Healthcare Operations Training – Plano, TX – November 12-13, 2013

Mark your calendar, this healthcare training will revolutionize your operations management processes and improve your collections and accountability. We have limited seating available for this intense training on managing the healthcare office environment more efficiently during the trying times of reimbursement cuts, commercial contracts being closed to new providers, audits and investigations from every corner. We know these two days will be intense, but you will leave with viable information and forms to put in place on Thursday upon your return. All speakers have many years experience in the DME and Physician market from operations to audits and investigations.  Lunch is included both days.

Topics to be covered:  Start-ups, ICD-10 preparedness, Accountable Care Organizations (ACO), audits and how to prepare, retail selling, contracting, monitoring billing/revenue reports weekly, monthly, yearly, getting the most out of your EMR or billing software system, employee accountability, and more.

November 12 – Is designed to be applicable to any healthcare provider, physicians, dentist, DME, or Home Health. All providers can benefit from the training to have a more efficient office.

November 13 – Is designed specifically to address billing and collection problems in the DME industry.  We have a program on commercial insurance contracting, system reports, new start up DME process and more.  The building does have wi-fi, bring your computers for interactive sessions.

Read the full program here at this  Healthcare Operations Training Dallas TX Nov 12 13 2013

We are still working out a discount with the hotel and transportation company, so please register below as soon as possible and return the attached Healthcare Training Dallas TX Registration Nov 12 13 2013 packet completed by 10/30/13. In order to get the best discount possible, we need head count. We have worked out some discounts for coding books and such for those that register, with additional information coming in.

Register below for Training Nov 12- 13 2013 to pay by credit card all other payments may be made by mailing the Registration Packet to our office. If your are only registering 1 attendee, please register at the link below. If you have more than 1, please contact us so discount is calculated appropriately.

Health care Training November 2013

Sponsors include:

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Accountable Care Expo – Dallas – Medical Auditing Solutions LLC August 1 2012

As many of you know the Patient Protection Accountable Care Act has a mandate requiring the implementation of cost containment managed care of patients, or Accountable Care Organization (ACO).  Many have been sitting on the sidelines waiting for the US Supreme Court Ruling on, and since they upheld ObamaCare….this is moving forward.  So, join Dallas area providers as they collaborate on HOW IN THE HECK to implement programs locally and make it work.  Providers and patients need to take a valid interest in being proactive versus treating the present situation.  You can view the agenda and register for the Dallas Accountable Care Expo to be held August 1, 2012 all day attendance is free except for the luncheon.  If you are not in the Dallas area, there are ACO Expos planned for Chicago and Las Vegas with others in the works.

Angela Miller, President of Medical Auditing Solutions LLC will be speaking on the Compliance Program Requirement.  All participants in an ACO must have a compliance program in place to participate so before March 2013.  Ms. Miller has over 18 years experience in corporate compliance programs, healthcare billing, collections, and coding audits.

Edward Vishnevetsky, Healthcare attorney with Munsch Hardt will be the luncheon Keynote Speaker on “Obstacles with ACO.”  Have you ever been able to listen to an attorney for the cost of lunch?  Well, mark this on your calendar and register now.  Mr. Vishnevetsky will also be speaking on the implications of the US Supreme Court Decision to uphold ObamaCare.

Bring your questions, concerns, and ideas on August 1, 2012.  It will be a day of speakers and exhibitor booths.

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller is Certified in Healthcare Compliance.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.

Webinar on What is a Compliance Program 101!

Medical Auditing Solutions is providing a webinar in conjunction with The Cornerstone Insurance Group (Cornerstone) to discuss the Basic Compliance Program Requirements.  We will learn what a compliance program is, what laws require it, the elements of a compliance program, and how the program can be beneficial to the healthcare provide.

Any and all healthcare providers (medical and dental practices as well as ancillary providers such as DME, Home Health, Hospice, etc.) taking Medicare and Medicaid should attend.

No CEU credit is formally given, but you will be welcome to send the handout received post attendance to your accrediting agency and ask for credit.  Some will provide and the worse they can do is say no.

The Cornerstone Insurance Group (Cornerstone) in no way endorses the accuracy of the information being provided.  In registering for this program, you will release and hold Cornerstone harmless of any and all actions you take as a result of this call.  This call is basic information and is simply an avenue for you to educate yourself on compliance program requirements.  This call in no way provides legal advice or provider specific advice without adequate documentation to review.  This is informational purposes only.

Cornerstone providers Total HR management & products including benefits management, Total Insurance products, Wellness Management Services.  Read more about the services Cornerstone offers you may find services that could benefit your organization.  They are primarily in Missouri and surrounding states but do cover additional states.

Program Title:  Compliance Program Basics and Elements

Date:                     July 24, 2012

Time:                    11:30 am-12:30 am CST

Cost:                      Complimentary

Register:              https://cc.readytalk.com/r/yhypbz3hj2p

About more about the speaker and Medical Auditing Solutions LLC:

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller is Certified in Healthcare Compliance.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.

AAOE – Developing Effective Elements of a Compliance Program Webinar

Angela Miller, CHC and President of Medical Auditing Solutions LCC will be discussing the reason you must have a compliance program, the deadline, and the elements of an effective compliance program.  We will discuss how to make these elements effective.  After the Supreme Court Ruling on Thursday, we know PPACA is here to stay so let’s get started with the compliance program development and it can improve your overall business.

This program was offered at the national AAOE meeting in New Orleans in May 2012; however, due to a funeral I had to cut the program short.  It has take a little bit of time to get this setup, but we are ready to make this available by webinar and will still have 1 hr AAPC credit.  Also keep in mind, you can ask other credentialing organizations if they will consider CEUs for the certification you have.  You will need proof of registration & attendence, this printed out with the learning objectives, and possibly the course material (which may be the materials since they will not be posted on AAOE’s website).  They can only say No.  If you registered for the New Orleans conference, please mention that as there will be no charge to my understanding.  For those of you interested that are not AAOE members or did not attend the Annual Conference, you may still purchase the attendance below.

Please contact AAOE direct about registration at Register Now

This program will be about 1.5 hours in length.

Mark your calendars for the AAOE’s upcoming Webinars:

• July 10, 11:00am–noon Central time: The Technical Side of the ICD-10 Conversion – The Untold Story sponsored by AAOE and Coker Group  
  

• July 19, 11:00am-12:30pm Central time: Developing Effective Elements of a Compliance Program sponsored by AAOE
  

• August 1, 11:00am–noon Central time: Improving Efficiency in the Office Setting sponsored by AAOE and TransPortal

 Save the date for the 44th Annual Conference in San Diego, CA: April 28-30, 2013

About the speaker:

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.

Physicians: Added Revenue for Assessments like Depression, ADD, BiPolar

Several months ago I met a representative from AssessMD.  I have observed and asked many questions.  AssessMD is a computer software that collects answers to questionnaires for assessments many physicians are doing manually now and not being reimbursed because the assessment is not scored.  AssessMD has assessments to score depression, bipolar, ADD, Anxiety, OCD, ODD,  and others with more test coming.  The patient completes the assessment in a few minutes on the physician’s computer or tablet, and produces scored results for the physician in real time.  The physician can then bill for this assessment in addition to the Evaluation and Management Code (E&M) with the documentation provided by this computerized assessment.

Medicare is now requiring annually assessment for depression among the elderly patients.

This is reimbursed by most insurance companies except certain Medicaid.  The reimburse on average is about $60, which would go direct to the physician’s bottom-line because right now if it is handwritten assessment it is not reimbursed.

The physician has a 45 day trial period to test it in his practice.   If you are not reimbursed by the insurance company, there is no charge of the test to the provider.  As a note, AssessMd is not in a position to be a referral stream only a vendor.

This was initially marketed to limited physician practice types, but they have discovered that it is beneficial to many practice areas pain management, obstetrics/gynecology, elder care, and adolescents to name a few.

At the very least it is worth the time to investigate and discuss with your legal counsel to add revenue to the practice.  If you do not have healthcare counsel, click for a list of affordable healthcare attorneys to ensure this is the right model for your practice.

Contact LouAnn McNaughton  at  “214*538*1123”  or   “LouAnn@assessMD.com”

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.

Training for Compliance & HIPAA Privacy and Security

Medical Auditing Solutions LLC launched the Compliance University in September 2011 and is please to announce that for 6 of the programs we have received Continuing Education Credits by Texas Occupational Therapist Association (TOTA) (15 hours) , Texas Board of Professional Counselors (6 hours minimum) , and BOC USA (9.5 hours).

What are you waiting for?  You have to train staff annually on compliance program requirements, fraud and abuse, billing,privacy and security. You have to be able to prove this training was given.  Does your staff have time to develop, track and update?  Did you know the OIG is auditing for these policies, training, sanction checks, and more in 2013 for providers that $5M in annual collections from Medicaid programs?  Did you know that OCR is auditing all types and sizes of healthcare providers from HIPAA privacy and security in 2012 and years to come?  Did you know the state inspector generals and health and human services will be auditing for these policies as well?  We can help you will all aspects of your compliance and HIPAA programs.

These requirements apply to all healthcare providers, DME, home health, physicians, and dental providers.  The size of your business does not matter for HIPAA.  As of  February 2013 for Compliance applies to all as well.

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.

ZPIC Audits What We’ve Learned from 2011 and other Audit Risks Webinar

Edward Vishnevetsky, healthcare attorney with Munsch Hardt has asked Angela Miller to join him as a guest speaker during his presentation next Thursday, February 9, noon-1pm CST.  Audits are inevitable at this point, so better be prepared and proactive for the audits that are coming.  Join us as we discuss ZPIC audits and other audits you can expect in 2012, such as HIPAA, OCR, Medicaid RAC, Commercial audit expansion. Also learn how best to prepare and prevent  adverse outcomes.

You are Invited to Join our Complimentary Medicare ZPIC Audit Webinar

Featuring Topics on:

	Changes to Medicare ZPIC and RAC Audits
	The Office of the Inspector General’s (OIG) take on Audits in 2012 based on the 2012 OIG Work Plan
	Which HCPCS codes may be most vulnerable and subject to scrutiny
	How DME suppliers can work with physicians, hospitals and manufacturers to assist in responding to audits
	Tips on how to effectively respond to audits (based on lessons learned in 2011)
	Other Audit Risk and Prevention

Presentation Given By:

Edward Vishnevetsky

Attorney at Munsch Hardt Kopf & Harr, P.C.

Featuring Guest Speaker:

Angela Miller

President of Medical Auditing Solutions LLC

Date: Thursday, February 9th, 2012

Time: 12:00-1:00 PM CST

Cost: Complimentary

To reserve your Webinar seat, please click here.

After registering you will receive a confirmation email containing information about joining the Webinar.

If you have any questions, please contact Ashley Thomas.

Edward Vishnevetsky has successful defends over 40 physicians, DME providers and HHAs against ZPIC, CERT, MAC and RAC Audits; achieved 100% success rate in removing providers from pre-payment audit.  Successfully defended over 100 providers through all stages of Medicare appeals, including the Administrative Law Judge (ALJ) level.  Read more at Munsch-Vishnevetsky

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.

OIG Work Plan 2012

I participated in a call on Thursday January 19, 2012, on the OIG Work Plan for 2012.  Please reference the link for the full OIG Work Plan spelled out by provider type.  Many items on the Work Plan never change but there were a few points I felt important to draw your attention to for risk management purposes.  Here are a few notes I made because I think the audit risk is high since the result can be subjective:

1.  Outpatient Observation Billing

2.  Critical Access Hospitals:

A.  Distance to nearest, non-critical access hospital

B.  Herceptin and other Chemo Drug quantity

3.  Hospice because 82% of patients do not meet criteria to be admitted to hospice.

4.  Incident to Services by non-qualified personnel.  Even Blue Cross and Blue Shield is recouping and extrapolating on commercial claims for mid-level practitioner billing.  Make sure modifier is used when appropriate and the mid-level meets the licensing requirements to provide the services billed.

5.  Off Label Prescriptions.  Physicians ordering a drug that is approved for Diagnosis A but the drug is used for diagnosis B.

6.  Home Health-but not specific because they are going to review 2010 billing before they decide.

7.  Dialysis and ESRD Drug costs.  What is the drug cost to the provider versus the reimbursement.

8.  Contracts providers have with other providers/facilities.  Make sure you have a health care attorney to review the contract before executing because the health care attorneys are familiar with the Stark and Anti-Kickback provisions which typically the corporate business attorney does not have to consider.

9.  Checking employees, vendors, and providers against Sanction Databases MONTHLY.  You may find the federal links on my website.  The states have their own links.

10.  NY Medicaid reduced the annual revenues to $500K in Medicaid/Medicaid HMO/Managed Care Organizations (MCO) funds for compliance program requirement.

11.  Compliance Program Requirement under Federal Deficit Reduction Act that required all healthcare providers to have a compliance program in place by 2007 if their annual collected revenue of State reimbursement was $5M or more.  This would include Medicaid and respective Medicaid HMO or MCO.

12.  As of 2013 a healthcare compliance program is required for all providers billing Federal or State plans no matter what the annual billing revenue may be.  This would include dental practices because they bill Medicaid!

13.  Overpayments must be disclosed and refunded within 60 days of identification that it is an overpayment.  Failure to refund this money can result in “False Claims” charges and penalties.  Ensure you have someone that is accountable for working your credit balance reports monthly.  Keep documentation of these reviews and refunds issued as a result in a manner that can easily be explained and found.

The OIG Work Plan can be used to determine risk analysis, structure audit plans, and determine growth opportunities.

Do you have a Healthcare Compliance Program?

Do you review the OIG Work Plan Annually?

What else do you review to determine your audit plan?

We can help you analyze the status of your healthcare compliance program and ensure you have focused on the correct risks for your business model.  We are the compliance expert with a vast history and a cost effective way to ensure your compliance program is operating and managing your risk.

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.

Innovation & Cost Savings: Beacon by LabCorp

I recently attended a meeting and LabCorp Representative spoke about various services they offer.  Toni Spain is very knowledgeable and passionate about patient care and provider the tools to the physicians to be more efficient, cost effective for the provider and provide the best care to the patient.

Ms. Spain introduced Beacon, which is at no additional cost to a general LabCorp account!  Beacon is virtual access to lab results and providers up to 2 years of lab history for the patient, no matter who ordered previous tests on file.  This will save the payers money and provider the physicians the ability to make decisions and treatment recommendations quicker for better quality patient care.  The patients many times do not remember what kind of tests other physicians orders, the results, or which physician ordered it.

This is an innovative step for LabCorp right at the time when Medicare is trying to implement Accountable Care Organizations which is all about quality care for the least expense by managing medical costs.

Contact Toni Spain for more information on this product that will change your office.

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.

PRESS RELEASE: Compliance University Rollout

September 9, 2011

Medical Auditing Solutions LLC is excited to announce the release of our new service called “Compliance University.”  The Compliance University focuses on the healthcare regulatory compliance annual training requirements for all employees.  HIPAA requires annual privacy and security training for all employees (2003 & 2010) respectively.  Compliance (billing, contracts, and relationships) is required as part of the Healthcare Reform Act and the Patient Protection Accountability and Affordable Care Act due 2013.  This training is only one aspect of an effect Compliance program.  Privacy and Security is primarily monitored, audited and investigated by HHS and Office of Civil Rights.  Compliance is primarily monitored, audited, and investigated by CMS, OIG, HHS, FBI.  The monitoring, auditing, and investigation may start in other federal and state government areas.

All programs are general in nature and meant for any type of health care providers.  They are between 40 minutes and 1 hour.  Each program is followed by a test of comprehension, an evaluation that is required to receive the completion certificate.  The Compliance University will provide the company with status, completion, grade reports.  We have additional programs to be released within the next few weeks as well to complete the set.  The programs contain examples and explanation for various health care industries so the knowledge obtained can be applied in any setting.

We look forward to helping you with your compliance program training as well as other areas of development and tracking that you may need to complete.  Check out our website at www.MedicalAuditingSolutions.com and Compliance University.  Mention this press release “PRESS” and receive 10% discount.

FBI-Federal Bureau of Investigation

HHS-Health and Human Services

OCR-Office of Civil Rights

OIG-Office of Inspector General

Angela Miller of Medical Auditing Solutions LLC has been in health care compliance, auditing, billing, collections and HIPAA for over 18 years.  Ms. Miller has made it the  focus of the business to help providers run their businesses efficiently, collect money, and maintain compliance with federal and state regulations and coverage criteria through compliance program development, management and training.  Ms. Miller is very experienced with Medicare & Payer audits.  Ms. Miller ran a very successful compliance program for over 5 years for the largest private held HME/Pharmacy provider in the US at the time.  Ms. Miller  also works as a contract compliance officer to provide an avenue to compliance training to staff, implementation of policies, as well as handling anything that affects cash flow from the initial intake to back-end collections. You can visit our website at Medical Auditing Solutions LLC.