2018-2019 MEDICAL BILLING PROTOCOL SET UP OPTIONS

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

 

Before filing any medical claims and prior to any web-based 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 have it done expeditiously by our expert Consultants, all of whom have years of experience and contacts established within the industry.

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.

 

ALL FEES ARE PRE-PAID

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

 

ALL FEES ARE PRE-PAID.

III. REMOTE SET UP OPTIONS:

PLATINUM PROGRAM (12 hours TOTAL):

  • LIVE WEBINAR PROGRAM, w/Senior Consultant, Christie Fink
  • REMOTELY, Clinical Evaluation training with our Clinical Director

 

Details are, as follows:

 

a. prior to remote training- 30 minute remote consultation with Consultant, to determine office readiness, i.e. credentialing and clearing house set up MUST have been completed

 

b. with Senior Consultant, live webinar, 8 hours, split into modules:

  • ​Set up of protocols with clinical and business teams
  • 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. e-filing training, REMOTELY (3 hours)

  • ​Intense Biller training

 

d. with Clinical Director, REMOTELY (one hour)

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

 

Follow up after the 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

ALL FEES ARE PRE-PAID.

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

 

ANY ADDITIONAL SERVICES REQUESTED ARE OPTIONAL AND CHARGED SEPARATELY.


DIAMOND PROGRAM:
  • REMOTE LIVE WEBINAR SET UP, 12 hours TOTAL

 

This Program includes the following:

 

a. prior to start of live webinar program- 30-minute remote consultation with Consultant, to determine office readiness, i.e. credentialing and clearing house set up MUST be completed

 

b. with Consultant, live webinar, 12 hours, divided into modules:

  • ​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.

ALL FEES ARE PRE-PAID.

ANY ADDITIONAL SERVICES REQUESTED ARE OPTIONAL AND CHARGED SEPARATELY.

 

2018-2019 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)
  • Review of documentation, five claims per week, uploaded to Citrix File Share portal set up by office, fee not included in support cost)

 

ALL FEES ARE PRE-PAID.

 

ANY ADDITIONAL SERVICES REQUESTED ARE OPTIONAL AND CHARGED SEPARATELY.

 

OPTION 2:

  • BI-Weekly phone support, up to 30 minutes, every other week, for four weeks (2 calls in all)
  • Review of documentation, five claims per week, uploaded to Citrix File Share portal set up by office, fee not included in support cost)

 

ALL FEES ARE PRE-PAID.

 

ANY ADDITIONAL SERVICES REQUESTED ARE OPTIONAL AND CHARGED SEPARATELY.


OPTION 3:

 

  • ONE phone support call/month, up to 30 minutes
  • Review of documentation, five claims per week, uploaded to Citrix File Share portal set up by office, fee not included in support cost) 


ALL FEES ARE PRE-PAID.

ANY ADDITIONAL SERVICES REQUESTED ARE OPTIONAL AND CHARGED SEPARATELY.

 

OPTION 4:

NO PHONE SUPPORT

  • Review of documentation, five claims per week, uploaded to Citrix File Share portal set up by office, fee not included in support cost)

 

ALL FEES ARE PRE-PAID.

ANY ADDITIONAL SERVICES REQUESTED ARE OPTIONAL AND CHARGED SEPARATELY.

 

FOR ALL SUPPORT OPTIONS:

 

*** 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 packages.

You can combine the 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 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,

Andrea Graham, Director of Marketing

The Z Group LLC

andrea.thezgroupllc@gmail.com