4 Reasons to have a Billing Policy Manual

  1. For Staff

Staff members want organization and leadership. They want to work in an ethical and trustworthy atmosphere. A billing & coding policy manual creates a culture of compliance and is an extension of your mission and values. Also, if you have a staff member who is accusing the business owner of wrongdoing, a policy manual can contain the ammunition to defend against allegations of misconduct.

  1. For Patients

Billing mistakes and fee confusion are unfortunate and stressful and can cause patients to discontinue care. Your patients expect you to have fair and ethical policies and procedures. Do you clearly explain your cash patient discounts? Do you clearly explain how you handle deductibles and co-pays? A billing and coding manual is a good pro-active way of preventing unnecessary patient upsets.

  1. For Insurance Companies/State Boards/Malpractice

A billing & coding policy and procedure manual can prevent audits. Should an audit occur, having a manual can mitigate fines and penalties. You look bad and unprofessional if you cannot prove to an investigator, state board or patient what your billing & coding policies are. Your policies MUST be formalized in writing and tracked in training logs.

  1. For The Doctor

A billing & coding policy manual is a custom-made document for your particular type of practice. For example, do you have a policy on full-spine adjusting when you only bill 98940? Do you have a policy on open adjusting/therapy rooms? How about a policy on cell phone use by staff members? A policy manual allows you to tell “your story” in a professional manner. 

What do HIPAA & Compliance Programs and Policy Manuals from Target Coding offer you?

HIPAA Program Key Elements:

  • A comprehensive risk analysis with detailed report and action plan.
  • Cloud-based storage portal for all HIPAA policies and procedures.
  • Compliance training videos for clinical and administrative staff.
  • HIPAA compliance testing with certificates of completion.
  • Business associate tracking.
  • Business associate agreement and HIPAA notice templates.
  • HIPAA updates, articles, links and related reference material.
  • Includes $100K of HIPAA cyberliability insurance.
  • Also included is an OIG compliance manual & training (limited time).

Medicare/OIG Program Key Elements:

  • A comprehensive customizable Medicare/OIG compliance manual.
  • Medicare/OIG policies and procedures personalized for your practice.
  • Employee training logs and forms.
  • Chart audit tools, compliance calendars and checklists.
  • Proper ABN use, the $75 rule, prompt pay discounts and opt-out rules.
  • Medicare/OIG articles, reports and related reference material.

Dry Needling Billing & Coding Program Key Elements:

  • A comprehensive customizable dry needling billing and coding compliance manual.
  • Billing & Coding policies and procedures personalized for your practice.
  • Employee training logs and forms.
  • Chart audit tools, compliance calendars and checklists.
  • Dry Needling billing and coding updates, reports and related reference material.

Billing & Coding Program Key Elements:

  • A comprehensive customizable billing and coding compliance manual.
  • Billing & Coding policies and procedures personalized for your practice.
  • Employee training logs and forms.
  • Chart audit tools, compliance calendars and checklists.
  • Billing and coding updates, reports and related reference material.  

For more info on Target Coding Compliance or Billing Manuals please email Dr. John Pecora at jpecoradc@wbcgp.com

Or for more info on current product specials, please contact your personal MeyerPT Account Manager.

If you don’t know who your Account Manager is, please call 866.528.2144 to find out.

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