Get The Most Out Of Your Insurance & Medicare Contracts And Avoid Prison Time With This Special One-Of-A-Kind Training Program
by
Paul Pessis, Au.D.
50% off for a limited time!!!

Insurance billing and coding for Audiology & Hearing Aid practices can be pretty scary sometimes if you don't know what you are doing.

 

Get the right information from an expert in our field. Paul Pessis, Au.D. has created 12 wonderful modules to help you understand exactly what you need to know to avoid a costly mistake and actually look forward to reimbursement.

 

Here is a list of the 12 modules:

 

Module 1
A Lesson In Economics
Insurance billing overview, what benefits should be part of an Insurance plan. Medicare patients, Medicare trustee’s report, reimbursements, and knowing Medicare rules.

Module 2
Preparing for Coding
Codes – CPT, ICD-9, ICD-10, and HCPCS, bundled codes, RVU system which gives value to CPT performed. Who assigns codes and assigns values to codes. Time issues such as pre-service time, intra-service time, and post-service time. Practice expenses, operating expenses. Professional liability, malpractice. Review of ICD-9 system and learning the manual. Coding warning symbols, ICD-9 coding system, diagnosis V codes, HCPCS coding system, and examples of diagnosis codes.

Module 3
Getting to Know Medicare
Medicare part A covered services, Medicare part B covered services, NPI (National Provider Identifier) 10 digit number that is permanently linked to provider. Medicare primary or secondary, when is Medicare secondary?

Module 4
Medicare: Fraud and Abuse
Medicare/Medicaid audit to look for fraud and abuse. Medicare Comprehensive Error Rate Testing, Medicare Recovery Audit Contractors (RAC), and Medicaid Integrity Contractor. Medicare and false claims act. Explains Medicare fraud and Medicare abuse and how they are not the same. What is illegal to bill Medicare for, Local Coverage Determinations (LCD) what is medically necessary and what is not.

Module 5
The Chart and Documentation
Thorough documentation, purpose of medical records, purpose of medical charts, components of the medical chart, organizing chart, accessing medical chart. What triggers insurance audits? Electronic Health Record (EHR) and Electronic Medical Record (EMR) and explains what they are. HIPAA, privacy rules of HIPAA, notice of privacy practices (NPP).

Module 6
Understanding the Explanation of Benefits
Explanation of benefits, EOB terminology, co-insurance and co-pay.

Module 7
What is a Good Insurance Contract?
What contracts to maintain and which ones to eliminate, negotiating contracts, random issues to figure out if an insurance contract is worth keeping.

Module 8
“When to Hold ‘Em, When to Fold ‘Em”
Bundle or unbundle, hearing aid contracts maximizing benefits, “convention” for pricing, coding assistance, V-codes, sample invoices: bundled, unbundled, hybrid.

Module 9
Evaluation and Management Codes
Explains evaluation and management codes, review of systems 18 categories, and scope of practice.

Module 10
Patient Account Management
Insurance determination, collection policy, and front office protocols.

Module 11
Case Studies
8 different case studies with various scenarios.

Module 12
Final Exam of All Material
100 Questions to make sure you remember the most important information from this training program

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DISCLAIMER: The information disseminated in these learning modules is the opinion of the presenter. It is NOT a legal opinion. It is recommended that every practice engage a healthcare attorney to obtain a legal interpretation of reimbursement contracts and the legal guidelines necessary for ensuring practice compliance.