Medical Billing Ethics

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Industry Articles on EMR, EHR and Meaningful Use

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Electronic Medical Records
Introduction: History

The deluge of regulatory changes in healthcare in the past few years shouldn’t come as a surprise for those who’ve followed the industry and information technology trends, but the extent to which these changes will alter the very fabric...
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eRx: An Overview of Electronic Prescription
Incentives, Penalties, and Exemption

The deadline for qualifying for the e-prescription (eRx) incentive monies arrives at the end of June! Is your practice ready? And if not, what can...
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The Medical Billing Industry is in the News…and it’s the wrong kind of News.

I’m sure you have seen the story in the local news about the Denver-based chiropractic billing company that has been accused of conducting several unethical business practices. If I was a physician or a practice manager of a medical office, this news story would make me pause and consider the potential of something like this impacting my own practice.  At Clinic Service, this story encouraged us to revisit our company values and internal/operating practices, and raise the dialogue internally regarding our commitment to ethical business conduct and legal standard. 

 

We are writing this today to reassure you that the fraudulent actions alleged in the news story will never happen in your partnership with Clinic Service.  Here’s why:

  1. Clinic Service works with complete transparency.  You are welcome to review our work at any time, and you have complete access into our proprietary billing software to see how the job gets done.  You can review patients’ records, the charges we have submit on your behalf, and all the payments we posted. In fact, we encourage you to do this more often.
  2. You have the expertise and experience to examine and diagnose the patient, and subsequently it is your responsibility to capture a record of the work performed. It is then our responsibility to ensure that you get paid for what you do.  Once the codes you identify are submitted, our bookkeepers DO NOT make any changes to the codes our doctors submit to us for reimbursement. We do, however, ensure your accuracy and proper coding practice meets industry standards and regulations. 
  3. To ensure you are coding the right codes correctly, all of your charges are triple-verified before they are submitted for payment.  Our bookkeeping team first ensures that all of the codes are correctly aligned with the diagnostics.  This team also reviews the coding accuracy based on our understanding on how you practice.  This bookkeeping team is further supported by our certified coders on staff as well as their supervisors to make sure the charges are put into our system as a “clean claim”.  Finally, our proprietary medical billing software and clearinghouse scrubs all charges to ensure they are transmitted right the first time—which leads to our ability to get you paid promptly and accurately
  4. You partner with us to be more than a medical billing company. Our trusted business advisor approach helps you to make decisions that will ensure that you are as profitable as possible, and relevant to day’s article, within the rules of running a principled medical practice. Like you, how we do our work is just as important as what we do.  Our reputation is created and enhanced by the long-term success of the medical practices we support.    We do not take this lightly. 

The Clinic Service team takes pride in the business results that we achieve for the community of Physicians we support.  Our work helps you stay focused on great medical care for your patients.  Let’s hope the next news story is in that light. 

 

If you haven’t had the opportunity to view the news story that I am referencing, you can find it at:

http://www.9news.com/news/investigative/219104/207/Company-makes-millions-adjusting-patients-bills



About Clinic Service: For over 30 years we have served the medical community. We are a medical billing provider based in Denver, CO serving locally and nationally. With a track record of 99.7% collectable revenue, we know what it takes for you to navigate the medical billing highway.

 

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