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:Texas Capital Bank

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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.

Star 10R Training: Identify Dementia Signs Early & Even Prevent Dementia


Star 10R Training Seminar for Caregivers

We know the sacrifice that Caregivers make for their loved ones. Our organization looks for resources to help providers and caregivers  care for your loved ones. We have met with AFFECTS a Texas based entity that is well known for Innovation, Creativity and Entrepreneurship, and definitely not a traditional company by any means.

We hope you are excited!  Mr. Ray Ashton who is the Founder of this highly progressive company out of Houston is very passionate about his innovative training.  This life long mission was sparked because his grandmother passed away after years of suffering from Dementia.  Read more about Mr. Ashton.  He actually coined the term,  “Preventive Wellness” about 22 years ago.  His healthcare company, STAR Preventive Wellness (AFFECTS LLC), is training the Healthcare professional across the country with main focus on Geriatric and Early Stage Dementia, in particular.  His idea is to train the Communities’ own staff (or individuals) including RN’s, LVN’s and just about anyone who works with Seniors including Case Managers, Administrators or Social Workers. His 8-Hour CEU training is really a must for anyone who works at Memory Care, Assisted Living or Skilled Nursing communities.

They have 2 meetings planned this summer:
Hosuton Class Information
Dementia Education Houston, Texas

One is being planned for the Dallas metroplex for July, with details TBA soon.  A convenient location for those attending is being sought since this is a large metroplex, price and program length will remain the same.  Please contact Star10R  at star-10r-dallas@affects.biz or star@affects.biz  for interest in the Dallas or Houston areas.

 His main goal is to get this knowledge out there. On that note, he has made his programs’ cost close to nothing. He only charges $350 per individual or only $3000 a community to train 10 Cargivers ($300 per community caregiver). Please let me know if you can make this training and feel free to pass this along. This training is also a great marketing tool for communities to differentiate themselves, while reducing cost with no overhead or risks for that matter.  Remember, this does provide 8 CEUs for this class if you attend the entire day.

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.

Lung Disease Management Conference


It is my pleasure to announce the 2 day course June 22-23, in fabulous Las Vegas, offered by Lung Center University.  If you are a health care provider that cares for patients with Lung Disease, you will not want to miss this conference.  Learn about the changes made in 2010 to Pulmonary Rehabilitation guidelines.  This program showcases the latest therapies and treatment options for patients suffering from chronic lung disorders.  You will learn how to manage costs better, improve quality of care, and grow your disease management program.  This was created for skilled nursing facilities, home health, and outpatient facilities to discuss hospital to home solutions for these chronically ill patients.

Read more and register at  Lung Center University  Please contact Lung Center University direct for any questions and information.

Speakers include Greg Shockey, President of America, Mel Arenas, RT & Sr. VP of Lung Centers of America, Jim Girard is the National Sales Manager for Schiller-America and Jan Jennings, President & CEO of American Healthcare Solutions.  This team of speakers has a very well documented and prestigious career in the health care industry.  You can read the extensive biography on each speaker under the agenda.

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.

HITECH Compliance & Implementation Tips Happy Hour


Starts: Wednesday October 27, 2010, 05:30PM CDT
Ends: Wednesday October 27, 2010, 07:00PM CDT
Event Type: Conference
Location: BlackFinn
4440 Beltline Rd
Addison, TX  US
Intended for: Physicians, Office Managers, Information Technology Managers, Privacy Officers, Health Care Attorneys, Owners, Upper Management, Senior Level Management
Industry: hospital, physician, dental, pharmacy, DME, home health care
RSVP: kpearson@marjencapital.com or angela@medicalauditingsolutions.com
Organization: Marjen Technology Group & Medical Auditing Solutions LLC

This event is exclusively for health care providers and health care attorneys due to the content of the program. Please RSVP as seating is limited to 35.

HIPAA HITECH Happy Hour Drink Coupons & Appetizers Provided

We will provide a short presentation on new HITECH HIPAA highlights 6:00pm-6:30pm allowing time for Q&A

Topics:  Meaningful Use, What is Encrypted, and Tips to encryption without breaking the bank

Speakers:   Karen Pearson & Raj Croager Marjen Technology Group

Angela Miller Medical Auditing Solutions LLC

There will be prizes worth showing up for such as a new WatchGuard firewall that protects PHI before it leaves and Consulting Certificates.

MARJEN Technology Group is a privately held technology services company located in Arlington, Texas, bringing over two decades of experience to Dallas/Fort Worth area businesses.  Our mission is to bring enterprise class technology and services, at affordable prices, to small and medium size businesses.

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.

Office Manager Job


I have a ENT in southeast Texas (Golden Triangle) that is looking for an office manager. This office services patients from Orange, Beaumont, Lumberton, Port Arthur and surrounding towns. It is a solo practice that sees patients in the office and performs surgery. Person does need health care billing and management experience. Billing is currently outsourced. The person needs to be a good leader as there are 3 other staff members in the office. The salary is $18/hr and at the moment no health benefits. Please forward resumes to fax 214-461-0295 or email medaudsolutions@aol.com

Patient Visits: Changes, Increase Revenue, & Ordered Services


“15 MINUTE THOUGHT”

New Patient Visit Requirements: Increase Your Revenue

MAS is pioneering an informational program that you can listen to over a cup of coffee while you organize your day or on your drive to work. The name of the program is “15 Minute Thought”.  These calls will be free and informative.  Our focus is to give you a new thought once per month to help improve your business during these tough regulatory times.  The call participation should be maintained although CME/CEUs are not attached, it documentation of education efforts.

We will discuss health care reform changes that impact the requirements for patient visits, date last seen, and chart documentation.  We will discuss how to make lemonade out these lemons!  We need to cease the opportunity to increase revenues out of these changes.  Spend 15 minutes and learn about changes that can stop your payments as well as how to increase your revenue.

Program your Phone and Calendar:

The 2nd* and 3rd Wednesday Every Month

July 21, 2010  at 8:30am-8:45am CST

Speaker:          Angela Miller, CHC, Compliance & Billing Expert & Edward Vishnevetsky of Thompson Coe

MAS Conference Call Dial-in#:         218-862-1300

Conference Code:                               622911

MAS Office number:                          972-459-1508

Who should call in?

All health care provider, Health care business owner or manager, Physicians, Home Health, DME, HME, Attorneys, Compliance Officer, and Office Managers

Follow MAS Blog for Schedule & Updates.  You can “follow” MAS on all social media and new blog links are published.  We only publish useful information and breaking news.

Blog:  http://www.angelamillermas.wordpress.com or via website
Linkedin:  http://www.linkedin.com/in/medicalauditingsolutions
Facebook:  http://www.facebook.com/home.php#!/AngelaMiller.MAS

Edward L. Vishnevetsky has extensive experience in the area of health law and commercial litigation. He routinely argues before state and federal courts in areas of health law, employment law, and complex commercial litigation, and also represents hospitals, physicians, durable medical equipment (DME) providers and manufacturers before various state and federal regulatory agencies. Edward advises health care clients on operational matters, liability exposure, privacy issues, federal and state health care regulatory compliance, health care reimbursement disputes, as well as risk management issues. He has represented individuals, physician groups, hospitals, ambulatory surgery centers, sleep laboratories, dialysis clinics, independent diagnostic testing facilities, and DME suppliers.

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.