2. *
* Healthcare compliance is absolutely mandatory and
slack billing practices may cost you thousands of dollars
in fines.
3. *
* A compliance package is required as soon as possible by any
provider that bills Medicare, Medicaid, and/or programs
supported by federal or state governments.
* It relates the HHS' Office of the Inspector General's (OIG)
compliance regulation on billing, coding, contracts, and
interactions which is now required under the Affordable
Care Act.
4. *
* HIPAA is more than a confidentiality stamp provided to patients.
* Allbenefactors no substance the insurance must meet the
terms with HIPAA 5010 compliance is the order of the day.
* HIPAA cover information, to audit the security of all protected
health information both paper and electronic, so you must have
policies audit at least annually.
5. *
* Providers are anxious about getting reimbursed, but rarely
inspect Medical billing and collections until it is a crisis.
6. *
* Medicare has comeback requests and if you miss those, you
can have your number withdrawn and might not get it back
for two years.
8. *
* Check references. Do not hire someone without physician
billing experience.
* Askthem to code situations for you or question them on
their knowledge.
* Alsomany medical practices end up in a cash crisis or in
trouble because the billing person does not bill correctly.
* Ifthe person bills incorrectly, because he is told to do so
by the provider, take a advisory note this will eventually
come back to disturb the practice.
9. *
* Make sure that your billing team keeps up with the billing
rules/changes.
* Ensure your staff known when it is suitable to bill the
physician and when to bill under the mid-level. This has been
a massive audit entry for Medicare and commercial plans.
11. *
* Meetat least monthly with your billing practice management
company to analyse summary reports of
1. Revenue cycle management,
2. Accounts Receivable aging by payer,
3. Denials Claims.
12. *
* Your queries are most welcome to
info@medicalbillingstar.com.
* For Free Compliance and EMR Billing Support Visit us
http://www.medicalbillingstar.com