Medical Billing and Compliance Training
Paragon offers a wide variety of training programs. We customize our approach to meet our client needs. When you consider the training needs of your organization, you must first determine if the training event going to serve an "one-time" need or should the training event(s) be geared towards supporting your compliance program ancillary, or recurring training needs? From a compliance perspective, we recommend a well-documented initial and annual training program. Our training programs can be directed to meet the needs of providers or your billing organization. Here are a few thoughts to consider:
- Annual Diagnosis and/or CPT code updates
- An ASA crosswalk-review
- Insurance payer review - Are you correctly billing per insurance payer requirements?
- Understanding insurance payer contract performance - Have you accounted for carve-outs?
- Overview of baseline differentials for provider documentation and coders.
- Governmental program points of intertest - e.g. What are the current or forecasted points of interest for auditing?
- Denial management program development and recurring audit practices.
- Base unit differential documentation and supporting audit programs.
- Medical record documentation requirements - Are you ready to stand the test of an audit?
- Insurance carrier audit findings - prepared response auditing and recovery plan training programs.
- Clearing house common errors and omissions - Creating a clearing house auditing program.
- MUE updates and how to create a recurring quarterly cross check and audit program.
- Baseline CRNA documentation practices - Developing documentation consistency practices geared towards improving accuracy and insurance payer reimbursement.
- Payer audit response - How to respond to audit requests. What to do when documentation and billing errors occur.
- Credentialing - Is it time to provide compliance program documentation detailing your review and corrective action plan?
- Understanding when and how to employ legal counsel as a preventative action as, well as, assisting in formulating and response action plan.
- Analytics reporting? - Are you getting the full 360-degree perspective? What are your outlining issues?
- New facility - location start-ups - What needs to be accomplished to receive day-one of operations reimbursement. Paragon can help build a successful team and break down communication barriers.
- EHR/EMR transitions - How to build compliant documentation requirements and the necessary requirements for compliant billing operations - Documentation which supports billing operations.
