Training for client staff on how to fully register care management client receiving telehealth services using a proprietary telehealth web portal. Author: Donna Cusano
(Please note that animations are disabled.)
Telehealth Integrators and Competitors LandscapeDonna Cusano
Presentation on telehealth competitive landscape with a focus on \'integrators\' providing care management as option. Overview of marketing opportunities.
Telehealth Web Portal Introduction/TrainingDonna Cusano
Overview/training for client staff on how to use a proprietary web portal for care management clients receiving telehealth services. Designed to be presented and for reference book. Please note that animations are disabled. Author: Donna Cusano
This document provides a 6-step workflow for medical office claims reimbursement: 1) Prepare new patients with necessary documentation; 2) Verify patient insurance coverage and benefits; 3) Obtain required authorizations; 4) Collect charges and file claims correctly; 5) Post payments and address non-payments; 6) Aggressively work accounts receivables to maintain cash flow. Following these steps ensures complete documentation, proper billing, and timely reimbursement. The Iridium Suite practice management software supports the workflow with features like eligibility checking, electronic billing, and automated payment posting.
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DME billing is complex, and Info Hub, a leading offshore DME billing company in India comes with the required expertise to help increase your revenue. Efficiency is the key to success in any healthcare setting! Your ability to innovate and improve patient experience while lowering costs and minimizing mistakes is critical to your success. To fulfil these objectives, it is critical to have a well-functioning medical billing system in place. With our DME billing services, we leverage our experience, expertise, and latest technology to ensure complete accuracy and competence.
Understanding Basics Of Internal Medicine Billing And Coding.pdfRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Telehealth Integrators and Competitors LandscapeDonna Cusano
Presentation on telehealth competitive landscape with a focus on \'integrators\' providing care management as option. Overview of marketing opportunities.
Telehealth Web Portal Introduction/TrainingDonna Cusano
Overview/training for client staff on how to use a proprietary web portal for care management clients receiving telehealth services. Designed to be presented and for reference book. Please note that animations are disabled. Author: Donna Cusano
This document provides a 6-step workflow for medical office claims reimbursement: 1) Prepare new patients with necessary documentation; 2) Verify patient insurance coverage and benefits; 3) Obtain required authorizations; 4) Collect charges and file claims correctly; 5) Post payments and address non-payments; 6) Aggressively work accounts receivables to maintain cash flow. Following these steps ensures complete documentation, proper billing, and timely reimbursement. The Iridium Suite practice management software supports the workflow with features like eligibility checking, electronic billing, and automated payment posting.
The document discusses the three most common challenges with DME billing: policy violations, coding errors, and insufficient documentation. It provides examples of each challenge and recommends implementing quality control measures to reduce errors, such as verifying codes and documentation match the services provided. Offshoring DME billing to a specialized company can help providers overcome complexities and gain timely payments.
DME billing is complex, and Info Hub, a leading offshore DME billing company in India comes with the required expertise to help increase your revenue. Efficiency is the key to success in any healthcare setting! Your ability to innovate and improve patient experience while lowering costs and minimizing mistakes is critical to your success. To fulfil these objectives, it is critical to have a well-functioning medical billing system in place. With our DME billing services, we leverage our experience, expertise, and latest technology to ensure complete accuracy and competence.
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Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
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Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
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When evaluating potential outsource billing partners, agencies should consider 7 key factors:
1. Define your specific billing needs to identify suitable partners.
2. Check partners' experience, particularly with your industry and payors.
3. Evaluate if partners can meet your defined needs and address issues like software compatibility.
4. Consider pricing models like per patient, percentage, or per claim rates.
5. Review contract terms regarding costs, length, renewals and other fees.
Taking time to evaluate potential partners across these factors helps identify the best fit.
There are three main strategies for billing: becoming credentialed as a provider, obtaining preauthorization before submission, and submitting the claim without prior authorization. If a pharmacist is credentialed with the insurance carrier, he or she is already authorized to submit claims to the insurance company for those patients using the pharmacist’s program.
Facing insurance audits as out of network provideralicecarlos1
Facing Insurance Audits as Out of Network Provider
MBC discussed basic tips on facing such insurance audits as an out-of-network provider
1. Understand Purpose of Audit
2. Obtain Patient’s Consent
3. Understand Record-keeping Requirements
To know how we can add value to your medical billing operations, contact us at info@medicalbillersandcoders.com/ 888-357-3226
Read More: https://bit.ly/3qGUyEM
#insuranceaudits #medicalbillingoperations #outofnetworkprovider #facinginsuranceaudits
The document discusses the transition from ICD-9 to ICD-10 coding systems. It provides an overview of the limitations of ICD-9 and benefits of ICD-10, including increased specificity and ability to track new diagnoses. The implementation process involves planning, training staff, updating processes, testing systems, and collaborating with vendors. Thorough testing is needed to ensure internal and external compliance. The transition to ICD-10 will improve data quality and support initiatives like value-based care despite costs of implementation.
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The document provides an overview of medical billing and coding concepts and processes. It covers key topics such as the importance of medical billing, the billing process, common terminology and acronyms, and a simplified diagram of the billing and coding process. Key aspects of the billing process include coding patient diagnoses and treatments, submitting claims to insurance companies, following up on rejected or denied claims, and collecting payments from insurance providers and patients.
Looking for a stress-free solution to payment posting in your medical billing process? 🤔💸
Choose Instapay Healthcare Services for fast, accurate, and reliable payment posting. Our dedicated team ensures your revenue cycle runs smoothly, allowing you to focus on providing excellent patient care. 🏥💙
Don't waste time on mundane tasks - let us handle it while you shine in your profession. Contact us today to learn more!
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- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Mobile frame healthcare suite datasheetMobileWorxs
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Physician Quality Reporting System (PQRS) is a CMS reporting program that uses a combination of incentive payments and penalties to promote reporting of quality data. This presentation discusses.
Digital communication strategies for patients and providers - HIT March 2024KC Digital Drive
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From consumer packaged goods to technology, our presenter, Steve Sewell, has tackled challenges in industries across the board. A builder and fixer with a proven track record at Pepsi, Sprint, and Mars, he thrives on breathing new life into companies, big and small.
With Sinochips, Steve is embarking on a different kind of adventure – his third startup, and his first dive into the world of human health. Driven by a deep passion for making a difference, he's here to help unlock the potential of precision medicine and improve outcomes for people who just want to get well.
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Choosing the right medical billing company is crucial for the financial success and smooth operations of healthcare practices. Outsourcing medical billing can alleviate administrative burdens, improve revenue cycle management, and enhance overall efficiency. However, with numerous options available, it is essential to consider key factors before deciding. This blog will explore ten important factors that healthcare providers should consider when selecting a medical billing company. By evaluating these factors, practices can make an informed choice and establish a successful partnership with a reliable and competent medical billing companies.
This document discusses how technology can be used to simplify health insurance and reduce costs. It proposes a mobile platform that would allow employees to easily view their insurance benefits and network of providers, search for specific treatments covered by their plans, and access claim forms and other documents. This is intended to encourage employees to stay within their insurer's network and reduce claims costs for companies. Specific features proposed include an interactive map of covered hospitals, clinics and other providers, and a searchable database of policy benefits and restrictions. This platform aims to modernize how health benefits are provided and increase employees' understanding and usage of their insurance.
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CMS’ Final Rule expands Medicare reimbursement for chronic care management (CCM) services including telehealth. CCM requires at least 20 minutes per month of non-face-to-face care by a care team under a provider. It includes services like remote patient monitoring, medication management, and care coordination. Telehealth can help provide 24/7 access and monitor medical, functional, and psychosocial needs between in-person visits. Providers must meet documentation and patient consent requirements for reimbursement.
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Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
The Ultimate Guide to Choosing the Right Medical Billing Agency.pdfmedquikhelathsolutio
In the ever-complex healthcare landscape, navigating the world of medical billing can be a daunting task. Reimbursement rates are constantly changing, insurance regulations are intricate, and ensuring accurate claim submissions is paramount for financial stability.
The document provides information on Fanestra Medical Billing System and the services they offer. Fanestra has over 10 years of experience in medical billing and collection. They provide billing, collection, software and IT services at competitive prices while maintaining high quality. The document outlines their billing process, software features, reports, security measures and team to demonstrate their capabilities and assure clients.
eBook: Key Factors when Evaluating Outsource Medical BillingMichelle Harper
When evaluating potential outsource billing partners, agencies should consider 7 key factors:
1. Define your specific billing needs to identify suitable partners.
2. Check partners' experience, particularly with your industry and payors.
3. Evaluate if partners can meet your defined needs and address issues like software compatibility.
4. Consider pricing models like per patient, percentage, or per claim rates.
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Facing insurance audits as out of network provideralicecarlos1
Facing Insurance Audits as Out of Network Provider
MBC discussed basic tips on facing such insurance audits as an out-of-network provider
1. Understand Purpose of Audit
2. Obtain Patient’s Consent
3. Understand Record-keeping Requirements
To know how we can add value to your medical billing operations, contact us at info@medicalbillersandcoders.com/ 888-357-3226
Read More: https://bit.ly/3qGUyEM
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The document discusses the transition from ICD-9 to ICD-10 coding systems. It provides an overview of the limitations of ICD-9 and benefits of ICD-10, including increased specificity and ability to track new diagnoses. The implementation process involves planning, training staff, updating processes, testing systems, and collaborating with vendors. Thorough testing is needed to ensure internal and external compliance. The transition to ICD-10 will improve data quality and support initiatives like value-based care despite costs of implementation.
This document provides guidance for a referral specialist at Mount Vernon Internal Medicine. It discusses daily duties such as submitting insurance referrals and authorization requests. It reviews the referral processes and forms for major insurances like Tricare, CareFirst, UnitedHealthcare, and Aetna. It also discusses following up on referrals and notes, as well as authorizing radiology services. The overall goal is to help patients understand insurance benefits and receive full value from medical services through efficient referral management.
The document provides an overview of medical billing and coding concepts and processes. It covers key topics such as the importance of medical billing, the billing process, common terminology and acronyms, and a simplified diagram of the billing and coding process. Key aspects of the billing process include coding patient diagnoses and treatments, submitting claims to insurance companies, following up on rejected or denied claims, and collecting payments from insurance providers and patients.
Looking for a stress-free solution to payment posting in your medical billing process? 🤔💸
Choose Instapay Healthcare Services for fast, accurate, and reliable payment posting. Our dedicated team ensures your revenue cycle runs smoothly, allowing you to focus on providing excellent patient care. 🏥💙
Don't waste time on mundane tasks - let us handle it while you shine in your profession. Contact us today to learn more!
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BetterDoctor’s monthly webinar series on provider directory best practices and regulation guidance. Join the discussion alongside health plans, provider groups, policy makers, and industry experts.
This document provides an overview of DME billing processes. It discusses key aspects like Medicare, Medicaid, workers compensation and commercial insurance plans. It also outlines the coding and billing processes including medical coding, eligibility verification, prior authorization requirements, claim submission and payment reconciliation. Key steps in DME billing like order entry, delivery, claim generation and managing denials are also summarized.
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We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
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Physician Quality Reporting System (PQRS) is a CMS reporting program that uses a combination of incentive payments and penalties to promote reporting of quality data. This presentation discusses.
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These slides were presented at the March 2024 meeting of the KC Digital Drive Health Innovation Team.
This presentation is from Sinochips Diagnostics, who want clinicians to do better than use guessing games and trial-and-error with prescriptions. In 2019, visionary healthcare minds at University of Kansas Medical Center saw the research proving the power of precision medicine and formed Sinochips Diagnostics. Now, from their cutting-edge Olathe lab, they’re offering to unlock your body's unique response to medication, crafting treatments tailored to you. With DNA and the utilization of algorithms, they are matching databases of prescriptions and genetics. Fundamentally, they want to deliver advanced digital solutions to rewrite the future of prescription medicine.
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With Sinochips, Steve is embarking on a different kind of adventure – his third startup, and his first dive into the world of human health. Driven by a deep passion for making a difference, he's here to help unlock the potential of precision medicine and improve outcomes for people who just want to get well.
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Overview
Dive into the world of anomaly detection on edge devices with our comprehensive hands-on tutorial. This SlideShare presentation will guide you through the entire process, from data collection and model training to edge deployment and real-time monitoring. Perfect for those looking to implement robust anomaly detection systems on resource-constrained IoT/edge devices.
Key Topics Covered
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Monitoring and Managing Anomaly Detection on OpenShift.pdf
Telehealth Client Registration Module--Staff Training
1. Introduction to Client Registration
in the AMC Health Web Portal
With AMC Health, registering your clients
into our system is an easy, interactive process
1
2. Table of Contents
Getting Started 3
Client and Provider Information 5
Saving Client Information 14
Client Monitoring and Insurance 16
Priority Limits and IVR Templates 21
Medications, Allergies and Hospitalizations 31
Assigning Care Managers, Priority Recipients and Additional
Information 35
Completing Client Registration 38
2
3. Starting the Client Registration Process
Access the Administrative Menu
Click on Registration/Referral
3
4. Registering a New Patient
Click here to start
registration
For a client who has
previously participated
in telehealth, enter the
Client ID and click
‘Re-Register’
4
7. Company Division
Select ‘division’
(usually your location)
• The field is
customized
according to your
needs
• Not all
organizations opt to
identify clients by
division
7
8. Program Type
The options are selected by
your organization
8
9. Client ID
The choice of designation
is based on your
organizational needs
Select the primary Client ID
number. (In this case it is the
Health Information
Number).
You may add a second
number.
The drop-down menu will
prompt you for the type not
already selected.
9
10. Client Information Enter the client’s
title, name, DOB,
gender, primary
language and
spoken language
The pop-up provides a
wide choice of primary
languages
10
11. Client Demographics The Phone #1 must correspond
to the number where the client
can be contacted and devices
will be installed.
If there is an alternate contact
number, enter it and the type as
Phone #2.
Complete address:
type, street, city, state,
zip code and time zone
Recommended: entering Provider information….
11
12. A provider can be the primary care Provider Information
physician, or any other type.
• Enter last and first names, phone
numbers, email address
• Select provider specialty (pop-up menu)
• Check if provider is primary
• Select if provider should receive
priorities, notes or both from the drop-
down menu
• Click ‘Add’
Provider listings once completed can be edited or removed
Any number of providers can be listed at any time
12
13. Provider Information
To move to Page 2, click ‘Next’
By doing this, all entered information will
automatically be saved
Do not make changes here.
13
15. At any time, after you’ve clicked ‘Save’, you will be brought to the Registration Page
You can review
and print your
client’s completed
information
‘Edit’ will return
you to the
corresponding
section
15
17. Setting up monitoring devices for the patient
It is on this page you select devices and connectivity for the patient, based
upon their program, clinical requirements and home situation
• Select the modem and either the landline or wireless option
• The blood pressure device, scale and glucose meter (if selected) need to be
identified for either a wired or Bluetooth connection
• For blood pressure devices, the cuff size needs to be identified. The upper arm
circumference is noted in parentheses.
17
18. Glucose Meter Selected
If Glucose Meter is
selected, then Glucose
Testing Information
will be requested
based on patient
requirements and their
current meter type
At a minimum, the
following information
needs to be completed
before moving to the
next page:
• Insulin Dependent
• Has Glucose Meter
• Glucose Meter Type
• Testing Frequency
18
19. Entering patient insurance information If a glucose meter is
selected, this section
needs to be completed
Enter insurance information:
Type (in pop-up menu),
Check if primary, member ID and group number
When completed, click ‘Add’
19
20. Glucose Testing
and Insurance
completed:
• Additional
insurance types
may be added
• Information on
Telehealth
Insurance Episodes
is optional
• Click ‘Next’ to
move to the next
section:
Priority Limits
20
22. Understanding priority limits and setting up IVR
Clinicians have the option of changing these according to understood clinical needs.
Default is clinical parameters based on standard guidelines.
What appears on this page
corresponds to devices
selected and IVR
22
23. Target and priority ranges
Target and priority
ranges appear at
default settings. They
can be adjusted by
clinicians based on
each patient’s need.
If the scale is selected,
the Delta Weight
Priority Range is the
default setting. Users
have the option to
select Delta Weight,
Reference Weight, or
both
23
24. Setting up IVR Autofills with Phone # listed on page 1 of
registration; if another number is to be used,
enter information.
Enter phonetic spelling if name is unusual
Available Templates
are pre-set by customer
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25. IVR Call Back Attempts
Preferred language autofills with
client’s selected language. One of Users have
three depending on customer setup the choice of
setting up
number of
call back
attempts and
timing :
• Same day
• Next day
25
26. Setting IVR Templates
Select template for client,
e.g. HF Weight Gain, by
using the Add button
26
27. Setting Scheduling Pattern
• Recurrence pattern: how frequently
• Range of recurrence: select start and end dates, or number
• Template type: if IVR is scheduled for a time, or after a
device is used (device triggered) and frequency
• Click ‘Save’ to retain your selected information
27
28. Another Example of IVR Settings
Select template #4 for
Caregiving demo CHF1
28
29. Setting Scheduling Pattern
This is set as Daily (every 3 days), starting 3/15/2011 (does not
end) and triggered by the device reading
29
30. IVR Setup Review
After IVR setup is
completed, it is
available for
• Edit, view or to
trigger an IVR call
directly
• Click ‘Calendar
View’ to view
template
scheduling, or
“Send Call Now’
to generate a call
immediately
Click ‘Next’ to move
to the next section,
Medication, Allergy ,
Hospitalization List
30
32. Medications, Hospitalizations, Time Away
Information in this section is usually entered by clinical staff.
These fields are optional.
Important
Hospitalization and time away
information cannot be entered
prior to device installation and
activation
32
33. Food and Drug Allergies
Select allergic drugs and foods from the drop-down menu and
click ‘Add’
33
34. When completed
Click ‘Next’ to move to the
next section, Case
Managers & Patient Contact
Patient diagnosis may be added at time of registration. Select
from the drop-down menu, add onset year (if known), check
box if it is a primary diagnosis, then click ‘Add’
34
35. Page 5: Assigning Care Managers, Priority
Recipients, and Additional Information
35
36. Assigning Care Managers, other priority recipients All authorized care managers
are listed for your
organization. These may be
assigned or reassigned based
on patient need—click
‘Remove’ or ‘Edit’.
• You may designate a care
manager as “primary” by
clicking the box.
• You may designate who
will receive priority/alert
notification emails by
checking the box.
If any additional (not
already designated) people
are to be notified of
priorities, add them here
36
37. Adding other contact information and comments
This is useful information for clinicians and service support
personnel to reach out to clients
Add alternative contacts such
as family members or other
caregivers here. Use drop-
downs for phone type and
relationship type
By pressing ‘Save’ at the end of this Add any pertinent comments about
page, the user is able to bring up a the client in this field. This may be
summary of all entered information related to device installation, days
available, patient physical condition
(e.g. ROM), limitations, name of
caregiver to be present, etc.
37
39. Client Information Review Review all patient
information prior to
final registration.
Scroll down for
complete record
Click ‘Edit’ to correct or
add.
39
45. The patient record will not register if mandatory information is not complete
This is missing Client Address Type
Click ‘Edit’, save
your work and
use the
Administrative
drop-down,
select Status
Reports, click
on
Referred/Identi
-fied Report. By
the patient’s
listing, click
View/Update
This will return
you to the
Registration
Page.
45
46. To complete registration:
Return to top--click ‘Change Status” and select ‘Registered’ again to complete
The screen will reload and your work will be saved
Tip: To confirm if
Registration is
completed, click
Change Status.
Only the
Registered option
will appear.
46
47. Status Reports
If you are looking for a client with a previously incompleted registration, use the
Status Report
In ‘Administrative’ on any page, drop down and click ‘Status Reports’
47
48. Referred/Identified
Until clients are fully registered, all saved information can be found on the
Referred/Identified Report
Click on ‘Referred/Identified Report’
48
49. To access this information
In the list of Referred Clients Reported,
click on ‘View/Update’ for the patient
(Mr. Platter)
49
50. Returning to your registered client
• Select Status Reports in the Administrative menu at the left
• Click on ‘Registered Report’ to view all Registered clients
50
51. Your client is now registered and listed in the
‘Registered Report’ section
The Enrolled/Active Report shows all clients currently active in the program
The Disenrolled/Inactive Report shows former clients who are no longer active
51