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Find the solution for
your medical billing |
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| 24/7 access to monitor the progress of your account. |
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All employees of MD4Front are required to attend an initial overall training session reviewing our compliance plan.
All employees will be responsible for reporting any non-compliant activity by any of their co-workers and or activity by a provider of service directly to the Compliance Officer and committee who will investigate and proceed with a step-by-step disciplinary action.
Each employee of MD4Front will receive a copy of the compliance plan. A signed affidavit stating that it was received, read and understood will be kept in the employee’s individual personnel file.
All Billing employees of MD4Front are required each calendar year to complete 8-16 hours of continuing education. Education can be in the form of attendance at a seminar, an outside facility or in-house training with material purchased from educational facilities specializing in coding, billing, and Family Practice, Internal Medicine and Pediatrics or medical information.
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New employees all begin with basic training which includes but is not limited to the following:
All federal and state regulations (see handout compliance manual)
How to read an insurance card.
How to use an ICD-9 and CPT reference manual.
Where to look for or who to go to for medical information that maybe unfamiliar.
Intensive training on how and when to use modifiers.
How to read an EOB. Review of E& M coding guidelines (billing staff) |
All billing and training materials including any coding changes, are kept in binders within the office. This information is always available to all employees at anytime to reference if they should have any questions or concerns on why a particular code was billed.
Any violations, regarding coding issues are addressed by the compliance officer, any employee who willfully changes or modifies a code, or refuses to follow the practices policies and procedures regarding collections and billing are to be disciplined as follows: |
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a verbal warning with training on problem area |
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a written warning with additional training and a 30 day
probation period. |
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third offense results in termination of employment. |
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| Goals of Compliance: |
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To conduct business in an ethical and lawful manner |
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To educate all employees and physicians regarding federal programs |
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To clearly communicate federal regulations to patients and their responsibility to uphold them |
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To help educate our physicians and physician assistants on correct ethical coding |
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To evaluate all billing and coding practices annually at a minimum |
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To establish effective communication with employees and our physicians regarding compliance. |
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To help our physicians and physician assistants improve medical record documentation |
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To maintain an excellent working relationship with Medicare and other payers of service |
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