I’ve been reading a great deal of being compliant with third party payers. As a new practitioner, where do you suggest I start?
Learning all you need to know may seem like taking a drink out of a fire hose.
And remember don't trust what medical equipment salespeople tell you to code. They have a mission to sell. Your mission is to treat patients and make $ ethically.
Simply because a code exists and you get paid, does not mean you are free and clear. Continue to monitor this website and post questions. Chances are if you have the question so does someone else. We all started with no knowledge in this area. So don’t be intimidated.
As for my advice:
Continue to monitor this website.
Join APMA and your state association and go to divisional meetings.
Check out your local Medicare home page and subscribe to their list serves.
Each Medicare (Local and DME) will have areas of interest on coverage policies, fees, etc.
Do the same for your top private carriers and Medicaid.
As a new practitioner you have a lot to learn. Leaning from more established practitioners can be good and bad depending on their ethics and experience dealing with third party carriers.
I’ve been reading a great deal of being compliant with third party payers. As a new practitioner, where do you suggest I start?
Learning all you need to know may seem like taking a drink out of a fire hose.
And remember don't trust what medical equipment salespeople tell you to code. They have a mission to sell. Your mission is to treat patients and make $ ethically.
Simply because a code exists and you get paid, does not mean you are free and clear. Continue to monitor this website and post questions. Chances are if you have the question so does someone else. We all started with no knowledge in this area. So don’t be intimidated.
As for my advice:
Continue to monitor this website.
Join APMA and your state association and go to divisional meetings.
Check out your local Medicare home page and subscribe to their list serves.
Each Medicare (Local and DME) will have areas of interest on coverage policies, fees, etc.
Do the same for your top private carriers and Medicaid.
CMS has a link on Provider Compliance Tips you may want to check out: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/medicare-provider-compliance-tips/medicare-provider-compliance-tips.html
As a new practitioner you have a lot to learn. Leaning from more established practitioners can be good and bad depending on their ethics and experience dealing with third party carriers.
If things are too good to be true, then they are.