Download Reference Documents The following documents explain in great detail the Information Blocking rule and HIPAA’s Right of Access. We encourage the clinic to download these documents and make them part of your insurance reference manual. Be sure to use these resources as a guideline when developing your Medical Record Policy. AMA-What Is Information Blocking?…
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Download Module Resources Knowing what is required from a small provider when it comes to HIPAA and OIG can be challenging. Being a small provider does not mean that you are exempt from these regulations. The following resources provide a deeper dive into what is required according to HIPAA Privacy and Security Rules as well…
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This tutorial will provide a simple overview of each of these regulatory entities. You will be able to compare the differences and similarities as well as identify the enforcement agencies for both. More importantly, you will be able to understand how compliance is considered ‘good business practices.’
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One of the most confusing and frustrating elements of the Medicare process is the Advance Beneficiary Notice (ABN). There is significant confusion about what, why, and how of proper ABN usage. The ABN is not a form to be trifled with. The term “mandatory” means exactly that…mandatory when an otherwise covered service may not be covered…
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How Much Time Do You Have? We are often asked how much time an office has to file claims to Medicare. This is of particular interest when Medicare is a secondary payer, and the office must wait for the primary carrier to pay or deny before billing. Medicare Timely Filing is addressed in Section 6404…
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If you struggle with when to bill Medicare and when the patient is responsible for treatment, this mini-class can help you sort it all out. When you are clear on the differences that make Medicare billing unique (e.g., the three covered codes for spinal manipulation, the appropriate use of the ABN form, and the nuances…
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working 1-on-1 with our specialists for analysis and training. Please reach out to the HelpDesk to learn more about accessing these materials.
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