HIPAA Allowed Disclosures in Workers’ Comp The HIPAA Privacy Rule does not apply to workers’ compensation insurers, workers’ compensation administrative agencies, or employers except to the extent they may otherwise be covered entities. However, The Privacy Rule acknowledges the need for insurers and other entities involved in the workers’ compensation systems to have access to…
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Making Workers’ Comp Cases Successful The core aspects that lead to successful workers’ compensation cases are early identification, authorization, documentation, appropriate coding, and billing. Early Identification You must have procedures in place to identify patients with work-related injuries for which they are seeking treatment before treatment begins. Pre-treatment authorization is often required for patients with…
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For the unprepared, accepting a workers’ compensation patient can be both confusing and frustrating. There are specific procedures that must be followed to properly file a Workers’ Compensation claim. This Rapid Tutorial introduces the clinic to the most basic tenets of Workers’ Compensation cases. Please note, this tutorial will refer to other modules on verification….
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Personal Injury FAQs Q: We have a patient who was involved in a car accident. She has Med-Pay on her auto policy. She was not at-fault in the accident but refuses to let us bill her Med-Pay benefits because she thinks her rates will go up. How can we address this? A: Med-Pay is an…
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This tutorial will provide clarity on the financial aspects of Personal Injury. Some practices develop a different fee schedule for Personal Injury cases because of the additional administrative task, that are often required with these cases. This is not a compliant practice. This tutorial will provide direction on best practices when managing Personal Injury cases.
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Two Types of Liens A lien for medical care and services gives notice that a healthcare provider has administered medical care and treatment to a patient and that the provider has a legally enforceable right to recover payment for all services provided to the patient. There are two types of liens that you may use…
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