MEANINGFUL WEBINARS WITH PURPOSE
Our primary goal is to provide a targeted, simple approach to everyday billing issues.
Our webinars will help alleviate the discrepancies and misunderstandings that are common to billing. The techniques taught in our webinars should be public knowledge, but this is not typically the case. Billing, from one practice to the next, has little consistency, and there are few standards and few resources for billers to further their education. Our webinars share strategies and techniques that work at the claim level, where it counts.
Finally, a resource and forum for the billing community!
Medically necessary services are covered under most major medical plans, but that is only true if the right information is formatted on a clean claim so that the insurance adjudication system reads it, concurs with the claim and then sends it to their automatic payment system for payment. This prevents claim review, denials and the need for lengthy appeals.
Are you creating clean claims?
Every billing error (or omission) will ultimately cost your practice time and money. Since the Correct Coding Initiative was passed in 1996 as part of the Health Insurance Portability and Accountability Act (HIPAA), billing has become more complex and is constantly changing. There have been over 10,000 billing rules implemented since October 1st of 1996...and the rules are still coming. And yet, there is no requirement for ongoing education for medical billers. So, how does any biller keep up with these changes? Is it no wonder that there are so many inconsistencies among billers and even professional billing firms?
Why is billing for multiple services so difficult?
Oddly enough, the most difficult concept for billers is the ability to step back and think through the clinical scenario of the claim. What are the underlying strategies that will help maximize payment for all of these services? In other words, how will you stack the CPT and ICD-9 codes to maximize reimbursement? Does each diagnosis code properly support each CPT code? Does the number of services provided warrant the need to split the claim into two separate claims? If so, how will you place the modifiers? What are the rules governing modifiers when you have two claims relating to the same date of service?
Learning to bill for physician services is a process. In years past, billing was done by employees in the practice. They learned from the person sitting next to them and from fixing their own mistakes. This is how almost everyone learned billing, and today, not much has changed. If you need to hire a good biller, find someone who has “done the time” and come up through the ranks. The best billers have earned their stripes! There are no short cuts in billing, and this includes the many billing and coding schools that try to sell their great promise. Each practice must make sure that their unique needs are met.
How Can We Help Our Biller?
Each webinar will provide a comprehensive understanding of the topic and give your biller the tools necessary to be more effective and make your practice more profitable. We will demonstrate real examples and provide valuable resources to be used immediately. And, we will stay online as long as necessary to answer all related questions.
Whether you outsource or bill in-house, these webinars will help. Clean claims, the first time, must be the goal of your practice. A clean claim is determined by the electronic eyes of insurance adjudication systems, so understanding the adjudication process is very important.
Clean Claims will:
1. Eliminate hours of wasted follow up time on hold with insurance companies.
2. Increase reimbursements and reduce write-offs.
3. Increase time that can be spent on patient collections.
4. Eliminate wasted time re-filing claims and opening more mail.
5. Reduce lengthy appeals
6. INCREASE YOUR BOTTOM LINE !!
Don’t forget about billing support.
