barbara A, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine218Murthy, Konappa H, MDACTAmerican Board of Internal Medicine1213Nagra, Shehzadi G, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine509Padakandla, Catherine S, MDACTAmerican Board of Internal MedicineMedicine (Cont'd)1105Pak, Eugene, MDACTAmerican Board of Psychiatry and Neurology895Palmer, Bruce L, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine333Pena, Richard C, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine927Radkar, Mrunalini S, MDACTAmerican Board of Internal Medicine3145Reddy, Jayasankar K, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine881Reddy, Praveen J, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine582Rivera-Rivera, Rafael, MDACTAmerican Board of Internal Medicine068Robison, William W, MDAFFAmerican Board of Internal Medicine1110Sam, Siby, MDACTAmerican Board of Family Medicine491Sanchez-Leal, Henry R, MDACTAmerican Board of Psychiatry and Neurology880Schultz, Jessica, MDACTAmerican Board of Psychiatry and Neurology1108Selim, Kareem M, MDPROVAmerican Board of Family Medicine167Sudarshan, Shonalatha J, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine159Sudarshan, Sriram, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine1255Talati, Krunal, MDPROVAmerican Board of Internal Medicine1264Terasaki, Jordan, MDPROVAmerican Board of Internal Medicine124Terry, Donald F, MDHONAmerican Board of Internal Medicine602Thota, Venkateswarlu, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal MedicineACTAmerican Board of Internal MedicineACTCertification Board of Nuclear Cardiology406Thueson, Charles R, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine007Tomlinson, Jack R, MDAFFAmerican Board of Psychiatry and NeurologyMedicine (Cont'd)263Ulrich, Brian K, MDACTAmerican Board of Internal MedicineACTAmerican Board of Internal Medicine3144Van de Mae, Michele D, MDACTAmerican Board of Internal Medicine505Wieck, Bryan R, MDAFFAmerican Board of Psychiatry and Neurology561Wilson, Louis J, MDACTAmerican Board of Internal Medicine955Yap, Francis Eric D, MDACTAmerican Board of Internal MedicineObstetrics/Gynecology961Bannon, Ryan J, MDACTAmerican Board of Obstetrics and Gynecology246Ghanbari, Hossein, MDACTAmerican Board of Obstetrics and Gynecology320Godfrey, Steven L, MDACTAmerican Board of Obstetrics and Gynecology850Hurst, Paul W, MDACTAmerican Board of Obstetrics and Gynecology321King, Sumi L, MDACTAmerican Board of Obstetrics and Gynecology664Lamar, Michael E, MDACTAmerican Board of Obstetrics and Gynecology047Mehta, Virendrakumar D, MDACTAmerican Board of Obstetrics and Gynecology268Olaya, Bernardo, MDACTAmerican Board of Obstetrics and Gynecology947Winfrey, Mandy, MDACTAmerican Board of Obstetrics and GynecologyPathology1252Flack, Allen, MDPROVAmerican Board of Pathology310Flack, David A, MDACTAmerican Board of Pathology507Hearn, Yvonne R, MDACTAmerican Board of PathologyACTAmerican Board of Pathology285Hudkins, Philip G, MDACTAmerican Board of Pathology3250Hulsey, Meredith, DOPROVAmerican Board of Pathology852Reinke, Dennis D, MDACTAmerican Board of PathologyACTAmerican Board of Pathology252Strate, Susan M, MDACTAmerican Board of PathologyPediatrics704Agyepong, Michael K, MDACTAmerican Board of Pediatrics, Inc.291Allender, James H, MDCONSAmerican Board of Pediatrics, Inc.CONSAmerican Board of Pediatrics, Inc.1124Ayer, Karin G, MDACTAmerican Board of Pediatrics, Inc.635Case, Christopher L, MDCONSAmerican Board of Pediatrics, Inc.CONSAmerican Board of Pediatrics, Inc.956Dzurik, Matthew V, MDCONSAmerican Board of Pediatrics, Inc.1259Gajare, Anil, MDPROVAmerican Board of Pediatrics, Inc.973Hackman-Morris, Anne M, MDCONSAmerican Board of Pediatrics, Inc.485Johnson, Terry L, MDACTAmerican Board of Pediatrics, Inc.1178Kaiser, Jacob B, DOACTAmerican Board of Pediatrics, Inc.1111134Kuo, James A, MDCONSAmerican Board of Pediatrics, Inc.CONSAmerican Board of Pediatrics, Inc.339Lai, Stephen, MDCONSAmerican Board of Pediatrics, Inc.CONSAmerican Board of Pediatrics, Inc.873Mandel, Corey S, MDCONSAmerican Board of Pediatrics, Inc.1131Muyskens, Steve, MDCONSAmerican Board of Pediatrics, Inc.CONSAmerican Board of Pediatrics, Inc.538Rao, Gadam M, MDACTAmerican Board of Pediatrics, Inc.331Readinger, Richard I, MDCONSAmerican Board of Pediatrics, Inc.CONSAmerican Board of Pediatrics, Inc.654Roten, Lisa M, MDCONSAmerican Board of Pediatrics, Inc.CONSAmerican Board of Pediatrics, Inc.744Schutte, Deborah A, MDCONSAmerican Board of Pediatrics, Inc.322Sultemeier, Kenneth L, MDACTAmerican Board of Pediatrics, Inc.541Ucol, Jesus D, MDACTAmerican Board of Pediatrics, Inc.568Yap, Rodney D, MDACTAmerican Board of Pediatrics, Inc.Radiology727Berend, Klonie L, MDACTAmerican Board of RadiologyRadiology (Cont'd)274Bice, Paul L, MDACTAmerican Board of Radiology1111278Doan, Lien, MDCONSAmerican Board of Radiology1225Goss, Jordan M, MDACTAmerican Board of Radiology1160Kazemaini, Mohammad R, MDACTAmerican Board of Radiology730Lee, Mark S, MDACTAmerican Board of Radiology135Mirza, Fayyaz H, MDACTAmerican Board of Radiology503Moffat III, David D, MDACTAmerican Board of Radiology347Renton Jr, Paul N, MDACTAmerican Board of Radiology3332Schoellerman, Manal, MDPROCONAmerican Board of Radiology755Seegers, Terry R, MDACTAmerican Board of Radiology146Spencer, David R, MDACTAmerican Board of Radiology302Yoast, Kenneth L, MDHONAmerican Board of Radiology1111281Yoler, Katharine, MDPROCONAmerican Board of RadiologySurgery1161Babbel, Daniel M, MDACTAmerican Board of Orthopaedic Surgery, Inc.ACTAmerican Board of Orthopaedic Surgery, Inc.184Brazil, Clark W, MDACTAmerican Board of SurgeryACTAmerican Board of SurgeryACTAmerican Board of Phlebology088Dean, William F, MDACTAmerican Board of Thoracic Surgery465Dowd, Phillip E, MDACTAmerican Board of Urology089Dryden, John S, MDACTAmerican Board of Urology620Farr, Stephen C, DDSAFFAmerican Board of Oral and Maxillofacial Surgery1076Finnell, Christopher W, MDACTAmerican Board of Surgery1154Giles, Jerald E, MDACTAmerican Board of Otolaryngology251Godfrey, Cameron D, MDACTAmerican Board of Otolaryngology1163Grisel, Jedidiah J, MDACTAmerican Board of Otolaryngology3156Ha, Richard Y, MDCONSAmerican Board of Plastic Surgery298Harvey, Peter M, DPMACTAmerican Board of Podiatric SurgerySurgery (Cont'd)3169Hochheimer, Sven M, MDACTAmerican Board of Neurological Surgery178Huang, David S, MDACTAmerican Board of Orthopaedic Surgery, Inc.029Kelly, Phillip W, MDACTAmerican Board of Ophthalmology299Lam, Benny W, DPMACTAmerican Board of Podiatric Surgery346Langner, Frederick M, MDACTAmerican Board of Surgery1139Lee, Timothy D, DDSACTAmerican Board of Pediatric Dentistry1156Lemmon, Joshua A, MDCONSAmerican Board of Plastic SurgeryCONSAmerican Board of Plastic Surgery876May, Brett, MDACTAmerican Board of Surgery652Mercer, Leo C, MDACTAmerican Board of SurgeryACTAmerican Board of SurgeryACTAmerican Academy of Wound ManagementACTAmerican College of Certified Wound Specialists1212Mikhail, Peter S, MDACTAmerican Board of SurgeryACTAmerican Board of Thoracic Surgery043Moshtaghi, Ali, MDACTAmerican Board of Urology079Mustafa, Eid B, MDACTAmerican Board of Plastic Surgery3331Nguyen, Tuyen C, MDPROVAmerican Board of Thoracic Surgery1086Obney, James A, MDACTAmerican Board of Thoracic Surgery092Prestridge, Barry B, MDACTAmerican Board of Otolaryngology1260Provost, Maria, MDPROVAmerican Board of Colon & Rectal SurgeryPROVAmerican Board of Surgery450Reeves, John D, MDACTAmerican Board of Neurological Surgery1217Rizzo, Anne G, MDACTAmerican Board of SurgeryACTAmerican Board of Surgery051Ruyle, Stephen D, MDAFFAmerican Board of Orthopaedic Surgery, Inc.1084Schacter, Joshua J, DOACTAmerican Osteopathic Board of Orthopedic Surgery220Sheen, Michael R, MDACTAmerican Board of Orthopaedic Surgery, Inc.817Stephan, Phillip J, MDACTAmerican Board of Plastic Surgery609Sundaresan, Sanjoy, MDACTAmerican Board of Neurological SurgeryACTAmerican Board of Pain Medicine011Sutton, Beth H, MDACTAmerican Board of SurgerySurgery (Cont'd)297Thomas, T. Kevin, MDACTAmerican Board of Surgery663Toulan, Michael W, MDACTAmerican Board of Urology844Urbanek Jr, Richard A, DDSACTAmerican Board of Oral and Maxillofacial Surgery094Warnock, Kenneth M, MDACTAmerican Board of Surgery408White, Marylin H, MDACTAmerican Board of Ophthalmology604Wilson, Steven J, MDACTAmerican Board of Orthopaedic Surgery, Inc.3171Wogu, Elijah U, DOACTAmerican Board of Neurological Surgery ................
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