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Ways To Prevent Medical Billing Fraud

Ways To Prevent Medical Billing Fraud

Have you ever been a victim of medical billing fraud? Medical billing fraud, especially those related to insurance billing are far more common in practices than you would think. There are cases of willful fraud committed as well as those that are committed without even knowing it. In either case, the onus of the fraud and its legal consequences rests on the practice. How can you prevent these from taking place at your practice? Well, here are certain things you can do…

Same Procedure – Same Charge

This is one of the most common mistakes – charging different amounts for the same procedure based on insurance allowed. In order to avoid having to post insurance write-offs on a patient’s account, healthcare facilities often charge different patients dissimilar amounts for a similar procedure or treatment. Make sure that this practice is avoided at your facility. If you wish to offer a discount to a patient due to their financial hardship, do so by asking the patient to complete a financial hardship form. Remember, every patient needs to be treated the same and must be charged the same amount for the same procedure.

Patient Co-payments

Your heart wants to reduce the amount due from a

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Exploring Dozens of Types of Commercial Transportation Insurance

Exploring Dozens of Types of Commercial Transportation Insurance

In the world of commercial transportation insurance, there’s a nearly unlimited range of specific types of coverage. It’s easy to see why as well, because each form of insurance relates to a very specific type of vehicle, industry or application.

Each of those present different risks and challenges, and therefore, need to have a different form of coverage. It’s crucial to obtain the correct type of transportation insurance so that you’re covered when you need it most. You also don’t want to overpay for a more generic or blanket form of coverage which doesn’t apply to you, and offers you forms of protection you don’t need to begin with.

To get an idea of how vast the world of commercial transportation insurance is, let’s take a look at just the different types of trailers which may each have different policies in place. The list includes: bulk commodity, concession, dry freight, dump body or transfer box trailers, flatbeds, goosenecks, horse trailers, livestock, log haulers, low-boy, pole, refrigerated, tank, tilt, travel and utility. Again, that’s just the trailers!

Now let’s take a look at more types of vehicles which while not tractor trailers, still fall into the realm of commercial transportation insurance. Here, the

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Five Tips for Choosing the Right Health Insurance Plan

Five Tips for Choosing the Right Health Insurance Plan

One of the best ways of safeguarding your personal well-being is by having a health insurance plan. Due to the large number of companies that offer this type of insurance policy, choosing the right one can be a daunting task. Here are five tips to help you find the best plan on the market today.

Check the Networks of Different Plans

If you have a select group of doctors whom you prefer, ask them which insurance networks they are part of. You can also use one of the many accredited online directories to know the networks that each plan on your list has. On the other hand, if you just relocated to a new city and you do not have a preferred doctor yet, choose a plan that has a large network of health practitioners.

Know the Maximum Premium Budget

Consider your average monthly expenses to know the amount of money that you can spend on the policy without compromising your financial capability. Low premiums often result in high out-of-pocket costs. Hence, what appears to be the cheapest plan may really be the most expensive, as you will be forced to pay for most of the services. One of the best ways of

Most Affordable Vehicle to Insure

Most Affordable Vehicle to Insure

Reports by renowned publications like Forbes ranks 2015 Wrangler Sports Jeep as the car with the lowest average yearly insurance rate in The United States. According to research by some online research team, the same car also ranked as the car with the cheapest insurance rate. The study conducted by Forbes was carried out on a middle-aged driver who goes on an average drive of 12 miles daily.

The annual cost was averagely about $1,135; which is about $100 monthly. This is, of course, good news for owners of this model that is fun to drive. For prospective buyers who are still contemplating whether or not to acquire the 2015 Wrangler Sports Jeep, these incredible rates are good enough to convince them to go for the brand. All over the US, Maine had the lowest prices for the brand model with an annual bill of about $700, which translates to less than $60 monthly as the premium for a new car. A lot of consumers will appreciate this rate as a result of the recent rise in insurance rates.

Jeeps like Patriots and some other brands had good scores in the research for cheap vehicle insurance rates, ranking among the ten

Are You Aware of CMS Updates on Ambulance Services?

Are You Aware of CMS Updates on Ambulance Services?

Several notable changes have been initiated under the Final 2016 Physician Fee Schedule Rule for ambulance services on November 16, 2016

Change in Bonus Payment Extensions

The Medicare ambulance fee schedule amounts for ground ambulance services, which was increased last in July 2008, has now been extended further until December 31 2017. Section 203 extends the provision increasing Ambulance Fee Schedule amounts by

  • 2% for ground transports originating in urban areas
  • 3% for ground transports originating in rural areas
  • 22.6% for ground transports originating in an area that is within the lowest 25th percentile of all rural areas arrayed by population density, known as super-rural areas

All these three provisions will expire on December 31, 2017, unless Congress chooses to extend them beyond that date.

Change in Zip code affecting reimbursements

For ambulance fee schedule purpose, CMS brought in the ZIP code changes that went into effect on January 1, 2015. Geographic designations for approximately 95.22 percent of ZIP codes are however left unchanged

Why is this significant?

ZIP codes changes from urban to rural and rural to urban will have their impact on billing reimbursements especially for rural pickups

CMS increases the mileage rate by 50 percent for each of the first 17 miles and the rural bonus is 3%

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Why You Might Need an Errors and Omissions Insurance Policy

Why You Might Need an Errors and Omissions Insurance Policy

Making errors is just part of being human, either at workplace or in daily life activities. But there are certain clients who are pretty serious about every inch of their work. Even a slight mistake can make them claim for inadequate performance. These claims may seem small to the providing party, but can severely affect the financial position of a business and have the potential make them insolvent. In order to avoid such terrible consequences, companies get protection through an insurance policy and protect themselves from the consequences of claims.

Let’s have a look at why companies need an errors and omissions policy.

What is an E & O Policy?

Before we move on to why companies get themselves insured under this policy, you must first understand the ins and outs of the policy. This kind of coverage is for the businesses who want to protect themselves from the expensive claims holding them responsible for the poor services. The claims are different from every client, they can be due to the failure to meet client’s expectation of the services or may be due to not providing the services on time.

The insurance company is responsible to provide coverage for the losses incurred by

Optometry Staff to Check Patients’ Benefit Plans Before Documentation

Optometry Staff to Check Patients’ Benefit Plans Before Documentation

It is quite usual for a patient to visit an optometrist’s office with a thorough understanding of the insurance coverage he or she possesses. The optometrist’s staff should also understand and be good at reading the patient’s illnesses while comparing them with the various diagnosis codes. This helps them decide on whether to bill under vision insurance or medical insurance. However, in reality most of the staff employed at an optometrist’s do not realize the importance of checking the patient’s benefits plans before documentation.

This is primarily because most of them do not fully understand which plan is meant for what. Hence, more often than not they are at a loss as to advising the patient on what benefit plan he or she should be using. In such situations not only are the staff frustrated, they leave the poor patients frustrated as well. The staff need to understand:

    • To ensure errorless billing and coding, there needs to be at least one staff member in an optometrist’s office who thoroughly understands the various insurance plans that are acceptable, and how the documentation needs to be done.
    • In order to check this, the primary step will be to check for the eligibility verification of