Is your medical office or facility outsources any portion of billing, medical record, credentialing/enrolment or claim follow-up activities? Signing a contract is just the beginning. Many healthcare compliance issues arise not from what is written — but from how third-party partnerships operate in practice. This webinar focus on compliance and legal risks relating to contracting with third-party partners; and equip you with tools and knowledge to protect patient information and help reduce Medicare costs. Participants will understand how to evaluate and structure third-party contracts to safeguard revenue and license. Learn practical strategies to prevent costly compliance mistakes before they happen. Improper agreements with third-party can lead to Medicare audits, recoupments, civil monetary penalties, and expensive legal battles.

Even well-meaning providers can unknowingly enter arrangements that violate federal healthcare laws. This webinar assists providers to select third-parities like billing companies, clearinghouses or software vendors etc.

What You’ll Learn:

• Understanding Medicare’s expectations for third-party arrangements
• Understanding legal responsibilities
• Recognizing vulnerabilities and inappropriate actions
• Reducing costs for providers and Medicare
• Red flags Medicare auditors look for
• Documentation best practices to reduce audit exposure

Session Agenda:

• Definitions of Third-Party
• How CMS interprets Third-Parties?
• Legal responsibilities
• Steps to evaluate Third-Party contracts
• Identifying risks: Real-life practical cases and examples
• Current issues and consideration
  – Who has access to patient’s PHI?
  – Does Third-Party also subcontract?
  – Is there direct line of communication?
  – Who and How do you contact with concerns about how the third party handles your claims and patient information?
  – Third-Parties fees and structures: What fees they charge? What are other possible fees?
  – Are claims thoroughly reviewed?
  – Do Third-Parties have access to proper tool?
  – Does Third-Party know provider’s expectation?
• Remittance advice
• Important and useful resources

Who Should Attend?

• Physicians
• Non-Physicians Providers
• Behavioral and Mental Health Providers
• Critical Care Providers
• Qualified Healthcare Practitioners
• Medical Billing Specialists and Managers
• Medical Coding Specialists and Managers
• ASC and Facility Billing Teams
• Medical Auditors
• Revenue Cycle Manager and Staff
• Practice Managers
• Claim Reviewers
• Office Managers and Administrators
• Clinical Operations Staff
• Compliance Officers
• Legal Advisors
• Healthcare Executives, Directors and Supervisors

Don’t miss this opportunity to master how to evaluate contract risk, implement compliance safeguards, and create defensible third-party arrangements that withstand regulatory scrutiny