Medical Review Policy Matters Make no mistake, the Medical Review Policy (MRP) does matter, and it plays a key role in determining the care that is reimbursable by a payer. The MRP is an administrative and educational tool designed to help providers, physicians, and suppliers submit correct claims for payment. Medical Review Policies outline how…
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working directly with our OIG compliance specialists. Please reach out to the HelpDesk to learn more about accessing these materials.
Click here to learn more.
To truly understand how commercial insurance works, you need to locate the guidebook. This is often referred to as the Medical Review Policy (MRP) or Reimbursement Guidelines or Clinical Guidelines. The MRP is often made available to clinics through a provider portal or on the insurance carrier’s website. Simply conduct an internet search for that…
Certified Chiropractic Clinical Assistant Training is now available as part of Library Membership! This official training is for those who wish to certify through the Federation of Chiropractic Licensing Boards (FCLB). The KMC University Library is an online resource for chiropractors and their teams that provides access to a vast array of educational materials and resources related to Medicare, documentation, billing, coding, compliance, and the business aspects of running a chiropractic practice. It can help chiropractors and their teams stay up-to-date on the latest regulations and best practices, as well as save time and money by avoiding costly mistakes.
Click here to learn more.
Impact on Reimbursement Make no mistake, the Medical Review Policy (MRP) matters and it plays a key role in determining the care that is reimbursable by a payer. The MRP is an administrative and educational tool designed to help providers, physicians, and suppliers submit correct claims for payment. Medical Review Policies outline how contractors review…
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.
Download Reference Documents Most of the resources a clinic will need can be found on the dedicated Medicaid website for their state. Listed below are some resources developed by CMS that can assist with understanding key aspects of the Medicaid program. How to Use the Medicaid National Correct Coding Initiative (NCCI) Tools Medicaid Provider Enrollment…
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.
Download Reference Documents This course provided an overview of types of commercial health insurance plans and the importance of locating the payer’s medical review policies. The reference documents listed below are samples of medical policies from a variety of common payers. Use these documents as a guide to track down similar forms on payer websites….
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.
Download Reference Documents Third-party payers provide information on their website to assist providers with meeting the payer’s recordkeeping expectations. It is prudent to know the medical review policy and other administrative policy that relate to the payers with whom the practice does business. Included here are two samples from two different payers that outline guidelines…
Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources.
Click here to learn more.