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Roger Steven

Developing Hospital Billing and Chargemaster Policies and Procedures - 0 views

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    Overview: Hospital chargemasters are complex and represent a key component for the revenue cycle of hospitals. Chargemasters are intertwined with coding for services, billing for services, charging for services and even involve the cost reporting process. A myriad of decisions must be made concerning how the chargemaster is organized, impacts on coding and billing, charge structuring, cost accounting, and other processes within the revenue cycle. Whenever decisions are made, policies and procedures should be developed, approved and implemented. A proper system of billing and chargemaster policies and procedures can help to maintain an appropriate compliance stance in a world where ambiguous guidance is often the norm. The development of charges and charge structuring within the chargemaster is a major issue often referred to as transparent pricing. While even the Medicare program maintains that hospitals should charge for everything, the way in which charges are set and amalgamated at the claim level can vary significantly between hospitals. A key issue for the chargemaster is differentiating separately charging from separately reporting. The way in which hospitals make decisions about the bundling of charges at the line-item level within the chargemaster leads to many decisions, all of which need justification through proper policies and procedures. Due consideration must be given to departmental concerns about revenue generation, cost reporting implications, coding implications and any associate challenges with billing and claims filing. Why should you Attend: See Typical Questions - Here are some reworded marketing questions: Why are the chargemaster and hospital billing targets of compliance audits? How should we prioritize statutory and contractual compliance for the chargemaster and billing process? Will chargemaster and associated billing policies and procedures give us protection relative to compliance? How should we develop a system of chargemaster po
instapayhealth

Unlocking the Value of Ophthalmology Billing Services: Streamlining Medical Billing for... - 0 views

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    Are you an ophthalmologist looking to streamline your billing process and focus more on patient care? Look no further! Instapay Healthcare Services offers specialized ophthalmology billing services tailored to your practice's unique needs. Our team of experts understands the complexities of eye care billing, from accurate coding to timely claim submissions. With Instapay, you can optimize your revenue cycle management and minimize billing errors, all while saving time and resources. Don't let billing challenges hold your practice back. Trust Instapay Healthcare Services to handle your ophthalmology billing needs with precision and affordability. Fax:- 9179607960
Roger Steven

HIPAA Compliance Fundraising: What You Need to Know, What You Need to Do - 0 views

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    Overview: In 2013, The US Department of Health and Human Services made major changes to rules implementing The Health Insurance and Portability Act of 1996 (HIPAA) and Health Information Technology for Economic and Clinical Health Act of 2003 (HITECH). Among the many areas impacted by these rules (billing, marketing, research, IT security, etc.) is fund raising. The amendments significantly modify the methods and practice that hospitals, their institutionally related foundations, and other healthcare charities may or must employ when using ANY patient or client information for fund raising. The webinar will cover how to effectively implement the fund raising regulations in a manner that increases both opportunities for philanthropic support and compliant implementation of the new mandates. The rules include specific operational requirements, some of which prohibit protocols that were required under the original HIPAA regulations. The "magic words" mandated by HIPPA-related regulations changed in multiple areas. The webinar will cover all of these areas to ensure your organization is both legally compliant and operationally effective. The types of information that may be used for fund raising changed significantly. This presents numerous substantial fund raising opportunities, as well as challenges on the use and storage of such information. Among other areas to be presented are The required method for individuals to opt-out of receiving fund raising communication The methods of informing patients and clients of their right to opt-out from receiving fund raising communication The broadly expanded types of fund raising communication subject to opt-out rights How providers, hospital, and related fund raising foundation apply an opt-out election by an individual The type of patient and client information that health charities may use for fund raising The contents of provider's Notice of Privacy Practice How clinicians can assist both their patients/clients and the
instapayhealth

Understanding Medicare and Medicaid Regulations: The Evolution of Medical Billing - 0 views

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    Navigate the ever-changing landscape of Medicare and Medicaid regulations like a pro with our expert guidance. From understanding the nuances of billing practices to optimizing revenue cycles, we've got you covered. Discover the evolution of medical billing and how to navigate Medicare and Medicaid regulations effectively with Instapay Healthcare Services. Learn how to optimize revenue cycles, ensure compliance, and master patient billing. Contact us today for expert guidance! Fax:- 9179607960
instapayhealth

GASTROENTEROLOGY BILLING STRATEGIES FOR 2024: A COMPREHENSIVE GUIDE - 0 views

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    Are you a gastroenterology practice in need of specialized medical billing assistance? Instapay Healthcare Services has got you covered! With our efficient billing processes, accurate coding, and timely reimbursement, you can focus on delivering top-notch patient care. Let us handle your billing needs for a smoother and successful practice. Fax:- 9179607960
Roger Steven

Clinical Documentation Improvement - 0 views

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    Overview:   Review 6 points of high quality evidence based clinical documentation Review of 7 criteria that all entries in a patient record should include Impact of documentation on coding and claims Impact on audits and ability to defend an audit When an audit is initiated, the completeness of documentation becomes critical in the ability to support what you have reported. Let's take a look at areas in which weaknesses are often found.  Why should you Attend:  The granularity and accuracy of the ICD-10 code set is supported by quality clinical documentation. It is anticipated that payers will increasingly become less flexible in allowing non-specific codes. The use of unspecified codes will likely lead to rejected claims if it is possible to report the more definitive condition. In most cases, unspecified should not be reported unless there is clear evidence to support the inability to report the detailed option.  Is your E & M level supported in the documentation? If you have never experienced scrutiny of your billing patterns by payers and other entities, you may not be aware of weaknesses that lead to recovery of funds or other costly consequences. Your documentation will be key in supporting diagnoses, service codes and acuity of the patient. It is not just payers who engage in audits. Others include State medical boards, Qui Tam and possible reporting of questionable practices by patients. Do your billing patterns and documentation stand up under reporting scrutiny? This presentation will review areas in which you may not be as strong as you think!  Areas Covered in the Session: Significance of abnormal lab results Measurement of lesions, when taken and inclusion of margins Start & stop times & methodology for infusions & discrepancies in billing Diagnostic testing and medications should be supported in a diagnosis Depth of wounds and cause should be clear Severity of illness Diagnosis present on admission? Who Will Benefit: Coders Billers Rev
instapayhealth

Cardiology Billing: CPT Codes, Benefits, Instapay Edge - 0 views

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    Streamline your cardiology billing process with Instapay Healthcare Services. Our experienced team provides comprehensive and affordable billing solutions, allowing you to optimize revenue and enhance patient care. Contact us today for a seamless billing experience. Fax:- 9179607960
instapayhealth

Comprehensive Guide to Cardiology Billing: The Benefits of Outsourcing & Why Instapay i... - 0 views

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    Streamline your cardiology billing process with Instapay Healthcare Services. Our experienced team provides comprehensive and affordable billing solutions, allowing you to optimize revenue and enhance patient care. Contact us today for a seamless billing experience. Fax:- 9179607960
instapayhealth

Unlocking Revenue Success: Mastering Neurology Billing Services with Instapay's Expertise! - 0 views

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    Instapay Healthcare Services offers top-notch neurology medical billing services. Our expert team ensures accurate coding, quick reimbursements, and higher revenue for your clinic. Say goodbye to billing headaches and focus on what matters most - providing exceptional care to your patients. Partner with us today! Fax:- 9179607960
instapayhealth

Revolutionize Your Healthcare Finances: The Power of Medical Billing and Coding Service... - 0 views

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    Instapay Healthcare Services offers specialized neurology billing services that ensure maximum reimbursement and streamlined revenue cycles. With our state-of-the-art technology and industry expertise, we simplify your billing processes, allowing you to focus on patient care. Contact us today for a consultation! Fax:- 9179607960
instapayhealth

Unlocking the Future: Why Preventive Medicine Billing Services Are Revolutionizing Heal... - 0 views

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    Searching for a stress-free preventive medicine billing service? Instapay Healthcare Services is here to simplify your billing process, allowing you to dedicate more time to your patients. See the difference today! Fax:- 9179607960
instapayhealth

Maximize Your Revenue: Chiropractic Billing Services Unveiled - 0 views

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    Struggling to manage billing efficiently? Instapay Healthcare Services provides Chiropractic Billing Services that increase revenue for your practice. Our trusted solutions streamline payments, improve cash flow, and allow you to focus on your patients. Contact us now to learn more! Fax:- 9179607960
Roger Steven

Elements of an efficient Healthcare computer system implementation - 0 views

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    Elements of an efficient Healthcare computer system implementation Healthcare computer system implementation lies at the heart of a healthcare delivery information system. The processing and dissemination of information in extremely quick time is indispensable to healthcare, given the number of processes that go into the healthcare information system, and the improvement in care this can bring about. A healthcare computer system, which can be described as the ecosystem of a healthcare delivery information system, is thus a critical component, because this healthcare computer system implementation is what decides between the efficiency of a healthcare information system and lack of it. A healthcare computer system implementation should cover all the core areas that are part of a healthcare delivery information system, such as the patient, the caregiver, the medical records concerning the patient, the healthcare organization, and other aspects of administration, such as admission, billing and so on. What goes into an efficient healthcare computer system implementation? An efficient healthcare computer system implementation consists of taking into account all the major elements of a healthcare delivery information system. It should have the ability to synchronize, coordinate and integrate vital data from across departments and systems. An efficient healthcare computer system implementation should also take into account the technologies that go into them. Technologies keep changing rapidly. New ones come into being and render the old ones obsolete in no time. A healthcare computer system implementation has to take into account the nature of these changes, and should implement them in quick time. Technologies and technological tools that are doing the rounds today include the cloud, mobile technologies and the social media. So, a healthcare computer system implementation has to integrate these. In the particular context of the American healthcare system, healthca
instapayhealth

Maximizing Opportunities: The Role of Insurance Participation for Doctors - 0 views

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    Discover how insurance participation can transform your medical practice and enhance patient care. Our latest article explores the vital role insurance networks play in maximizing opportunities for doctors. From expanding patient reach to optimizing reimbursement rates, learn how to thrive in today's healthcare landscape.
instapayhealth

Strategies for Optimizing Chiropractic Billing Outsourcing - 0 views

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    Struggling to keep your billing in check while providing top-notch care to your patients? Say goodbye to billing headaches and hello to seamless revenue management with Instapay Healthcare Services!
instapayhealth

Mastering Dental Revenue Cycle Management the Key to Efficient Dental Billing Services - 0 views

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    Effective dental billing services result in increased patient satisfaction, decreased billing errors, and improved cash flow. Dental clinics can find the secret to financial success and a long-term by placing a high priority on revenue cycle management.
Roger Steven

Disposition of Records and Records Retention for Medical Records, Including Electronic ... - 0 views

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    Overview: Today's health care delivery occurs in a diverse, fast-changing, multidisciplinary health care environment. This often presents challenges to the health care professional that are not easy to navigate. Medical records and their confidentiality have long been the exclusive province of state law, but has now been recognized for some time in the federal HIPAA statutes and federal regulations. Differing and even conflicting sources of requirements at the state level still exist for the retention and disposition of medical records. These sources may vary based upon the specific health care practitioner - whether physicians, dentists, psychologists, or other health care providers, including mental health practitioners. As to the specific, individual health care practitioner, state laws mandate their confidentiality, retention, and even their specific content with regards to patient, clinical records. In addition to these clinical requirements, additional state laws set forth the content and retention of other types of records kept by the professional, such as supervisory agreements with other professionals subordinate to them as well as their own unique record content requirements. With the majority of medical records moving to an electronic format, special rules now exist with regard to the confidentiality, security, retention, and disposition of electronic medical records. This is particularly important as state laws continue to allow for and regulate the provision of telemedicine by various health care practitioners. For example, while psychotherapy and mental health services are ideal treatments to offer over the internet, that is, by simultaneous audio-visual transmission between the doctor and the patient, the risks of breaches of confidentiality also vastly increase. And when the successful doctor-patient relationship is over, how does the health care practitioner providing a mental health service dispose of these electronic records? In addition to
Roger Steven

Disposition of Records and Records Retention for Medical Records, Including Electronic ... - 0 views

  •  
    Overview: Today's health care delivery occurs in a diverse, fast-changing, multidisciplinary health care environment. This often presents challenges to the health care professional that are not easy to navigate. Medical records and their confidentiality have long been the exclusive province of state law, but has now been recognized for some time in the federal HIPAA statutes and federal regulations. Differing and even conflicting sources of requirements at the state level still exist for the retention and disposition of medical records. These sources may vary based upon the specific health care practitioner - whether physicians, dentists, psychologists, or other health care providers, including mental health practitioners. As to the specific, individual health care practitioner, state laws mandate their confidentiality, retention, and even their specific content with regards to patient, clinical records. In addition to these clinical requirements, additional state laws set forth the content and retention of other types of records kept by the professional, such as supervisory agreements with other professionals subordinate to them as well as their own unique record content requirements. With the majority of medical records moving to an electronic format, special rules now exist with regard to the confidentiality, security, retention, and disposition of electronic medical records. This is particularly important as state laws continue to allow for and regulate the provision of telemedicine by various health care practitioners. For example, while psychotherapy and mental health services are ideal treatments to offer over the internet, that is, by simultaneous audio-visual transmission between the doctor and the patient, the risks of breaches of confidentiality also vastly increase. And when the successful doctor-patient relationship is over, how does the health care practitioner providing a mental health service dispose of these electronic records? In addit
Roger Steven

ICD-10 and Other Factors Affecting Your Cash Flow - 0 views

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    Overview: As the healthcare industry moves toward a value based reimbursement model rather than fee for service, it is crucial that the provider and ancillary staff understand how ineffective reporting can lead to dollars lost. We will review the 3 critical areas that require skilled management. Understand that patients are more educated about their healthcare and are increasingly responsible for more out of pocket costs. High dollar deductibles may result in self pay realities and bad debt increases. Learn areas that increase your chances for an audit. Are you ready for the challenge? Why should you Attend: Revenue is dependent upon proficiency in multiple areas. In today's environment, it is risky to maintain the status quo and increasingly important to obtain and maintain skilled business staff. The granularity of the ICD-10 code set requires understanding of the official coding conventions and guidelines, the ability to apply those guidelines, and the ability to recognize when reporting may lead to revenue delay, reduction or loss. Additionally, other factors affect your revenue stream. This includes patients with high deductible plans, collection of much more than a small co-pay, and staff understanding of regulations that govern telephone collection activity. Don't leave money on the table or invite an audit into your practice. Audits are often the result of weak billing and coding skills. This program will review several areas that will cost you money if poorly handled. Areas Covered in the Session: Required specificity in coding Documentation necessary for ICD-10 reporting Why coders must frequently query for clarification How ambiguous diagnosis reporting affects you r bottom line Internal collections versus outsourcing. What should you consider Staff effective in handling problem claims? Developing appeals? Who Will Benefit: Coders Billers Revenue cycle Physicians Mid-level providers Nurses Claims follow-up Managers Managers Speaker Profil
instapayhealth

Understanding the Fundamentals of Medical Billing, Coding, Charge Capturing, and Charge... - 0 views

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    InstaPay Healthcare Services is a reliable provider of medical billing and coding services that can help healthcare providers focus on patient care while leaving billing and coding to the experts.
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