Compliance and Training

Compliance

Ambulance Billing and CollectionsAt IntelliSolve Billing Services our goal is to keep your operations in complete compliance! We strive to maintain a compliance program on a continual basis while monitoring all forms and documentation, internal billing, systems security, employee training and manuals, HIPAA Privacy Practices and Red Flag Rules.

In addition, we do a complete scrubbing of PCR’s for completeness and compliance while obtaining insurance payment authorizations in a timely manner.

  • We make sure we conduct ourselves and our operations in accordance with the law
  • We strive to meet the expectations of the public and those we serve
  • We strive to meet the expectations of and follow the procedures of those who pay us
  • We make sure that all claims for payment are supported by clear, concise and accurate documentation

Training

We will analyze every client’s unique situation and work with you to create and implement an individualized Compliance Training Plan. Medicare suggests a Compliance Training Plan contain operations and billing error logs, a concise outline, records of group training sessions and corrections that are made in response to identified risks.

Compliance TrainingIntelliSolve Billing Services compliance training creates job-specific training programs – from dispatchers to field personnel to marketing professionals and more.

We will train your existing employees as well as new hires on a continual basis when convenient for you. Our training includes Red Flag Rules, HIPAA, Anti-Kickback Statutes, documentation, signatures, medical necessity and other relevant training can even be done at your facility.

Upon completion of an initial assessment we then implement a compliance program to include all necessary forms, documentation, internal billing,  and systems security.

We will analyze your unique situation and work with you to create and implement an individualized Compliance Monitoring Plan. Medicare suggests a Compliance Plan contain operations and billing error logs, a concise outline, records of group training sessions and corrections that are made in response to identified risks. IntelliSolve Billing Services creates job-specific training programs – from dispatchers to field personnel to marketing professionals and more.

  • If you were audited today, would your documentation and practices withstand an audit?
  • What is HIPAA? What safeguards must you take to ensure compliance?
  • What are the Red Flag Rules? Are they mandatory? What type of safeguards are required?
  • What makes a trip medically necessary? Are you documenting compliant PCRs?
  • When is a transport to a physician office covered under Medicare?
  • When is it acceptable to bill for an ALS transport when a BLS level of service was provided?
  • What type of signatures are acceptable? On PCRs? On Medical Necessity Forms? On ABNs?
  • What is the Federal Anti-Kickback Statute? Does this apply to patient bills? Facility contracts?   Memberships?
Compliance & TrainingCompliance Training for Field Employees

 

  • Medical Necessity (PCS)
  • Complete, compliant documentation
  • Signatures(physician, patient, crew)
  • Medical Necessity (PCS) form instructions
  • Red Flag Rules
  • ABNs
  • HIPAA

 

 

Compliance & Training
Compliance Training for Dispatchers

 

  • Priorities
  • Covered services
  • Authorizations
  • Medical Necessity
  • Red Flag Rules
  • ABNs
  • HIPAA

 

 

 

Compliance & TrainingCompliance Training for Marketing

 

  • Anti-Kickback Statute
  • Covered services
  • Authorizations
  • Red Flag Rules
  • ABNs
  • Medical Necessity
  • Allowable facility charges

 

 

With IntelliSolve Billing Services, we have all your Compliance and Training covered for all aspects of your business and we will even stand behind you should and audit ever arise!