Health care regulations, such as privacy standards and provider-based regulations, create significant challenges for medical providers. Advanced Consulting Associates provides clients with consulting and training services to help establish, update, and review compliance programs.
Development of a Comprehensive Compliance Program
Formal compliance programs help health care organizations operate within state and federal laws. Because the laws change and staff turns over, compliance requires continuous organizational attention. The heavy fines and penalties that can be levied for non-compliance more than justify the cost and effort necessary to maintain an effective, ongoing compliance effort.
HIPAA Privacy and Auditing/Compliance
HIPAA mandates Security, Privacy and Transaction Standards for all health care agencies. At Advanced Consulting Associates, we know what a challenging field Medical Billing is. With a constant stream of information available, it can be difficult to incorporate this information into your organization. Advance Consulting Associates offers consulting services to help you manage this information stream, as well as educate your staff and improve efficiency.
The purpose of an audit is to achieve the following:
Educational Training
Assess medical record completeness and accuracy
Compliance Plan
Revenue Enhancing
Insurance Refund Request
Advanced Consulting Associates have multiple certifications
Medical Billing
Advanced Consulting Associates Medical Consulting would include the following:
Review of entire billing process
Coding practices
Revenue flow and A/R
Coding
ICD-9, CPT-4 and HCPCS coding
Modifiers
Medicare 95 and 97 E/M guidelines
Accurate, ethical and compliant coding
At Advanced Consulting Associates, we never underestimate the importance of well-trained and efficient front desk personnel. Therefore, we make every effort to train both providers and their staff to better handle the day-to-day operations of medical practice.
Practice Analysis