Download Reference Documents To best assist your team members in locating the required payer portal documents we have provided samples to download. Sometimes when you can see an example it makes it easier to locate similar documents on payer portals. It also can help familiarize team members with the different terms that payers might use…
Medicare Advantage Compliance
Providers who have mastered the rules and regulations surrounding traditional Medicare are often surprised to find that Medicare Advantage plans have their own set of rules. These are not optional. It is vital that a clinic locates these resources and requirements on each payer’s provider portal. We have listed some of these below to assist…
MA Verification Form
Download Support Tools This tool has been customized to capture all the important questions that staff need to be asking when verifying Medicare Advantage plan benefits. Never again will your staff hang up the phone and wish they had asked a question that they overlooked or forgot. By utilizing this tool and carving out time…
Part C Verification Process
With the addition of Medicare Advantage plans, Medicare verification is not as easy as it used to be. KMC University has provided a customized verification form that is tailored to the needs of the clinic. We provide the questions so your team members can gather the information they need for proper billing and reimbursement. This…
Medicare Part C- The Advantage Plans
Medicare benefits are administered directly by the government, whereas Medicare Advantage (MA) plans are managed by commercial or private plans. When navigating the world of Medicare Advantage plans it is vital that your front desk, billing and treating doctors have a solid understanding of the many aspects of regulatory compliance that surrounds these plans. In…
Reference Documents
Download Reference Document’s The following documents provide a closer look at other components of HIPAA. Download and review these for additional information. Once you understand HIPAA, follow up with your compliance officer to understand the policies and procedures in the clinic. HIPAA Basics Fast Facts for Covered Entities