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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

What Is an SEP?

What Is an SEP?

What are SEPs? Do I need one?

I have been getting this question a lot lately. What is a SEP? SEP stands for Special Election Period. This is a time frame that Federal and/or State Governments allow individuals and or families to enroll into a Health plan or new health plans based on what’s happening with them.

There over a dozen of different SEPs to work with in the Health and Medicare insurance industry. They could be related to something as simple as moving into a new plan in area, or losing an existing or gaining a job or position, They could be related to attaining or losing a attained age. It could be related to special dates like your birthday or having their plan cancel doing business in an already existing area. These opportunities are there to help members to enroll into major medical coverage without having to wait for open or annual enrollment period.

Working with the correct SEP can help people get themselves and their families the Health and Medicare plans that they need to maintain a quality of life. It can provide the new or disenfranchised a chance to get the major medical health plans that they both

Avoiding Increases in Auto Insurance

Avoiding Increases in Auto Insurance

If you receive an update from your provider about an increment in your insurance premium, you can reduce the rates by taking some few steps. When your insurance rates are going up, don’t worry yourself, these tips will help you avoid a rise in your insurance rates and get lower rates.

1. Safe Driving

Although this sounds common, so many people are ignorant of the role their driving manner plays in determining the amount they pay as premium. The tickets you have gotten and the severity of those infractions you have recorded are key factors. Avoid the tickets if you must reduce your insurance bills. Ensure you remove any ticket you have gotten from traffic school. If all you have is a single infraction, that won’t get your rates up. On the other hand, multiple incidents, especially when you are at fault, will cause your rates to jump up quickly. Hence the need for careful driving; always have safety in mind.

2. Avoid Drinking and Driving

The fastest and easiest way to boost your premiums is by obtaining a DUI. Every year, thousands of people lost their lives to alcohol-related auto crash. And this translates to huge claims being paid out to policyholders

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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