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copy of medical policy and procedures

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dhcat246:
does any one have information concerning a sample of company policy and procedures for a medical billing company.

Michele:
Hi,
   Do you mean an employee handbook for a billing service?

Thanks
Michele

dhcat246:
Hi Michele,
Thanks for responding to my question. No, not a employee hand book. This would be a company policy and procdures that estabalish guide lines set a procedure in place that identifies process's a provider will follow in filing a claim with a billing company.

Thanks
Dee

ACCUTRANS INC:
Regarding policies and procedures, we include all of the fine points and responsibilities that are both ours (the billing/practice management company), and the providers in our contract.  We specifically outline what information is needed from the provider, when, how it will be transmitted, etc.  We also include what we will do and in what time frames, fees, charges, etc, who is responsible for what, who is not responsible, and so on.  I have revised this document many times over the years and have included things as they became issues such as invalid information from patients, refiling of claims at no charge in such an instance, nonpayment of our invoices by the provider/client, legal fees when pursuing collecting from clients, collections, A/R, reports provided, coding education, enrollments, etc. 

I used a 'canned' contract many years ago, and this may be a good starting suggestion for you.  As I mentioned, I have revised ours many times over.  I thought it best to have everything straightforward and in a legal document from the start of the relationship.  (And also including in that contract that it may be addended as necessary!)

Michele:
Wow, you have a really detailed contract.  That is very interesting.  I can see how it could be VERY helpful.  We use a pretty basic contract that doesn't spell out nearly as much info but it also covers both provider and billing service.  It states how we will charge them, when payment is expected, that info will only be used for billing purposes (HIPAA), how we will get info, when services start.  It also states contract can be revised upon written notice. 

Thanks for your input.  We run into 'problems' occasionally and I can see where spelling them out in the contract can be helpful.

Michele

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