Presented by

Angomark, MedicalBillingStar

*Why Not Make a Resolution to Analyse

Physician Medical Practice Plans as the year 2013 begins ?

*Healthcare Compliance Guidelines for Physicians

and their Practices

*Healthcare compliance is absolutely mandatory and slack billing practices may cost you thousands of dollars in fines.

*1.Compliance Package is the immediate need of the

hour for any provider…*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.

*2.HIPAA Security

*HIPAA is more than a confidentiality stamp provided to patients.

*All benefactors 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.

*3.Cash Flow Management

*Providers are anxious about getting reimbursed, but rarely inspect Medical billing and collections until it is a crisis.

*4.Be Active in your Mails

*Medicare has comeback requests and if you miss those, you can have your number withdrawn and might not get it back for two years.

*5.Choose the Best Medical Billing Team

*Hire the best Medical Billing Company .

*6. Billing Necessities.

*Check references. Do not hire someone without physician billing experience.

*Ask them to code situations for you or question them on their knowledge.

*Also many medical practices end up in a cash crisis or in trouble because the billing person does not bill correctly.

* If the 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.

*7.Ensure An Audit happens

*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.

*8.Documentation.

*The documentation must permit the billable services submitted.

*9.Take A Look !

*Meet at 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.

*Thank You !

*Your queries are most welcome to info@medicalbillingstar.com.

*For Free Compliance and EMR Billing Support Visit us

http://www.medicalbillingstar.com