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Billing Practices |
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Manual: Home Care Corporate Compliance Manual (Ver 1) Department: HOME CARE
This customizable document, Billing Practices, is taken from MCN Healthcare’s Home Care Corporate Compliance Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools. MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch. Here is some sample content from Billing Practices:
| | POLICY:
It is the policy of this organization to ensure that all of its billing practices adhere to all applicable federal, state and local laws and accreditation standards.
The company strives to maintain current knowledge of the requirements of any payor that is billed.
Billing and data entry personnel are informed of all applicable payment rules and regulations of all federal, state and private healthcare programs to which claims for reimbursement are submitted.
Appropriate/correct codes are used for the items and services provided.
There shall be appropriate documentation in the... |
| Second excerpt: |
| | ...Claims presented by a person who knows or should know that the person who provided the service was not a physician or had been excluded from participating in federal health programs.
In the event that a patient has more than one 1 insurance, the billing coordinator will research the information necessary to ascertain which is the primary insurance.
Note: Medicare is not always the primary insurance.
The Clinical Supervisors or Performance Improvement nurses shall enter all ICD-9 -CM... |
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Back to Home Care Corporate Compliance Manual (Ver 1) |
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