Billing Telephone Seminars

Effective Auditing of Physicians' Documentation ...increasing scrutiny of physician documentation to support billings. In the past, audits are performed and physicians were lectured but all too often little improvement was noted. How can practices efficiently and effectively audit physician services? If we audit and have a bad result, what are the next steps? This educational, live audio conference focuses on understanding why the audit process  more...

Medicare Secondary Payer Act: Protecting Medicare's Interest In Insurance Settlements ...or all attorneys, insurance company personnel and medical billing professionals to fully understand how and when the MSP applies in any given personal injury situation. Failure to meet your MSP obligations may have some very significant financial ramifications such as attorney personal liability as supported by the 3rd Circuit decision in U.S. v. Harris, or an insurer $1,000 per day per case  more...

Fraud Enforcement Trends in the Health Care Industry BenefitsNew funding, new tools, and a heightened focus on the health care industry by civil and criminal law enforcement authorities means that investigations are not what they used to be. Learn more about what areas enforcement authorities are focusing on, where the big and small cases are being brought, how to deal with law enforcement's new tools, and how best to prepare yourself and your  more...

Powers of Attorney: Medical Records Release Concerns BenefitsBusy medical practices understand that each day personal health information is transmitted in various forms between hospitals, doctors, attorneys, insurance companies, patients and their lawyers and families. With increasing reliance on electronic medical records health information can be transmitted with minimal effort. However, health information requests become more confusing and less  more...

Key Legal and Practical Considerations When Forming an ACO: Seizing the Opportunities and Overcoming Challenges to Achieve Qual BenefitsThe long-awaiting Final Rule governing ACOs participating in the Medicare Shared Savings Program (MSSP) provides the industry with an improved outlook of the potential success that may be achieved, but also a daunting list of challenges to be met in order to seize the opportunities. This live audio conference will walk you through the legal, regulatory, policy, and practical challenges and  more...

Substance Abuse and Mental Health Records: What Can You Release? BenefitsDo you know that medical record custodians may be violating a patient's privacy protections without even knowing it in responding to requests for a patient's health information that contain substance abuse and mental health information? Do you know that you may need to withhold mental health and substance abuse records, even in responding to a records subpoena? Learn more about these  more...

Best Practices to Modify Electronic Health Records While Maintaining Record Integrity BenefitsMoving to an electronic health record system can make it possible to work more efficiently and effectively by automating certain tasks and making information easier to locate. But sometimes, even electronic records must be modified by adding, amending, correcting or deleting information. In some ways, paper records were easier to deal with, as incorrectly filed documents could simply be  more...

Discharge Codes: Impact on the Post-Acute Care Transfer Policy - Risks and Rewards BenefitsImproper understanding and application of discharge codes may result in reduced hospital reimbursement and represent a compliance risk under the PACT policy. William E. Haik, M.D. has been involved in ICD-9-CM coding and chart documentation for more than 25 years and will explain why the problem exists and how to remedy it. This live audio conference is designed for medical records  more...

IPPS Final Rule BenefitsThe Inpatient Prospective Payment System (IPPS) was implemented in 1983 replacing a cost-based reimbursement methodology in an effort to better control the costs of providing care to the Medicare inpatient and to incentivize hospitals to better manage utilization. As time has passed CMS has modified the program to better recognize severity of illness AND to reduce payments to hospitals for  more...

Preparing for Medicaid Audits BenefitsThe current and future state of Medicaid audits - are you and your clients adequately prepared? The Medicaid program is a state's most significant health care expense and, in many instances, one of its largest budgetary items. It is the health insurer of last resort for children and the economically disadvantaged. The recent economic downturn has caused shortfalls to many states' overall  more...

Medical Records: Responding to Subpoenas and Investigations BenefitsDon't be caught off guard. You could be breaching the confidentiality of patients without even realizing it! From HIPAA requirements to state privacy laws, legal issues abound in the medical records arena. If you're not up to date on medical records law, your company could face serious legal and financial liability risks. Attend this audio conference and gain critical information on  more...

Risk Management in the Retention and Destruction of Medical Records ... medical records, other factors such as reimbursement and billing, accreditation and professional standards must be considered. This audio conference will help you understand what is considered a medical record, the laws and regulations applicable to the retention and destruction of medical records, and how to better manage the risk involved with the retention and destruction of medical  more...

Medical Privacy Rights of Minors BenefitsMedical providers and others who come into contact with medical or health records are often subjected to complex and conflicting requirements to maintain the confidentiality and restrict the use of the information. When those providers and others deal with minors, the complexity increases dramatically. When the right of an individual to privacy and security with regard to his or her  more...

Principal Diagnosis Selection: Ensure Compliance with Official Coding Guidelines BenefitsIn today's current health care business economic climate, there exists a renewed focus upon third-party payer initiatives to second guess and undermine medical record coder's selection of principal diagnosis selection under the guise of medical necessity and accurate and compliant coding. Under the RAC Demonstration Project, a pattern of supposed coding errors and medical necessity errors  more...

Medical Records 101: Responding to Requests for Patient Information BenefitsRegister for this teleconference and get an overview of medical management issues faced by health care providers in responding to requests for patient information for litigation purposes. The conference speaker, who has extensive experience in civil litigation, including the representation of large medical institutions, will provide guidance in avoiding mistakes in disseminating patient  more...

Medical Necessity - The Collaborative Partnership Approach BenefitsHospitals constantly struggle with reducing financial exposure due to noncompliance with medical necessity in the ordering and performing of diagnostic tests on both the inpatient and outpatient business environment. Current hospital business processes and medical staff mind-sets do not lend themselves and promote financial efficiencies in the performance and reimbursement of diagnostic  more...

Today's Legal Medical Record - A Hybrid Record BenefitsThe goal of this teleconference is to give you some information and a suggested format for developing your definition and policy of the legal health record for your institution. We'll remind ourselves what the real purpose of the medical record is and investigate how we meet those purposes with a hybrid record. We'll look at what the components of the legal medical record include versus  more...

Impact of Health Care Reform on Health Care Providers BenefitsIn addition to mandating private health insurance coverage, recently enacted health care reform legislation also made sweeping changes to the Medicare payment and service delivery systems and strengthened current laws upon which the federal government relies to fight health care fraud, waste and abuse. This teleconference will include a broad overview of the aspects of health care reform  more...

Insurance Claim Appeals BenefitsMany medical providers today are struggling at the number of claim denials and appeals that have to be performed to attempt to gain reimbursement from health care insurance providers, including Medicare and Medicaid. This teleconference will help you understand how first to establish when an appeal can be implemented, when to formally continue to disagree with their findings in writing  more...

Recovery Audit Contractor Roll Out - What Can We Expect? BenefitsThe permanent Recovery Audit Contractor Program has rolled out in most regions and the RACs have posted new issues approved by CMS for review. This teleconference will review who, what and how providers can prepare for the reviews, the lessons learned and the appeal process, including CMS' recently issued recoupment time limits and interest assessment rules. Medical records directors,  more...

Billing and Collecting for the Health Care Industry ...billing and collecting teleconference presented by Neltner Billing Consulting Services, Inc. During the teleconference, we will present an overview of coding, billing and auditing for evaluation and management services. We will discuss common billing errors and practical methods for ensuring compliance. We will also share specific techniques for claims processing, payment posting and managing  more...

Making Revisions to Closed Medical Records BenefitsMedical records contain some of the most sensitive and personal information that exists about individuals in modern society, and some closed records may need revision because of new information received or because of the requests of individuals to correct or modify existing information. When is it appropriate to make revisions, how and under what circumstances, and at whose request? This  more...

Medical Identity Theft: Why You Must Prevent and How to Minimize Its Occurrence BenefitsMore and more patient information is being captured electronically, both within the provider setting and remotely from the patients themselves. Additionally, an increasing number of myriad touches of this data occur on a daily basis by various known and unknown entities, not all of whom are authorized or have a specific need to know. In this environment, ample opportunity exists for  more...

Healthcare Self-Disclosure Update BenefitsThe program will review these and other key questions: - What options do health care providers have for voluntary disclosure? - What factors should health care providers consider when determining whether a potential violation should be reported? - How have these been changed by health care reform legislation and the Fraud Enforcement and Recovery Act? - How does the position of CMS alter  more...

Medical Professionals and Social Media: Privacy and Security Issues BenefitsIf you have any users of social media in your organization, and chances are you do even if you don't know it, don't miss this teleconference on the privacy and security issues that surround the use of social media by medical professionals. As more and more new physicians and other professionals enter the health care workplace, they are bringing with them the tools and technologies that  more...

Health Information Exchange: The Impact of the Stimulus Code BenefitsIn February of 2009, President Barack Obama signed into law the Health Information Technology for Economic and Clinical Health (HITECH) Act known more commonly as the Stimulus Act. The legislation for a large part included tremendous new legislation, but brings to the forefront, the first time in history, incentives for American doctors to revamp their paper charts to electronic health  more...

Managing External Health Information BenefitsMany health care providers remain frustrated and uncertain about how to handle external health information. This information may come in the form of unsolicited health information - i.e., information that is volunteered by patients or by other health care providers, either at the time the patient arrives for treatment or thereafter - and in some cases even after the patient has been  more...

Introduction to New ICD-10 Coding: Preparing for Implementation nThe International Classification of Disease and Operations, Ninth Edition has out-lived its usefulness for capturing morbidity and mortality amongst the world population. Most developed nations transitioned to ICD-10 several years ago, but because of the tie of ICD-9-CM to payments in the United States there have been a series of delays in the US implementation. As the US moves a lightening speed  more...

Staying Compliant with the Medicare Incident-To Rules ... medical practice dollar counts, the Medicare incident-to billing rules can enable physicians to capture revenue from common services performed by office staff. The incident-to rules, while simple on their face, can be complex in their application and failing to follow each element of the rules can result in overpayments and even false claims liability. Knowing the rules and applying them  more...

Establishing Payment Arrangements: Beyond Net 30 nMore than 10,000 businesses have slow or nonpaying customers. How can you collect that money efficiently and quickly and keep that money coming in? The credit crisis, high fuel costs, job losses, bankruptcies, foreclosures and the failing economy are all contributing to factories closing, job loss and business owners going out of business because they can't get paid. Maximize your in-house  more...

Managed Care Contracting and Fee Schedule Review nMany practice administrators are charged with the task of negotiating managed care contracts for their practices. This responsibility is generally an inherited function from their predecessor. Most do not understand how to compute an equitable fee schedule or track contract performance. This teleconference will help you understand methods for tracking to performance and how first to establish a  more...