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Independent Clinical Laboratories
Hospital Outpatient Departments
Coding For Hospital Ancillary Services
Office Automation
Ambulatory Surgery Centers
Physician Practices
Freestanding Clinics
Managed Care Contracts
Contract Negotiations
Partnership Agreements
Medicare Appeals
Medicare Law Compliance
Medical Record Review (Chart Audits)
Third Party Billing and Reimbursement
Maximum CPT Coding
Correct Coding Initiative Compliance
Proper ICD-9 Coding
Multi-Tier Fee Structures
Collecting Old Money
Practice Start-Up
HIPAA
Compliance

Independent Clinical Laboratories
• CPT Codes
• Coding Combinations
• Fee Schedules


Hospital Outpatient Departments
• Appropriate Codes
• Bundling Requirements
• Charge Capture


Coding For Hospital Ancillary Services
• The 72-Hour Rule
• IP/OP/Observation
• Inclusive Services
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Office Automation
• Computer Selection
• Software Upgrade
• Electronic Billing


Ambulatory Surgery Centers
• Coding
• Reimbursement
• Inclusive Services

Physician Practices
• Chart Audits
• Practice Evaluations
• Practice Efficiency

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Freestanding Clinics
• Services Offered
• Managed Care Participation
• Role of Medicare

Managed Care Contracts

• Contract Negotiations
• Rate Negotiations
• Past Due Accounts Receivable


Contract Negotiations
• Radiology
• Anesthesiology
• Pathology
• Emergency Doctors
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Partnership Agreements
• Pitfalls to Avoid
• What to Have in Writing
• Are Written Agreements Necessary


Medicare Appeals
• Provider Rights
• Time Limits
• How to Be Aggressive

Medicare Law Compliance

• OIG Opinions
• Stark Law
• Safe Harbors
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Medical Record Review (Chart Audits)
• Comparative Data
• Medicare Requirements
• Appropriate Documentation

Third Party Billing and Reimbursement

• Appropriate Billing
• Proper Coding
• How to Monitor Reimbursement
• Fair Payment
• Types of Billing Systems

Maximum CPT Coding

• Proper CPT Codes
• Proper Combinations of Codes
• Comparative Analysis of CPT Codes Used
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Correct Coding Initiative Compliance
• Coding Pairs
• How Medicare Uses
•
How CCE Applies To Managed Care

Proper ICD-9 Coding

• Highest Level
• Order of Coding
•
V And E Codes

Multi-Tier Fee Structures
• Why
• Are They Of Benefit?
•
What Levels
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Collecting Old Money
• How to Identify
• Which to Go After First
•
Sue or Settle

Practice Start-Up
• Complete Check-List
• How to Finance Start Up
•
Billing Systems

HIPAA
• Requirements
• Time Lines
•
Deadlines

Compliance

• Pre-Audits
• Compliance Plans
•
Implementation
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