• Your Goals
• Goals of this class
• Working with physicians
• As an employee, positives and negatives
• As independent contractor, positive and
negatives
• Direct doctor referrals
• Advanced preparation, what it takes to
get started
• Tools of the Trade
• FORMS, covering all forms, broken down
into 5 categories
• Files, folders, how to set up forms,
files and folders
• About being a provider, do I have to?
If so, How?
• Terminology, medical, legal & insurance,
where to find
• Is accepting insurance worth it?
• 9 simple steps to accepting insurance
cases
• Cases to accept
• Cases to avoid
• How to find out if there are loopholes
you might get through
• Current FL Laws as they pertain to PIP
/auto insurance
• Marketing & promotion, obtain AND
retain patients/clients
• Interviewing patients
• Treating patients what to be aware of
and why
• Communicating with insurance adjuster,
what to ask for
• Documentation & know documentation
is legal evidence
• 3 magic things to prevent delays, denials
& reductions.
• Question and answer session
• All about codes, CPT & ICD-9 Codes,
when & what to use
• Fees, Legal, Ethical, and UCR
• Can I charge more for insurance cases?
If not, why?
• Filling out the CMS 1500 Form, what goes
where on the form
• Knowing the claim form
• Submittingclaim form, how to prevent
denials and delays
• Explanation of Benefits, what is it,
what do you do with it?
• About billing software, do I need it,
if so how will it help me?
• About billing services, should I use
them, if not, why not?
• HIPAA Laws & Privacy Rules, do they
affect you, if so how?
• Should I submit claims electronically?
If not, why not?
• Collections made easy, how to limit collection
processes
• Discount/Affinity programs, what are
they? Vivian’s take!!
• Tips on going to court if you should
you ever have to
• Main causes of problems & how to
prevent them up front.
• What it takes to be a success in one
sentence
• Any unfinished business
• Questions and Answer session. |