Medical Billing and Medical
Records Management for Tribal Health and Social Service Organizations
Social Services
March 22 - 23, 2010 |
Las Vegas, NV - Hard Rock Hotel
For a group rate of $99, please call 800-693-7625 by March 1, 2010 and mention Falmouth Institute. |
$755 |
If you work with tribal health or social services programs, you face many
challenges in maintaining a quality medical records system and an efficient
billing process. Well-run provider organizations rely on medical
records and health information management to
ensure high-quality service delivery, maximum
revenue and minimal cost. Tribes and tribal health
organizations must maintain medical records and
health information that not only serve their internal
needs, but also meet the standards of external
agencies, such as JCAHO, HCFA, Medicare, Medicaid,
HMOs, PPOs and private insurance carriers.
The majority of the revenue generated by a tribal
or IHS facility comes from third-party reimbursements, namely health
maintenance organizations, private health insurance companies, Medicaid or
Medicare.
Attend this class and find out how to improve your medical
records management and billing processes.
This class addresses the importance of documentation, billing/
accounts receivable processing and the future of health information.
You’ll learn how to maintain quality medical records, design and manage
health care information and control disclosure of
medical information. Our experienced instructor
will guide you through the complexities of the
third-party reimbursement process and provide
tips for complying with the privacy, security and
confidentiality standards of HIPAA (Health Insurance
Portability and Accountability Act of 1996).
Help your department save money and increase
revenue. Don’t miss this opportunity to get the
know-how to improve your medical records management and billing processes.
Please click here to view the brochure.
Topics that will be covered include:
What is Medical Records Management?
- The big picture
- How the individual topics fit together
Documentation
- Health information guidelines
- Inpatients vs. outpatients
PCC Data Entry
- Efficiency and accuracy
- RPMS statistical reports
Medical Transcription
- 24-hour turnaround
- Outsource services
Release of Information
- HIPAA privacy practices
- Records retention
Future of Health Information
- Electronic Health Record (EHR)
- ICD-10-CM coding
Medical Records Management
- Resource management system:
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Reception
Registration
- Patient demographics
- Updating information
Benefits Coordinator
- Patient eligibility
- Medicare, Medicaid and private insurance
Billing
- Claims processing (electronic billing)
- Time limitations
- Coding
Accounts Receivable
- Posting payments
- EOB auditing
- Aging reports
Contract Health Services
- Alternate resources and payor of last resort
Maximizing Reimbursement
- Importance of documentation
- Documentation — the key to reimbursement
- Common coding issues
*Topics subject to change.
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