A report released by the Frontier Group and Public Interest Research Group examined complaints made to the Consumer Protection Bureau
regarding medical collection debt.
Not exact matches
Complementary and alternative medicine (CAM) in Michigan is a
collection of varied
medical and health care systems, treatments, and products that are not
regarded as part of conventional medicine or not integrated into the dominant health care paradigm.
The
collection of case examples document the WSIB's failure to heed
medical advice
regarding readiness to return to work, insufficient treatment, blaming «pre-existing» conditions for ongoing illness, and using independent
medical reviews which proclaim patients to be healed, despite the evidence of treating practitioners.
The National Committee for Quality Assurance accreditation guidelines state that an accredited managed care organization «communicates to prospective members its policies and practices
regarding the
collection, use, and disclosure of
medical information [and] * * * informs members * * * of its policies and procedures on * * * allowing members access to their
medical records.»
Provided training to law enforcement, attorneys,
medical professionals, and the general public
regarding forensic science, evidence
collection and preservation, and DNA analysis.
• Provide education and orientation to patients and their families
regarding hospital procedures • Assist patients in understanding the role medication and
medical procedures will play in making them well • Develop care plans in accordance to patients» diseases and symptoms • Monitor and ensure that the care plan is being carried out in an effective manner • Resolve any problems that may affect the progression and efficacy of care plans • Foster peer support and expedite completion of tests • Review doctors» schedules and sync them with patients» appointments • Act as a liaison between care providers and patients • Take patient history and record information in preset hospital database • Work with
medical staff to control disease symptoms • Create and implement disease management modules for chronic diseases • Obtain and verify insurance information • Explain the function of each health team member to patients and families • Document patient care initiatives and services on a constant basis • Ensure that appropriate referrals are made for patients not accepted for care • Schedule surgeries and prepare patient charts • Handle payment
collection activities and transcribe clinical correspondence • Make sure that patients are kept aware of their progress • File and re-file patient records at the end of each shift • Ensure that all procedures are carried out in a time efficient manner and in accordance to patient care plans
• Assess all insurance claims against patient services rendered and make a to do list • Assist patients in filling our insurance claim forms and verify form data • Ask questions to assist in determining out any ambiguous information • Verify completeness of information on
medical insurance forms • Post insurance billing information data into predefined database systems • Make list of insurance companies to contact for billing purposes • Determine how to approach each insurance company on the list, based on its reputation • Contact insurance companies to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information to prove denial is inappropriate • Provide information to
collection agencies
regarding delinquent or past due accounts • Prepare and submit secondary claims for patients with more than one insurance coverage • Maintain understanding of managed care authorizations and limit coverage to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments to be able to handle data entry and claim check duties appropriately • Gather and maintain patient data including
medical histories, insurance identification and diagnosis
With the mandates put in place by HIPAA and JACHO, administrative
medical assistants must also stay current on all regulations and policies
regarding the
collection, storage, and dissemination of sensitive patient data.
Medical billing staff must have a basic understanding of state laws regarding insurance, HMO, timely filing, refunds, balance billing, PIP, medical records, debt collec
Medical billing staff must have a basic understanding of state laws
regarding insurance, HMO, timely filing, refunds, balance billing, PIP,
medical records, debt collec
medical records, debt
collection...