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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

Overview: Mental health care practitioners work in today's diverse, fast-changing, multidisciplinary health care environment. Nowhere but in mental health is there such diversity of clinicians who provide the same or similar services of counseling and therapy. A potential client has a wide choice of mental health providers from whom to choose. Yet each individual mental health profession has a unique education, training, and experience requirement for practice. While similarities exist, requirements differ from state to state and even from profession to profession with a single state. What are these requirements and how do they apply? The state's authority and power over mental health practitioners often presents challenges to these mental health professionals that are not easy to navigate. Differing sources of legal and ethical authority govern each respective health care practitioner in ways that are similar but not the same. Ethics and law are similar, but not the same. All mental health practitioners must adhere to standards of state law which govern their professional practices, including the very core of the doctor-patient relationship. Codes of ethics and state law may both apply to govern the conduct of this clinician. Even some state laws are referred to as ethical codes. Complaints as to alleged misconduct or ethical failings are received and investigated by a state agency and leave the mental health practitioner with an uncertain process to handle and to defend the state action against them. With this background, this seminar empowers the full understanding and application of ethics and laws for mental health practitioners. Learn to identify and understand an ethical framework for a sound mental health practice. An ethical framework is essential to having the right perspective to examine mental health dilemmas. Compare and contrast regulatory laws and codes of ethics to understand their differing applicability. Know the difference between laws and ethics,

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

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

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

Overview: Today's educated professionals function in a maze of different educational and training requirements, which vary from state to state and from profession to profession. Nowhere than in health care is this more evident where multidisciplinary health care practitioners work together towards a common goal for the patient. What is a profession? What areas of work require the unique professional education, training, and experience that becomes mandated by the state? What work requires professional judgment and skill so as to be regulated by the government through mandatory laws applicable to an individual person practicing his or her chosen profession? State laws are enacted for the protection of the public by legislatures in all the fifty states. A list of individual professions and their applicable statues and administrative regulations takes up entire volumes of lawbooks. These state laws impose significant regulation on these professionals, and often in very different ways found in many aspects of state regulation, from the educational process, the examination requirements, the state licensure applications, and the legal standards and rules of each unique profession. Explore how state licensure boards are created and function at the state level. While most such state agencies have common, core functions and operations, there are many differences - and some requirements that are truly the opposite from profession to profession. Review the common requirements the state imposes on the health care provider. Know the basics of professional education and licensure. Understand the difference between legally binding laws and mere codes of ethics, which are aspirational and do not form the basis for legal action. Find out how to understand and navigate the challenges presented from differing and conflicting state laws governing the many health care professions. Know where key requirements exist that are common to many professions. This program

Overview: Today's educated professionals function in a maze of different educational and training requirements, which vary from state to state and from profession to profession. Nowhere than in health care is this more evident where multidisciplinary health care practitioners work together towards a common goal for the patient. What is a profession? What areas of work require the unique professional education, training, and experience that becomes mandated by the state? What work requires professional judgment and skill so as to be regulated by the government through mandatory laws applicable to an individual person practicing his or her chosen profession? State laws are enacted for the protection of the public by legislatures in all the fifty states. A list of individual professions and their applicable statues and administrative regulations takes up entire volumes of lawbooks. These state laws impose significant regulation on these professionals, and often in very different ways found in many aspects of state regulation, from the educational process, the examination requirements, the state licensure applications, and the legal standards and rules of each unique profession. Explore how state licensure boards are created and function at the state level. While most such state agencies have common, core functions and operations, there are many differences - and some requirements that are truly the opposite from profession to profession. Review the common requirements the state imposes on the health care provider. Know the basics of professional education and licensure. Understand the difference between legally binding laws and mere codes of ethics, which are aspirational and do not form the basis for legal action. Find out how to understand and navigate the challenges presented from differing and conflicting state laws governing the many health care professions. Know where key requirements exist that are common to many professions. This program

Overview: Learn how to improve your healthcare compliance program by using requirements found in corporate integrity agreements (CIAs) issued by the OIG. By proactively incorporating various features of CIAs, healthcare providers of all types can be better assured of meeting compliance standards. While there are many different types of healthcare compliance issues, probably the area of most concern is that of properly filing claims and receiving appropriate reimbursement. The OIG has issued various types of guidance including Federal Register entries, fraud alerts, and issues as listed in the OIG Work Plans. By providing such guidance, the OIG has given healthcare providers notice so that there can be no defense of not knowing about an issue. By organizing your compliance program to detect and then correcting various types of issues is a major objective of having a compliance program. Understanding systematic processes for improving your healthcare compliance program using CIA requirements can forestall possible criminal and civil monetary penalties. The hundreds of CIAs that have been developed when the OIG detects fraudulent activities can be used as a guide for developing and improving healthcare compliance programs for all types of healthcare providers. The process of statistical extrapolation is used by the OIG when conducting studies in order to determine recoupment amounts. Statistical extrapolation can also be used by healthcare providers when determining possible overpayments. However, the proper use of statistical extrapolation is a formal and complex mathematical process that must be properly applied. The OIG CIAs provide another resource for healthcare providers to study, understand, and then apply as appropriate. Why should you Attend: What are the OIG Corporate Integrity Agreements (CIAs)? Why does the OIG issue CIAs? Can I use general requirements from CIA to avoid monetary penalties or even avoid going to jail? Can any healthcare provider use

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

Looking for trustworthy Obstetrics and Gynecology billing services? Look no further than Instapay healthcare Services. Our dedicated team provides accurate and efficient billing solutions tailored for OBGYN practices. Trust us to handle your billing needs, so you can concentrate on providing top-notch care. Call us today to learn more! Fax:- 9179607960

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

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

Struggling to keep up with the complexities of cardiology billing? We understand the challenges you face, and we're here to help! Introducing Instapay Healthcare, your trusted partner in streamlining billing processes for cardiology practices. Our cutting-edge solutions ensure: ✅ Faster claim submissions ✅ Minimized errors ✅ Maximization of reimbursements Say goodbye to billing headaches and hello to efficiency! Our personalized support team is dedicated to ensuring a seamless integration with your existing systems. But don't just take our word for it! Hear from satisfied clients who've experienced the Instapay difference firsthand. Ready to optimize your cardiology billing? Contact us today and let's revolutionize your practice together! Fax:- 9179607960

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

Exciting news! Instapay Healthcare Services is now offering highly affordable ICD-10 Coding Services in the US. We understand the importance of accurate coding in healthcare, and our team of experts is here to ensure that your coding needs are met efficiently and effectively. With our cost-effective solutions, you can streamline your coding processes without breaking the bank. Trust Instapay Healthcare Services for reliable and affordable ICD-10 Coding Services. Contact us today to learn more! Fax:- 9179607960

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

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

Struggling with complex billing for mental health services? Don't let denied claims or coding errors impact your bottom line! At Instapay Healthcare Services, we specialize in Behavioral Health Billing, providing accurate coding, denial management, and complete revenue cycle optimization. ✅ Reduce claim denials ✅ Get paid faster ✅ Focus more on patient care Let us handle the billing complexities while you focus on delivering quality mental health care. Ready to streamline your revenue cycle?

Struggling with the complexities of gastroenterology billing? Look no further! Instapay Healthcare Services is here to streamline your billing processes and maximize your practice's revenue. Our comprehensive solutions, tailored specifically for gastroenterology practices, ensure accuracy, compliance, and efficiency every step of the way. Don't let billing headaches hold your practice back. Join the countless gastroenterology practices that have already unlocked efficiency with Instapay Healthcare Services. Contact us today to learn more and take your practice to the next level! Fax:- 9179607960

Are you struggling with the complexities of cardiology billing? Discover the secrets to mastering cardiology billing, leveraging EMR for efficiency, and the benefits of outsourcing to experts like Instapay Healthcare Services. Streamline your billing process, reduce errors, and boost your revenue!