Senior Consultant
CurrentBilling and Coding Consulting • Review of current billing and coding processes for compliance• Training in-house billing staff on correct billing/coding • Training providers on proper billing/coding for compliance and reimbursement• Creating a practice specific superbill to ensure all services are properly capturedCompliance Consulting • Review of current fee schedules and financial documents • Advice on writing initial fee schedules and financial documents• Balance Billing Training for front office staff, practice administrator, in-house billing team• Reviewing the following existing processes/training:o HIPAA Complianceo OSHA Complianceo CLIA Complianceo Fraud Waste and Abuse Complianceo Ethics Training Materialso Bias Training Materialso Domestic Violence Training Materialso PCI Compliance• Training an in-house HIPAA Compliance OfficerInsurance Contract Review • Reviewing existing contracts and making a billing guide for each one• Determining what fees need renegotiated and whenInsurance Contract Negotiations