Evaluating Compliance in Coding By: Terry Valencia Axia College of University of Phoenix Billing and Coding compliance strategies protect physicians from financial risk and potential loss of revenues. Physicians must document fully the service they provide and put in force a plan that prevent or reduce coding errors. According to‚ “The Journal of the National Medical Association‚” there are 10 top billing concerns for physicians: Medicare billing (Part A and Part B) Mental health billing
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Quality Compliance at the Hawthorne Arms 1) Marie Erten‐Loiseau Strengths: She has technical strengths such as having education in aeronautical engineering in both Germany and France‚ which is important and is one of the main components of the job description. The fact that she has worked for Trianon for so long shows how committed she is to the organization and how valuable she will be when it comes to making decisions that reflect the interest of Trianon when starting up a joint venture
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HRM/531 Employment Law Compliance There are laws that each state has to follow in order to have a business established. The type of business that is being established depends on the laws that need to be followed. After listening to the video chat with Bradley Stonefield‚ it has been identified that his goal is to begin a limousine service business in Austin‚ Texas where he currently resides. Bradley would like to have a small business with 25 employees to get started. As time goes on and business
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As we continue to build an effective Compliance Program‚ I’ve created a Compliance Matrix‚ which consists of the areas that we‚ as an organization‚ are required to comply with based on regulatory‚ state and industry mandates (see attached). I’m requesting leaders of each business unit to review the Compliance Matrix‚ and add any additional areas that you know‚ should be included. A cornerstone of an effective compliance program includes documented Policies & Procedures/SOP’s. The goal is to have
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Evaluating Compliance Strategies HCR/220 January 3‚ 2011 Fonzette Mixon Evaluating Compliance Strategies The compliance process is set up to ensure the maximum appropriate reimbursement for health care claims. Correct billing and coding are directly linked to correct documentation by a physician. Also‚ to complete documentation‚ linking the correct code to the correct diagnoses is a must. This step is vitally important in reducing compliance errors. Second‚ the implications of incorrect
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Evaluating Compliance Strategies June 4‚ 2013 The compliance process is critical when it pertains to the billing and coding process. It is imperative for Medical Insurance Specialist to remain current on the patient’s participation in contract as well as the medical insurance policies‚ so there will not be any billing errors. Maintaining a communication with the payer will also prevent billing errors. Such regulations and laws are in place for to protect the patient’s financial state‚ prevent
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standards. Following a hybrid approach for implementing HIPAA would help these different healthcare entities manage their compliance related activities better. The risk based model which is easily scalable would enable entities to perform risk assessment based on their operating landscape‚ while the checklist would allow all these entities to easily evaluate their compliance with HIPAA. For example‚ hospitals have to perform far more robust risk assessment when compared to that of health insurers
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because if there are security breaches‚ internet scams‚ it can be easy to identify and notify the user. Also the 2FA protects one’s information such as hospital and patient information. Two-factor authentication is recommended in order to meet HIPAA compliance‚ since it adds another level of security that can prevent
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