2018 MEDICAL BILLING PROTOCOL SET UP OPTIONS

ONLY available to offices that have attended the Z Group in-house, group course(s), or webinar program. Attendance must first be verified.

 

Before filing any medical claims and prior to any in-house protocol set up by our Senior Consultant, should you wish to go that route, the office must go through the credentialing process and also be ready to go with the Change Healthcare clearing house. You are free to do this on your own or our expert Consultants, with years of experience and contacts established within the industry, can do this for you expeditiously.

 

I. CREDENTIALING

 

This service covers credentialing with all commercial medical insurers, with which you want to become non-participating providers/to which you will be filing claims. This includes the following:

 

  CAQH credentialing

  NPPES compliance

  NPI updates, as required

 

Medicare provider applications and Medicare DME applications require a separate process through the PECOS system (not through CAQH) to obtain a provider number for each, if Medicare credentialing is requested by the Doctor. Completing these lengthy applications is not a part of this agreement and requires a separate agreement.

 

TriCare application or credentialing is not included and requires a separate agreement.

 

Please complete the Contact Form if you are interested.


II. e-FILING TRAINING

 

The basic training with CHANGE HEALTHCARE, as part of the Z Group negotiated set up package with Change Healthcare, is rarely sufficient to know, and become the expert at, navigating the Change Healthcare web site and your individual portal. Intense training with our expert e-filing Trainer, Cathryn, takes you to the next level and ensures that you are completely comfortable using the portal, uploading your claims from SpeedyClaims, and using all of the services available to you through Change Healthcare.

 

* Three (3) phone training sessions, of unlimited length for each call

* Submitting three (3) dummy claims

* Submitting three (3) actual patient claims

* Troubleshooting submissions

* Five (5) email follow-ups, with questions

 

Change Healthcare subscription clearing house services are not included in this agreement and must be set up with Change Healthcare directly.

 

Please complete the Contact Form if you are interested.

 

III. IN-OFFICE SET UP OPTIONS:

 

a. PLATINUM PROGRAM:

  • Two-day program (14 hours) IN-HOUSE PROGRAM, w/Senior Consultant
  • One day (7 hours) REMOTELY with our e-filing Trainer
  • REMOTELY, Clinical Evaluation training with our Clinical Director

 

Details are, as follows:

 

a. prior to in-house visit- remote consultation with Consultant, to determine office readiness, i.e. credentialing and clearing house set up MUST have been completed

 

b. with Senior Consultant, in-house, two days:

  • ​Set up of protocols with clinical and business teams
  • SpeedyClaims set up, settings, defaults, correct information entries, help with data base set up, templates​
  • ​Correct use of routing slips, "Superbills" and their implementation
  • Doctor training in medically appropriate documentation preparation
  • Pre-auth phone calls with billing team members (listen in as Consultant makes the calls)
  • Preparation of ​five claims and their documentation with you​, start to finish, ready to submit

 

c. with e-filing Trainer, REMOTELY

  • ​Intense Biller training

 

d. with Clinical Director, REMOTELY

  • Medically appropriate Head & Neck examination of the patient
  • Review with Doctors the documentation preparation requirements and verbiage

 

Follow up after the two-day program:

 

3 phone pre-certifications
  • One (1) month of Z Group support with Consultant including review of all    documentation and claims prior to submission
  • Four 30-minutes phone support calls, one per week

 

IMPORTANT: ALL DATES are scheduled in advance with individual Consultants and cannot be changed once confirmed

 

Please complete the Contact Form if you are interested.

 

b. DIAMOND PROGRAM:

IN-HOUSE SET UP, two-day program (12 hours), w/ONE consultant

 

This Program includes the following:

 

a. prior to in-house program- remote consultation with Consultant, to determine office readiness, i.e. credentialing and clearing house set up MUST be completed

 

b. with Consultant, in-house, two days:

  • SpeedyClaims set up, settings, defaults, correct information entries, help with data base set up​, templates​
  • ​Use of routing slips, "Superbills" and their correct use and implementation
  • ​Set up of protocols with clinical and business teams
  • Doctor training in correct documentation preparation
  • Pre-authorization phone calls with billing team members (listen in as Consultant makes the calls)
  • Preparation of ​five claims and their documentation with you​, start to finish, ready to submit

 

Please note that there is no follow up support with this Program.

Please complete the Contact Form if you are interested.


                                     

2018 MEDICAL BILLING FOLLOW-UP SUPPORT OPTIONS

ONLY available to offices that have attended the Z Group in-house, group course(s) or webinar program. Attendance must first be verified.

 

 

OPTION 1:


  • Weekly phone support, up to 30 minutes, once a week, for four weeks (4 calls in all)
  • Unlimited review of completed claims that have been uploaded to File Share (HIPAA protected).
  • Unlimited review of documentation (LMN's, H&N evals, Op rpts) through client set up Citrix Share File

 

OPTION 2:

  • BI-Weekly phone support, up to 30 minutes, every other week, for four weeks (2 calls in all)
  • Unlimited review of completed claims that have been uploaded to File Share (HIPAA protected).
  • Unlimited review of documentation (LMN's, H&N evals, Op rpts) through client set up Citrix Share File


OPTION 3:

 

  • ONE phone support call/month, up to 30 minutes
  • Unlimited review of completed claims that have been uploaded to File Share (HIPAA protected).
  • Unlimited review of documentation (LMN's, H&N evals, Op rpts) through client set up Citrix Share File

OPTION 4:

NO PHONE SUPPORT

  • Unlimited review of completed claims that have been uploaded to File Share (HIPAA protected).
  • Unlimited review of documentation (LMN's, H&N evals, Op rpts) through client set up Citrix Share File

 

 

*** Please note that the office is responsible for contacting Change Healthcare and setting up their client portal. It is not part of the Z Group training package.

 

You can combine the in-house set up with follow up support options and/or intense e-filing training and design your own package. You can choose to do the office set up on your own and only sign up for intense e-filing training and support. You can also switch support options from month to month. Everything is totally up to you and how you wish to proceed. HOWEVER, FOR ANY IN-HOUSE training or support packages, you must already be credentialed and have gone through e-filing support training.

 

Please let me know and the appropriate Agreement will be prepared and sent to you through Docusign, for review and electronic signature. You will be invoiced through Paypal.

 

We look forward to making the medical billing program a HUGE success in your practice, benefiting your patients and your bottom line!

 

Respectfully,

Dr. Z

The Z Group LLC

thezgroupllc@gmail.com