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What's New
July 1, 2010
RED FLAG RULES UPDATE:
The FTC recently called on Congress to exempt physician offices from the Red Flag Rule, and on May 31, the FTC announced they would delay enforcement of the rule through December 31, 2010 while Congress considers legislation exempting physician, attorney and accounting offices with fewer than 20 employees from having to comply with the rule.
December 3, 2009
Change in 2010 CPT codes: review your CPT book for revisions especially on consultation codes.
Medicare will NOT be covering consultations (all facilities) effective 1/1/2010.
August 20, 2008
HHS Proposes Adoption of ICD-10 Code Sets and Updated Electronic Transaction Standards - Proposed Changes Would Improve Disease Tracking and Speed Transition to an Electronic Health Care Environment
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Services
Complete billing service:
Transmit claims electronically on a daily basis (paper claims when necessary)
Claims go through several steps to check for accuracy prior to transmission
Posting of payments, adjustments, and deductibles
Reprocess or appeal of denied claims
Follow-up on unpaid or unacknowledged claims
Coordination of benefits
Monthly patient statements
Provide monthly AR and management reports
Provide individual reports that you may request
Monitor payor fee schedules and call on inconsistencies
You provide:
Patient information - demographics, insurance information
Copy of referrals/authorization/pre-certifications
Patient encounter forms to OBCF
Other Services:
HIPAA/Compliance
Office management
Insurance verification/authorizations
Chart Audits
Monitoring of private carrier contracts
Clean up aging over 120+ days
Appeals
Review your chemo claims for proper reimbursement
Oncology billing education
Temporary billing for office
Other Option:
We can access your software program to complete billing functions for your office.
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