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Home Health Eligibility - Physician Oversight of the Plan of Care
 
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Watch this four-minute video to learn about Physician Oversight of the Plan of Care for the Home Health Medicare Beneficiary.
Просмотров: 337 NGSMedicare.com
Care Plan Oversight
 
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Care plan oversight encourages physicians to be more intimately involved in their patient's care but can also increase the profits made by their practice.
Просмотров: 259 MedistarHomeHealth
Take a Closer Look at Care Plan Oversight: Audio Educator
 
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Click here for more Information: http://www.audioeducator.com/home-health/closer-look-at-care-plan-oversight-09-17-2014.html Take a Closer Look at Care Plan Oversight Presented By: Maryann C. Palmeter, CPC, CENTC Know the Best Practices for Documentation of Medical Necessity, Critical Care and Other Timed Services! More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Просмотров: 218 AudioEducator
Home Health Final Rule 2018
 
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The Home Health Final Rule updates Medicare PPS rates and wage index for calendar year 2018. Included in these updates is a 0.4 percent decrease (-$80 million) in HH payments for 2018. One of the most notable provisions of the rule is the introduction to an alternative payment methodology, the Home Health Groupings Model (HHGM) beginning in 2019. The HHGM would use 30-day periods, rather than 60-day episodes, and rely more heavily on clinical characteristics and other patient information to place patients into more meaningful payment categories. The proposed rule also includes proposals for the Home Health Value-Based Purchasing Model and the Home Health Quality Reporting Program. Join Jennifer Warfield as she discusses these and other provisions of the Rule. Download the handouts here: https://info.devero.com/acton/attachment/20685/f-00b4/1/-/-/-/-/Home%20Health%20Final%202018%20Rule%20Handouts.pdf
Просмотров: 4651 DeVero
Home Health Eligibility - Documenting Homebound Status
 
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This video covers everything you need to know about documenting homebound status for the Medicare beneficiary. We want to thank you for your continued feedback that allows for videos like this to be created. If you like this video or have suggestions for future videos, let us know by taking the ForeSee survey. Click "Yes, I'll give feedback" the next time the survey pops up. Be sure to visit our YouTube channel often for more educational videos and for upcoming videos in the Home Health Eligibility series.
Просмотров: 4025 NGSMedicare.com
Home Health Eligibility: Face-to-Face Documentation
 
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Watch this three-minute video to learn everything you need to know about face-to-face documentation for the Medicare beneficiary.
Просмотров: 600 NGSMedicare.com
How To Create A Care Plan 3- Using a pick List for Problems
 
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Geriatric Care Managers and Aging Professionals create care plans to solve elderly client and aging families problems or a crisis. How do find common chronic care problems that you can choose from for your care plan? Use a Pick List at the top of your care plan.
Просмотров: 405 Cathy Cress
Home Health Conditions of Participation Final Rule Webinar Archive
 
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This is a recording of the January 19, 2017, webinar VNAA hosted to discuss their analysis of the Home Health Conditions of Participation Final Rule and their potential impact and implications for home health agencies. The final rule will be published in the Federal Register on January 13, 2017, and has stated that agencies will have until July 13, 2017, to comply with the new regulations. This rule is the first rule to modernize the home health regulations since 1989. A brief overview of changes from the Home Health Conditions of Participation (CoPs) Final Rule include: - A requirement for an integrated communication system that ensures patient needs are met, care is coordinated and that there is active communication between a home health agency and the patient’s physicians. - A requirement for data-driven, agency-wide quality assessment and performance improvement (QAPI) program that evaluates and improves agency care for patients at all times. - An expanded patient care coordination requirement that makes a licensed clinician responsible for all patient care services, such as coordinating referrals and assuring plans of care meet patients’ needs. Other CoPs that are included in the final rule related to ensuring documented communication, care coordination and a comprehensive patient assessment that ensures all aspects of patient well-being. The rule also requires clearly stated comprehensive patient rights and the steps to assure those rights.
Просмотров: 2479 VNAADC
Home Health: Certifying Physician Documentation
 
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This video explains the certifying physician's role in the home health Pre-Claim Review demonstration. From face-to-face clinical encounter documentation to the home health plan of care.
Просмотров: 3399 PalmettoGBAEdu
New Conditions of Participation for Home Health Plans
 
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Click here for more Information https://www.audioeducator.com/home-health/new-home-health-cops.html New Conditions of Participation for Home Health Plans Presented By: Arlene Maxim Join expert speaker Arlene Maxim to discuss the clinical, administrative and financial changes that will need to happen in home health when the final version of this rule is approved. More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Просмотров: 400 AudioEducator
Home Health Plan of Care - MEDSYS2
 
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http://www.medsys2.com - The 485 Plan of Care is the coordination of care between the physician andd the home health caregiver. MEDSYS2 provides a seemless way to generate the CMS 485 Plan of Care.
Просмотров: 363 Kenneth Brown
Home Health Conditions of Participation: Patient Rights and Patient Care
 
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Home Health Conditions of Participation: Patient Rights and Patient Care Presented by Careficient presented on 11/08/2017.
Просмотров: 419 Careficient, Inc.
Your Rights with Medicare - 877-88KEITH (53484)
 
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What are your rights with Medicare? Complete Medicare Resource Center here: http://www.medsupsavings.com/ 877-88KEITH (53484) Understanding Your Rights with Medicare and How Knowing Helps You Get the Best Coverage Beneficiaries participating in the federal government healthcare coverage program Medicare should be aware of rights they have for protection purposes. Your rights with Medicare provide protection under specific circumstances you should know about. Those who enroll for coverage will be made aware of this information in further detail based on what plan they qualify for. When this information is received you should review it carefully and ask questions if you need clarity. You can get additional details about your rights through Medicare.gov and through local legal services. The following points give insight on rights and protections beneficiaries should know about with Medicare coverage. • Your rights with Medicare include different areas related to healthcare coverage and services received. These rights help protect patients when health care services are received. There are rights in place to ensure patients receive services the law says you are entitled to. Such rights also provide protection against healthcare practices deemed unethical. More importantly, you have rights that keep your information private. • There are rights in place for everyone and anyone who receives Medicare coverage. These include general yet important details beneficiaries are entitled to as a Medicare recipient. For instance, you have rights that ensure you are treated fairly, protection from discrimination, have access to qualified health professionals, answers to questions you have, and rights to ensure you get as much information as possible about the health coverage itself to help you make the best decision about your health care. • Under original Medicare you have rights in relation to health care you receive. You have rights that allow you to purchase additional coverage for health care needs (Medigap), get details of when Medicare does not cover a service, and the right to obtain services from a Medicare-approved provider or facility. • Under Medicare Advantage plans you have a variety of rights that allow you to select your doctor of choice to ensure you get the care necessary, obtain treatment from the doctor or facility of choice (especially under special medical situations), and you have the right to know how doctors receive payment. If there are differences in the plan you have selected you have a right to appeal them. You have the right to file a grievance or complaint if there are issues with your plan. You also have rights that let you get information about coverage prior to receiving services. • Under the Medicare prescription drug plan (Part D) beneficiaries have specific rights including an appeal to resolve concerns related to determining coverage, filing a grievance or complaint, and your rights with Medicare include keeping prescription drug details related to your health private. How to Get More Information Regarding Medicare Rights There are several source options available to help you understand your rights as a beneficiary. These options include insurance assistant programs offered in your state (SHIP), the Medicare Beneficiary Ombudsman, and your state survey agency that oversee program activity related to Medicaid and Medicare. ================================================== QUICK AND EASY MEDICARE SUPPLEMENT QUOTES http://www.medsupsavings.com/ Facebook: https://www.facebook.com/pages/Med-Sup-Savings/1709195569306815 Twitter: https://twitter.com/MedSupSavings LinkedIn: https://www.linkedin.com/pub/keith-armbrecht/5/11b/3a0 YouTube Channel: https://www.youtube.com/user/BigHealthGreatWealth
Просмотров: 435 Keith Armbrecht
Nursing Home Initiative on Behavioral Health & Antipsychotic Medication Reduction
 
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CMS is developing a national action plan to improve behavioral health and to safeguard nursing home residents from unnecessary antipsychotic drug use. Through a multidimensional approach including research, public reporting, raising public awareness, regulatory oversight and technical assistance/training, we hope to enhance person-centered care for nursing home residents, particularly those with dementia-related behaviors.
Просмотров: 10097 CMSHHSgov
Home Health Eligibility - Eligibility Criteria (Part 1)
 
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Watch this 7-minute video to learn about Home Health Eligibility Criteria, part 1.
Просмотров: 306 NGSMedicare.com
Can I Get Paid to Sign the Home Health Certification Form?
 
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CPT coding, billing and reimbursement information for HCPCS codes G0180 and G0179.
Просмотров: 124 BetsyNicoletti
Home Health Eligibility - Documenting the Need for Skilled Services
 
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This video covers everything you need to know about documenting the need for skilled services for the Medicare beneficiary.
Просмотров: 2143 NGSMedicare.com
Eye on Oversight: Medicare Part D Fraud
 
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Medicare Part D helps millions of beneficiaries pay for prescription drugs. Part D spending, and fraud, is on the rise. There are major financial and social implications to drug diversion and drug abuse. Eye On Oversight is an HHS-OIG videos series that highlights key issues in the fight against health care fraud. -- More info at http://oig.hhs.gov U.S. Department of Health & Human Services (HHS) http://www.hhs.gov HHS OIG Privacy Policy: http://oig.hhs.gov/notices/privacy-notice.asp
Просмотров: 12297 OIGatHHS
Medicaid Certification Help - Become a Medicaid Waiver Provider
 
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Get Startup and Certification Consultation to Become a Medicaid Provider. Medicaid Certification Help - National Firm Offers Assistance With Startup and Certification. Medicaid Waiver is a program that helps provide services to people who would otherwise be in an institution like a nursing home or hospital to receive long-term care. Before 1991, the Federal Medicaid program would only pay for services if the person was actually institutionalized. Since then, the Medicaid Waiver programs has shifted to allow states to provide services to consumers in their homes and communities. The specific services that are available to qualified individuals with a disability is state-specific and will likely vary from state to state. NBHS specialize in starting, managing and growing personal care business in all states. CLICK LINK BELOW TO VISIT OUR WEBSITE: http://www.nbhsllc.com CLICK LINK BELOW FOR CONSULTATON: http://www.vcita.com/v/ernestgflaggrnmpa/online_scheduling?service_id=9k43fwh57n1dzbzp&staff_id=8095221be584ba3b
Просмотров: 8816 NBHS of Georgia
As home health industry booms, so does Medicaid fraud
 
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As the home health-care industry explodes in Columbus, the oversight needed to keep people safe and to ensure tax dollars have not been misspent has failed to keep up.
Просмотров: 680 TheColumbusDispatch
Transitional Care Management TCM — MDM Leveling
 
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Transitional Care Management (TCM) - MDM Leveling http://www.cco.us/certified-physician-practice-manager-cppm-course-exam-preparation/ Jo-Anne: Q: “I would like for you to go over TCM leveling for the physician’s office. My understanding is that it is based on the medical decision making only, but I would like to learn more about it. Could you possibly discuss this in the next monthly Q&A webinar?” A: Tonight that’s what I will be addressing. Before I go into Medical Decision Making, I will talk about some of the requirements that’s required for the TCM services. The first one is: “The services are required during the beneficiary’s transition to the community setting following particular kinds of discharges.” That means that when the patient is discharged, say, from the hospital, community setting can be anything from a nursing home, a rest home, the patient’s residence (his actual home), but it’s the discharge to wherever that patient is living. “The health care professional accepts care of the beneficiary post-discharge from the facility setting without a gap.” They go right into it. TCM starts the day of discharge. “The health care professional takes responsibility for the beneficiary’s care.” “The beneficiary has medical and/or psychological problems that require moderate or high complexity medical decision making.” In order to qualify for TCM coding, you have to have either moderate or high complexity. READ MORE HERE: http://www.cco.us/transitional-care-management-tcm-services-mdm-leveling/ https://youtu.be/ZNVqbflsTas ---------------------------------------- CLICK HERE: http://www.cco.us/certified-physician-practice-manager-cppm-course-exam-preparation/ ---------------------------------------- More Information about transitional care management: Billing for transitional care management | Medical Economics http://medicaleconomics.modernmedicine.com/.../billing-transitional-care-manag... [PDF]Transitional Care Management Services - Centers for Medicare ... https://www.cms.gov/.../Med... Centers for Medicare and Medicaid Services TCM and CCM services, refer to “Frequently Asked Questions about Billing the Medicare Physician Fee Schedule for Transitional Care Management Services.” medical record: Date the beneficiary was discharged. Date you made an interactive contact with the beneficiary and/or caregiver. What Practices Need to Know about Transition Care Management https://www.acponline.org/.../what-practi... American College of Physicians The new Physician Fee Schedule includes transition care management (TCM) codes that allow for reimbursement of the non-face-to-face care provided when ... -------------------------------- CLICK HERE: http://www.cco.us/certified-physician-practice-manager-cppm-course-exam-preparation/ ---------------------------------------- People who watched this video: https://youtu.be/ZNVqbflsTas Also searched online for: Searches related to transitional care management transitional care management 2016 transitional care management transition care management transitional care management cms 2016 transitional care management worksheet transitional care management 2015 transitional care management services medicare learning network transitional care management definition transitional care management forms ------------------------------------------- FOR MORE DETAILS: http://www.cco.us/certified-physician-practice-manager-cppm-course-exam-preparation/ ------------------------------------------- CONNECT WITH US: http://www.facebook.com/cco.us http://www.youtube.com/medicalcodingcert http://www.youtube.com/codingcertification https://www.pinterest.com/codingcertorg/ https://plus.google.com/+CodingcertificationOrg https://www.linkedin.com/company/codingcertification-org ------------------------------------------ Don't forget to check out our YouTube Channel: https://www.youtube.com/user/MedicalCodingCert -------------------------------------------- #transitionalcaremanagement2016 #transitionalcaremanagementtemplate #transitionalcaremanagementcms2016 #transitionalcaremanagementworksheet #transitionalcaremanagement2015 #transitionalcaremanagementservicesmedicarelearningnetwork #transitionalcaremanagementdefinition #transitionalcaremanagementforms -------------------------------------------- VISIT OUR SITE: http://www.cco.us/
Просмотров: 1159 MedicalCodingCert
Medicare Home Health Care (561) 989-0441
 
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http://bocahomecare.com Home health care and private in home nursing care for South Florida Boca Home Care, Inc. 4700 NW 2nd Ave., Suite 402 Boca Raton, Fl 33431 Local: 561-989-0441 Toll Free: 877-706-0785
Просмотров: 179 BocaHomeCare
Custodial Care Services montage
 
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Просмотров: 151 Viewed Local Media LLC
Sarah J. Lorance Highlights Findings of Recent Medicare Audits
 
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The most recent Medicare Advantage and Part D program audits revealed that oversight of formulary administration is an area that health plans continue to struggle with, Sarah J. Lorance, vice president of Medicare Compliance at WellPoint, said at America’s Health Insurance Plans’ National Conference on Medicare and Medicaid and Dual Eligibles Summit in Washington, DC. CMS put out training for plans and required all compliance officers to complete the training to ensure everyone understand “the critical nature of classification, turnaround times, and appropriate follow-up steps,” she said.
Просмотров: 60 AJMCtv
What You Should Know Before Signing a Nursing Home Agreement
 
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Can you be sued by a nursing home for signing an agreement as a responsible party? The answer is yes. In this video, Carmine goes over three scenarios to help you prepare or protect yourself in this situation.
Просмотров: 480 Czepiga Daly Pope & Perri LLC
OIG Compliance Plan Facts and Tips!
 
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What are the facts about an OIG compliance plan required by the ACA? The Office of Inspector General within U.S. Department of Health in 2000 developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers, to encourage the development and use of internal controls to monitor adherence to applicable statutes, regulations, and program requirements. In 2010, the Affordable Care Act or ACA mandated that providers put the previously voluntary compliance programs into practice. Use the direct link from the Office of Inspector General’s Compliance Program Guidance for Individual and Small Group Physician Practices at https://oig.hhs.gov/authorities/docs/physician.pdf to review the documentation for making your own compliance plan! Three reasons for a compliance plan include conformity to Medical Fraud and Abuse guidelines, maintaining a more efficient office, and staying abreast of industry changes. For running the most effective office, a thorough compliance plan can assist in training new employees and facilitating healthy communication amount all office staff members. When you would like help with getting a compliance plan done, will you contact Bonnie Flom, the founder of Billing Buddies and my collaborator in producing this video? Billing Buddies which has 23 years of chiropractic billing experience and will create a compliance manual customized for your office for $299. To receive $100 off, mention that you saw this video when you call Bonnie today at 763-546-(BILL) which is 763-546-2455 or email at https://www.billingbuddies.com/contact-us/. Thank you for watching this video! If you would like to collaborate with me to make a video like this the way Bonnie did, PRICING for my SERVICES is at http://jerry.tips/isrvcs. SUBSCRIBE? Help me reach 250,000 YouTube subscribers at http://jerry.tips/250kyts. SONGS! Listen to my music on SoundCloud at https://soundcloud.com/jbanfield. COUPONS! Get free coupons to all of my Skillshare classes at https://jerrybanfield.com/freecourses/. HELP? Some of the short URLs below are affiliate links. Would you use them as a way to give me a TIP for something you might want to buy as a result of hearing about it from me? CC! Amazon Prime members watch free with closed captions at http://jerry.tips/amzpm. LISTEN! Audible gold and platinum members listen to my audio books with a credit at http://jerry.tips/jbaudible. I love Audible and have been a member since 2011. If you decide to sign up for Audible, would you please buy one of my books first at http://jerry.tips/jbaudible because Audible gives me $50 if one of my books is your first purchase? ABOUT! Enjoy an unforgettable autobiographical experience with me free with Amazon Prime at http://amzn.to/2mR7DJD or on YouTube at https://youtu.be/aPzmDezsRZA or on Skillshare at http://skl.sh/2kTgP1d. PRICING for my SERVICES is at http://jerry.tips/isrvcs. HOW? Learn how I do my live streaming and video recording at http://skl.sh/2j8ZSgR using Wirecast at http://jerry.tips/wirecst. SOFTWARE! What software do I use to live stream? Wirecast Pro by Telestream is what I use at http://jerry.tips/wirecst. PODCAST! Listen to a new episode of my podcast free every day at http://jerry.tips/hppdc or on iTunes at http://jerry.tips/itunesj or on Google Music at http://jerry.tips/goopjb. YOUTUBE! Would you like more views and subscribers on your channel? Take my newest YouTube Partner Program secrets class free at http://skl.sh/2ky0xup or read my YouTube book on Amazon with Kindle at http://jerry.tips/mboks or listen on Audible at http://jerry.tips/audibyt. PARTNERS! How would you feel with access to my MASTERMIND named "Masters of Online Business Administration," private label rights (PLR) to my 3,000+ videos, COLLABORATION with me on new tutorials, and word of mouth marketing? Find out as a member of my partners program at http://jerry.tips/prtnsjb. FACEBOOK! Would you prefer to watch on Facebook? Like my page and select "see first" to view my new posts in your newsfeed at http://facebook.com/jbanfield. TWITTER! Would you follow me with @jerrybanfield at https://twitter.com/jerrybanfield. BLOG! Read 400+ posts on my blog at http://jerry.tips/blgpsts. RESOURCES! View my list of everything I use in my business at http://jerry.tips/rsourcs. READ books with me on Amazon by viewing my author profile at http://jerry.tips/readwme. SHOP for the merchandise I wear and design including the shirts I show in my videos http://jerry.tips/rbshp. THANKS! I appreciate you reading this and hope you have a wonderful day! Sincerely, Jerry Banfield https://jerrybanfield.com/freecourses/
Просмотров: 581 Jerry Banfield
Importance of Documentation
 
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The Office of Inspector General talks about the Importance of Documentation. -- More info at http://oig.hhs.gov U.S. Department of Health & Human Services (HHS) http://www.hhs.gov HHS OIG Privacy Policy: http://oig.hhs.gov/notices/privacy-notice.asp
Просмотров: 83225 OIGatHHS
Eye on Oversight: Personal Care Services
 
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This month’s Eye on Oversight highlights vulnerabilities in Medicaid’s Personal Care Services (PCS) program. Investigations have revealed abuse and neglect by PCS attendants. OIG hopes that its recommendations to the Centers for Medicare and Medicaid Services will ensure that people in need of PCS services, are not at risk of abuse or neglect.
Просмотров: 2037 OIGatHHS
Creating a Culture of Compliance in 2016: HIPAA, OSHA, Medicare, HR
 
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http://bit.ly/Hcarecomply 3 links: 1) HCSI Website: http://hcsiinc.com 2) Download the presentation slides at: http://bit.ly/cultureofcompliance 3) Presentation Video: https://www.youtube.com/watch?v=vJG698U2Mvo Creating a culture of privacy and security is one of the biggest challenges facing healthcare providers and business associates today. In this presentation, the viewer can expect recommendations for developing a culture of compliance, including how to develop risk analysis, develop policies and procedures, and develop a compliance plan in case of an audit.
Просмотров: 1523 Healthcare Compliance Solutions
Face-to-Face Visits — Proper HCPCS Codes and Certification Date for Billing
 
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Face-to-Face Visits — Proper HCPCS Codes and Certification Date for Billing http://www.cco.us/pbb-physician-based-medical-billing-course-yt So, let’s go ahead and jump in and talk about Face to Face & Home Health Cert/PT Cert. Q: “There are some discrepancies in the office and external billing office with billing certifications signed by the doctors for: Face-to-Face visits for Home Health, Plan of Care and Physical - Occupational Therapy/Hospice. What are the proper HCPCS codes and date that should be on the certification for billing purposes?” A: Well this maybe a mouthful, but what I was able to do is to go in and pull out some specific information that I think is going to be beneficial for you. Different certifications fall under different timelines. For example, hospice, you can usually find a lot of information under hospice and I want you to know that if you go out and you Google this, I don’t want to say it’s self-explanatory, but there’s good information and the timelines seem to follow with the other scenarios that the person is wanting information on. One of the codes that you’re going to get familiar with is G0337. Now, this is a HCPCS code – hospice evaluation and counseling services, pre-election – meaning that they’re deciding that the person is going on hospice. That’s probably the term that you’ll be familiar with that you’ll hear. “The hospice must obtain verbal or written certification…” this is very important“…of the terminal illness…” So, hospice care, a person doesn’t usually go on hospice until they know that they’re at the end stages of life and they’re usually expecting life expectancy of six months. That’s kind of a standard, is what they’re thinking. Can it go longer? Absolutely it can go longer. Can it be less? Yes, it often is. But that’s the timeframe that they’re looking at. They’re looking at a possible six months window. For that, that means the person has to be terminally ill, “no later than 2 calendar days (by the end of the third day) after the start of each benefit period (initial and subsequent)” because mind you, you’re going six months but it could go longer. “Initial certifications may be completed up to 15 days before hospice care is elected.” That means that there’s a lot of counseling that goes on here and everybody rightly so wants to make sure that this is the best for their loved one. Get more medical coding training, medical coding tips, medical coding certification and free medical coding webinars at http://www.cco.us/cco-yt
Просмотров: 1179 MedicalCodingCert
How Are Nursing Homes Regulated? Are They Regulated?
 
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http://www.schmidtkramer.com/ One of the many things that may cross your mind about having your loved one move into a nursing home is how it is regulated. Or, for that matter, are there any regulations or oversight? The answer is yes; they do have regulations. Nursing homes are regulated by state and federal law. The Department of Health has jurisdiction to enforce the regulations that govern nursing homes. The law requires that when you enter into a nursing home, the nursing home must develop a comprehensive plan designed to fit your particular needs. This allows the patient to feel comfortable in the home. Many times, this specific plan is referred to as person-centered care, meaning that the patient is in control. Unfortunately, sometimes the nursing home doesn’t follow through with the agreed upon plan. That’s when legal help may become necessary. We know witnessing neglect or abuse of a loved one can be very tough. We want to help you in any way we can. Experienced attorneys in nursing home neglect cases are available to talk to you today. Contact us at (717) 888-8888. http://www.schmidtkramer.com/practice_areas/nursing-home-abuse-in-pa.cfm
Просмотров: 97 SchmidtKramerLaw
Evaluation & Management Services and Home Health
 
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Dr. Neil Sandler, CGS Chief Medical Officer, discusses the Home Health Benefit, which allows Medicare beneficiaries to receive medically necessary care while remaining in their own homes.
Просмотров: 195 CGS Medicare
Feds Charge 300 in Health Care Fraud Sweeps
 
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(22 Jun 2016) Health care fraud sweeps across the country have led to charges against 300 people including doctors, nurses, physical therapists and home health care providers accused of bilking Medicare and Medicaid, the government announced Wednesday. The sweep spread from southern California to southern Florida and Houston to Brooklyn, New York, with arrests being made over three days. In all, the fraudulent billings allegedly totaled $900 million, Attorney General Loretta Lynch said, calling it the largest national Medicare fraud dragnet. The defendants billed for care and prescriptions that were not necessary and services that were not rendered, Lynch said. Among those charged, for example, was a group that controlled a network of clinics in Brooklyn that received $38 million from Medicare and Medicaid after providing patients unnecessary treatment. A Detroit clinic billed Medicare for more than $36 million, even though Lynch said it was actually a front for a narcotics diversion scheme. Such investigations happen each year, but Lynch said investigators noticed some new trends, including the use of doctors' stolen IDs to prepare fake prescriptions. Those charged "target real people - many of them in need of significant medical care," Lynch said. "They promise effective cures and therapies, but they provide none." While the individual cases may be unrelated, law enforcement agencies often coordinate the announcement of health fraud charges and arrests to send a message to fraudsters and the general public alike. Health care fraud costs tens of billions of dollars annually. You can license this story through AP Archive: http://www.aparchive.com/metadata/youtube/9fff28bf895543229bb81e3fc4c9f34a Find out more about AP Archive: http://www.aparchive.com/HowWeWork
Просмотров: 77 AP Archive
Examining Abuses of Medicaid Eligibility Rules
 
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Examining Abuses of Medicaid Eligibility Rules - House Oversight - 2011-09-21 - House Committee on Oversight and Government Reform. Subcommittee on Health Care and the District of Columbia. Witnesses: Mr. Stephen Moses, President, Center for Long-Term Care Reform; Mr. David Dorfman, Attorney, Law Offices of David A. Dorfman; Ms. Janice Eulau, Assistant Administrator, Medicaid Services Division, Suffolk County Department of Social Services; The Honorable Julie Hamos, Director, Illinois Department of Healthcare and Family Services. Video provided by U.S. House of Representatives.
Просмотров: 2424 HouseResourceOrg
Medicaid Personal Care
 
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This video provides information about Medicaid Personal Care Services, a Medicaid entitlement for individuals receiving SSI and needing care support in Washington state.
Просмотров: 1039 Informing Families Building Trust
Corrective action plan for GMH outlined
 
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Peter John Camacho, the CEO of the Guam Memorial Hospital, has released a corrective action plan for the deficiencies cited in a recent report by the Centers for Medicaid and Medicare. The responses are seen as crucial for the hospital's continued eligibility in the critical federal programs.
Просмотров: 82 kuamnews
Referral, Certification and Oversight of Home Health Services (Part 3)
 
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Watch part 3 of the referral, certification and oversight of home health services.
Просмотров: 223 NGSMedicare.com
Is the services of a diabetes educator covered by Medicare ? | Long Life Facts
 
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If the participant has received dsme t paid by another insurance company, medicare australia recognises credentialled diabetes educators (cdes) as education provided a cde is in included total number of these five 'referral form for group allied health services under fep should cover through participating medical program (ppp, hmo, quest, medicare) 28 cms. Gov part b covers outpatient diabetes self management training focused on diet, activity, your medicare coverage is my test, item, or service covered? Kidney diseases (niddk) clearinghouse national education program some supplies like blood sugar (glucose) test strips, or, they recommend services that doesn't cover. Upon th this article explains medicare's reimbursement rules for diabetes the might make it worth your time to become an accredited educator. Kidney diseases (niddk) clearinghouse national diabetes education program supplies & services that aren't covered by medicare 23 this booklet explains coverage of and in. Association of diabetes educators (aade) as an approved self cr 6510 also amended the medicare benefit policy manual (chapter 15 (covered private payor and coverage reimbursement for educationcpt codes education 9 covered. Rebates for diabetes education health melbourne. Private health extras cover is also useful for podiatry, dietitics, exercise with an epc medicare reimburses $52. Original medicare and health, education counseling about preventive covers diabetes services, also known as self management training medical nutrition therapy for enrollees with. Original medicare and health, education counseling about preventive cms centers for medicaid services. Diabetes health coverage state laws and programsgroup allied services under medicare handbook of diabetes medical nutrition therapy google books resultdiabetes self management training qio program. Services & fees diabetes health melbourne. Diabetes those with extras cover on the private health insurance should contact their 2 information about referring a patient to diabetes educator, as well services not only benefit patients, but physicians who oversee patients are covered by medicare check medical becoming recognized education program marketing dsmt following conditions must be met for this booklet explains coverage of supplies and in. 95 of the diabetes educator's fee for up to a maximum of private health insurance this provide a rebate for diabetes education services. Medicare's coverage of diabetes supplies & services. Diabetes self management training diabetes supplies & services medicare's coverage of medicare. Ada american diabetes ncbde national credentialing board for educators dsme visit. Practitioners physicians that includes medical and management services under medicare)nutrition professionals. The person or entity must furnish other services for which direct medicare does not cover everything and many covered you pay a portion of the cost, unless have another insurance plan that pays part all coverage diabetes related supplies before 2003 comprehensive examination education regarding preventive reimburses $52. Diabetes self management training is usually covered by medicare and most insurance plans, 24 does cover diabetes related medical expenses? Does medicaid where can i find free or low cost coverage services? supplies & services medicare's of. Diabetes self management training. Does medicare cover diabetes education? Getting paid billing for self management american association. Diabetes educators referral and reimbursement diabetes self medicare management training. Diabetes education services samhsa hrsa center for integrated telehealth practical considerations diabetes educators today medicare coverage of screenings and supplies. Medicare billing for dsme and mnt services healthy interactionsmedicare credentialled diabetes educators. Medicare coverage for patients with diabetes ncbi nih. 95 of the diabetes educator's fee. Diabetes self management education toolkit qio program. Pt, ot, speech therapists, diabetic educators as a specialty medicare covers tests to screen for diabetes well services and supplies you are eligible one covered screening every 12 months if say need self management training education coverage detailed explanation of the online university courses & books with an information describing available is at responsible higher payments care defined 14 group service sessions also run by educators, use private health insurance ancillary cover 'top up' your rebate 2 cdedurable medical noridian portal topics be certified educator credential (cde) not required, except rhcs paid separately under fee methodology medicaid (cms), agency u. Diabetes education hawaii medical service association. Gov outreach and education medicare learning network an overview of covered diabetes supplies services 21 macs)) for dsmt provided to beneficiaries. Economic aspects of diabetes selected annotations google books result. An overview of medicare covered diabetes
Просмотров: 41 All About Diabetes and Related
New Tool Searches Nursing Home Deficiencies
 
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A consumer-targeted Internet tool allows users to search the federal nursing home inspection reports and deficiencies by keyword, city and facility name. The Nursing Home Inspect database covers nearly 118,000 deficiencies at 14,565 homes. It was designed by ProPublica, a nonprofit newsroom that produces investigative journalism. Nursing Home Inspect uses data from surveyor reports published on Medicare's Nursing Home Compare website. But with Nursing Home Inspect, users can now search the database by keywords such as "elopement" or "pressure sore" or "mistreat." Unlike the CMS site, Nursing Home Inspect allows searches by keyword and city, as well as a home's name. Also unlike CMS, the app allows you to search across all the reports at once. The ProPublica project hones in on the narrative part of a surveyor's most recent periodic review, where the conditions and deficiencies are described. A tipsheet from the group cautions users that inspection reports focus only on a given facility's problems, not the accomplishments or improvements that home has made, and describes the results as giving a "snapshot." Although the government is reporting nursing home deficiencies online, it does not report how homes plan to fix the problems. These "Plans of Correction" can be viewed at the nursing home or by submitting a FOIA request to the government. Please support our advertisers by clicking on their ads. Thanks -~-~~-~~~-~~-~- Please watch: "Media Compilation Bureau Friendly" https://www.youtube.com/watch?v=yohOce9qu6E -~-~~-~~~-~~-~-
Просмотров: 85 Anthony Cirillo
How to Find Nursing Home Injury Lawyers in Your State
 
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Learn the facts regarding injuries suffered in nursing homes. One in five nursing homes in the United States have abused, neglected, or mistreated their residents in nearly one-half of the U.S. states. If you or a loved one suffered harm while in a nursing home, contact our free service that connects nursing home residents to nursing home claim lawyers in their U.S. state. For more information please visit: www.medicalmalpracticelawyers.
Просмотров: 84 Medical Malpractice Lawyers
Eye on Oversight - 2017 Year in Review
 
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This month’s Eye on Oversight recaps OIG’s work in 2017, including topics like reaching a $155 million civil settlement with an electronic health records vendor, releasing a data brief on opioids in Medicare Part D highlighting concerns about extreme use and questionable prescribing, and the largest healthcare fraud takedown in history. -- More info at http://oig.hhs.gov U.S. Department of Health & Human Services (HHS) http://www.hhs.gov
Просмотров: 1905 OIGatHHS
The Surveyors Are Coming – Finally!
 
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Click here for more Information: http://www.audioeducator.com/hospice/hospice-medicare-surveys-09-01-2015.html The Surveyors Are Coming – Finally! Presented By:Charlene Ross Know the Best Practices for Documentation of Medical Necessity, Critical Care and Other Timed Services! More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Просмотров: 49 AudioEducator
Attorney General Lynch news conference on health care fraud
 
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Attorney General Loretta Lynch held a news conference on Thursday concerning the Justice Department's action against health care fraud.
Просмотров: 1142 PBS NewsHour
Corridor Webinar Series : Proposed Home Health CoPs - It's All About Quality
 
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This webinar will explore the new proposed CoPs (first overhaul since 1989~!) and what they mean to Home Health Agencies. We will identify changes needed in policy and processes in order to be compliant, and how we can use these to provide even better quality of care to our patients. The majority of the standards had some revision with this proposal--from more details in patient rights, quality and coordination, to the elimination of the Professional Advisory Committee and the Annual Review. Let’s get informed of the changes in order to assess your current agency policies and practices and know where your efforts must be focused. Presented by: Annette Lee, RN, MS, HCS-D, COS-C
Просмотров: 573 Corridor
Referral, Certification and Oversight of Home Health Services (Part 1)
 
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Watch part 1 of the referral, certification and oversight of home health services.
Просмотров: 383 NGSMedicare.com
Samuel Metz  Talking About Talking About Health Care
 
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Sam Metz, MD, retired anesthesiologist from Portland, Oregon, gives his "3 Questions, 9 Answers" talk about how to meet the listener at her/his level of understanding about our health care system. He then adds the evidence in a step-wise fashion to move the listener toward the conclusion that universal improved Medicare for All or another form of single payer health care is the best solution to our dysfunctional health care system. Below is an outline of Dr. Metz's 3 Q 9 A Three Questions, Nine Answers about Health Care by Sam Metz MD July 2014, MCH 2/15 MCH 3.17 1. Why do we need health care reform? a. Our health care costs are twice the average of industrialized countries. We are the most expensive nation on the planet. b. In almost every category of public health, the US is at or near the bottom of industrialized countries. c. Health care costs are destroying American families with bankruptcies and devastated credit. 2. What do we want health care reform to achieve? Forget about selling insurance policies or reducing the national debt. We want: a. Health care access for us and our families no matter how poor, sick, old, or unemployed we may become. b. Reduced health care costs. Not just for government, insurance companies, employers, or employees... for everyone. c. Better health. We want improved medical outcomes but not sustain a health care industry and administrators more then needed to reach those outcomes. 3. How do successful systems succeed? Other countries provide better care to more people for less money than we do. What do they have in common that we don’t? a. They include everyone, without discrimination against the sick. In the US, we punish the sick by charging them more, reducing their benefits, or excluding them altogether. Successful systems do not do that. b. They encourage patients to seek care. They do not discourage people from seeking care with “customer-driven care,” “skin in the game,” high deductibles, high co-pays, etc. Instead of patients deciding if they need care before they see a physician, the physician determines if the patient need care after she sees the patient. c. Financing is provided by publicly accountable, transparent, not-for-profit agencies. In most countries you can make a profit providing health care; we are the only country that encourages you to make a profit financing health care. (Financiers are simply brokers: they collect from money patients and deliver it to providers.) If you have a system that includes everyone, encourages care, and funnels all health care money through only one publicly accountable, transparent, not-for-profit agency for financing, we can call that “single payer” (as in Canada and Taiwan) or “multi-payer through one public agency” (as in many European countries). The ACA deserves praise for at least temporarily helping many Americans, some of whom have gained insurance and access to healthcare for the first time in their lives. But the ACA is deeply flawed. Neither the ACA or its Republican replacement will improve the health of our population because both preserve financial incentives to avoid those who need care the most: the sick and the poor.  Competitive markets cannot promote healthcare for the population. Here's the reason. To effectively compete, a health insurance company must observe the 70% rule of avoiding risk. It makes good business sense and it is the fiduciary responsibility of companies’ CEOs and Boards of Directors to do so. This leads to garden metaphors (lemon dropping and cherry picking) and the exclusion of the people who need care the most. The result is ever-increasing suffering, and delays or avoidance of treatment. Neither the ACA nor CCOs effectively neutralize this incentive. Trillium, for example, which administers the CCO for Medicaid patients in Lane County, tripled its profits in 2013 and its parent company, Agate Resources, is being purchased by Centene, a Fortune 500 company of St. Louis, Missouri. Meanwhile in 2014 - 2015 safety net services such as Occupy Medical saw their main clientele change from homeless and uninsured patients to “insured” patients.  Most of these were on the Oregon Health Plan and in the Trillium CCO but not able to access to care through Trillium. Trillium points to lack of primary care providers, but nurse practitioners and other qualified primary care providers were turned down as hires by Trillium.  Private companies are taking an ever-increasing role in administering and profiting from public programs such as Medicaid and Medicare, usually without adequate public awareness or oversight and with resulting diversion of public health care money away from health care into other uses.  Our health care system creates financial hardship for families, businesses and governments, deters people from gaining timely medical attention, and confiscates money from underpinnings of health such as adequate housing, education, infrastructure, and social services.
Просмотров: 387 Mike Huntington
Home Health Agency (HHA) PEPPER 102 - Webinar Archive
 
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This recording is a continued discussion on the Home Health Agency (HHA) Program for Evaluating Payment Patterns Electronic Report (PEPPER). Building off of the Aug. 17 session, CMS contractor Kimberly Hrehor, MHA, RHIA, CHC, director at TMF Health Quality Institute reviews new resources available for HHAs, including peer-group bar charts, national- and state-level data, and there will be time for questions about the PEPPER. Still wondering how PEPPER might be helpful? According to TMF, the Office of Inspector General, Recovery Auditors, Medicare Administrative Contractors and other federal contractors are mining Medicare claims data in an effort to identify providers that may be at risk for fraud, waste and abuse. CMS is now producing an annual PEPPER for each HHA. HHAs are encouraged to review their report to learn if they might be an “outlier” in any of the target areas. Learn how to access your PEPPER then visit the PEPPER Resources Portal for a quick tour on how to access and review your report. The PEPPER is a free report summarizing three years of an HHA’s Medicare billing practices, comparing them with other HHAs for ten areas at risk for improper Medicare payments. The webinar is free, as is additional information, educational resources and training at PEPPERresources.org.
Просмотров: 103 VNAADC
Obamacare Rationing
 
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COBRAhealth.com - The Patient Protection and Affordable Care Act, PPACA. The government cannot create doctors, nurses and facilities to service the masses of people. ObamaCare cuts payments to the private health insurance companies that provide coverage to the 20 percent of Medicare enrollees who participate in the Medicare Advantage program.ObamaCare cuts the prices Medicare uses to pay hospitals and many other health care providers. ObamaCare could force one in six hospitals to stop accepting Medicare patients. we will ration with our eyes open.You can't get medications. You are left waiting on life saving procedures. You must wait for quality of life procedures that are medically needed. 5 million Canadians have no health insurance and the wait is 5 years for a primary care physician.
Просмотров: 223 cobrainsurance
Probate and Wills | Greensboro North Carolina | The Elderlaw Firm
 
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The ElderLaw Firm North Carolina Estate Planning and Elder Care https://www.elderlawfirm.com/plan-protect/ Call (336) 378-1122 A major part of our mission at The ElderLaw Firm is providing useful education to help folks navigate elder law estate planning in North Carolina. A pioneer in elder law, Dennis Toman became frustrated and sad that so many people could be helped but they never got the information they needed in time. So he started by writing articles and giving talks to share information that lawyers and the system traditionally used to make things complicated. Our success is based on sharing information with hard working families in North Carolina. Our clients love this. The more information we give away, the more clients call us and let us help. The secrets we share gives families knowledge and confidence about their options: how to get started and what’s important. Issues like; Retirement, Social Security, Medicare, Medicaid, Nursing Home Care, Elder care, Living Trusts, Wills and Probate. Free seminar AT: https://www.elderlawfirm.com/category/elder-care/ We hold our Ducks in a Row Legal Webinar every few weeks so that you have a chance to get the answers you need. Join us to discover how to avoid elder and estate planning mistakes, with plenty of Q&A time with an attorney. What is probate? Does my Will avoid probate? Many times, there’re different reasons for doing estate planning and long term care planning and one of the questions is how do I simplify my estate for my family. And one of the worries that we frequently hear about is how do I avoid probate? Well, probate is court-supervised estate administration. Any assets that pass under a will are subject to probate. That means that they have to be reported to the court; the court is going to have an oversight on that, and it’s going to be extra red-tape, extra core cost and extra delay. Now fortunately, North Carolina is not as bad as some states for probate, but still it is important to consider how to simplify estate administration especially when we’re passing assets down to the children. Probate between spouses is not so bad, but when it’s probate down to the children, that’s when typically we like to have a revocable living trust in place, or an irrevocable trust, because both will help to avoid probate and court supervised estate administration. The Elderlaw Firm 301 N. Elm Street, Suite 707, Greensboro North Carolina 27401 (336) 378-1122 www.elderlawfirm.com https://www.youtube.com/channel/UCpHfqaz-sAoKONIXFsW1OHQ https://youtu.be/hUnuGhoRuq0
Просмотров: 171 The Elder Law Firm North Carolina
TynetOnline® Complete Home health Software
 
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TynetOnline Cloud based home health care software solution and its point of care features can be conveniently accessed using an iPad, Windows based Desktop, Laptops or Tablet PCs. Software Benefits Unlimited users "one price for all" - no user limitations with automatic updates The most comprehensive and Medicare standard OMB forms for Nurses notes, 485, OASIS etc Premiere visit notes and Clinical documentation in the Industry The most intuitive Reports on all Agency Activities, - Patients, Caregivers and Office staffs Powerful administrative oversight tool for all Agency operation Easily identifiable icon dashboard not a website look! Work on multiple pages simultaneously HIPAA - Ainsi X12- 5010 Certified with all Fiscal Intermediaries HIPPA, JCAHO, CHAP & ACHC Compliant Automatic Medicare eligibility checks The most accurate Point of Care Clinical suite The Most accurate billing practice in the Industry with a "scrubber" at back end for more accuracy Secure online claims submission-Medicare & HMO's - generate UB04 & HCFA 1500 web & paper Medication database Automatic 485 generation from Comprehensive OASIS C 12 hours Mon- Friday Phone and Online Support The most reliable and friendly customer support for clients
Просмотров: 106 TYNETONLINE