2020-2021 REMOTE/ONLINE COMPREHENSIVE MEDICAL BILLING TRAINING AND PROTOCOL IMPLEMENTATION
SIX MONTH ALL-INCLUSIVE PROGRAM
IMPORTANT PRE-REQUISITE: Attendance at a two-day Comprehensive Z Group program.
I. OFFICE SET UP- LIVE/ONLINE DIDACTIC AND MEDICAL BILLING TRAINING, INCLUDES THE FOLLOWING SERVICES:
v Credentialing of Doctor w/Dondra Edwards The Z Group credentialing expert
v Initial four (4) hours (multiple sessions) of e-filing training w/Christie Fink, Chief Implementation Officer/Change Healthcare portal
v Fifteen (15) hours medical billing training w/Christie Fink, Chief Implementation Officer
v Three (3) one-hour sessions, electronic billing support and troubleshooting for claims processing w/Christie Fink, Chief Implementation Officer. (Change Healthcare)
v One month follow up support after training is completed, w/Christie Fink, Chief Implementation Officer
Details are as follows:
a. OFFICE/DOCTOR CREDENTIALING by Dondra Edwards
This service covers credentialing for up to TWO (2) doctors 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
b. ASSISTANCE WITH CHANGE HEALTHCARE PORTAL SET UP with Dondra Edwards
c. e-filing w/Christie Fink, Senior Z Group Consultant (Online live, REMOTE TRAINING)
- Initial Intense Biller Training
- Set up of protocols with clinical and business teams
- Portal training- 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
- 15 email questions/month (or at Christie’s discretion- save multiple questions for “Go to meeting” online call)
- Auditing cases
- Closing the case with medical billing case presentation
- Understanding the AMA Causation Guidelines and Evaluation
- 3 Months Complimentary Access to Supercoder.com
- Two (2) 30-minute sessions
- Medically appropriate Comprehensive Head & Neck examination of the patient
- Review the documentation preparation requirements and verbiage
- Scheduled in advance
- Follow up Claim and Portal Troubleshooting
*Videos and documentation created for claims
*Change Healthcare Portal and Treatment planning
AMA CAUSATION-CLINICAL RESPONSIBILITY
HEAD AND NECK-MEDICAL SUPPORT
CHANGE HEALTHCARE PORTAL USAGE
*Coding resources/Sample and submit claim
*Evaluating documentation for support and code selection.
SUPERBILLS – CT SCANS-RADIOLOGY REPORT
CLAIM CREATION-PROCEDURE CODES
Surgery claims Preauthorization
*Treatment plan and all documentation support
*Availity or payor portal for pre-cert submissions
*Patient information and Ledger for fees and op notes
*Have available processed EOB’s
INTERPRETATION OF EOB’S
TREATMENT PLAN AND PRESENTATION
Evaluation and Management of process and flow
- FOLLOW UP TO TRAINING, after the 4-month program: TWO MONTHS OF SUPPORT:
FOUR(4) one-hour sessions
Scheduled in advance
d. PRIOR TO START OF TRAINING SESSIONS- INITIAL REMOTE CONSULTATION with Christie Fink. to determine office readiness for training to begin, i.e. confirming that credentialing and clearing house set up have been completed.
e. Web-based live training with Christie Fink, 3 months (15 hours face to face):
f. Doctor training with W. Bruce Fink DDS, (Online LIVE, REMOTE TRAINING)
g. e-filing w/Christie Fink, Chief Implementation Officer (Online live, REMOTE TRAINING)
THREE (3) one-hour sessions, to address e-filing issues and/or denials/appeals
Scheduled in advance, as needed
TENTATIVE COURSE SCHEDULE: 6 MONTH SUPPORT PACKAGE
VIDEOS TO WATCH
MONTH TOPIC COVERED ACTIONS REQUIRED (Link provided in
by office Syllabus you receive at
start of program)
*Schedule varies per office- dependent on office task and cases available to submit.
MONTHS 1-4 ARE WEEKLY SCHEDULED SESSIONS
*PRIVATE WEEKLY SESSION AT APPOINTED TIME
* UNLIMITED EMAIL AND TEXT
*EMERGENCY CALLS ARE MADE BY APPOINTMENT
MONTHS 5-6 ARE NOT SCHEDULED SESSIONS. They are set up on an “as needed” basis
*NO PRIVATE WEEKLY SESSIONS
* UNLIMITED EMAIL AND TEXT
*EMERGENCY CALLS ARE MADE BY APPOINTMENT
a. The Connection Series
Learn how to connect medical billing into your daily practice management software with a 3-part training series. This is not a “one size fits all” training. The Connection Series is customized, based on your current business practices and implementation of medical billing.
Part 1: Evaluation of current practice management software setup and its medical billing process module. Allow our consultant to review your current setup of your practice management setup to determine the best approach to incorporate medical billing into your practice.
Part 2: Learn how to manage fee schedules with ease. Understand what changes need to be made in your practice management software to accommodate medical billing. This is a critical component of incorporating medical billing into your practice as well as running your practice daily. You will learn how to manage fee schedules and new tips to improve efficiencies for fee schedule maintenance.
Part 3: Ledger reconciliation and posting of medical payment on the ledger Learn to manage accounts receivable in conjunction with medical accounts receivable. Once you have received your first check, we will walk you through the process of understanding what procedures were posted to the ledger and how to post the payments depending on your practice management setup.
(Bonus: Get a few practice management tips along the way)
b. Access to the Cloud-based digital Z book (not for download) from three devices.
c. 2019 Z Group Clinical Evaluation CD, which includes all necessary “Superbills”, Head & Neck evaluation, Comprehensive Health History Form, TMD Report, Radiology Report, Medicare Forms for Patients, and more
d. Templates w/Drop downs, including also Dr. Bruce/Christie Fink’s customized documents for your practice’s ease of implementation
e. One day visit to Dr. Fink’s office in ATLANTA, GA scheduled within 6 months of the start of training, to personally experience how the clinical exam, data collection, documentation preparation, benefits verification, claim preparation, and e-filing work in “real life”.
Participation in the two-day Intense Biller and Doctor training Dr. Bruce Fink’s office. Limited to two billers and one Doctor from each office. Each additional participant is eligible at a10% discount off the regular fee.
Travel expenses for this visit are not paid by The Z Group, nor are they part of the training package fee; the client is responsible for any and all travel expenses including, but not limited to, airfare, airport transfers/car rental, hotel accommodations, meals, etc.).
Six (6) phone pre-certifications
Eight (8) 30-minutes phone support calls, one per week
Thirty (30) Email questions
FEE FOR THE SIX-MONTH PROGRAM:- includes PROTOCOL SET UP AND TRAINING (4 MONTHS) CONNECTION SERIES, AND TWO MONTHS FOLLOW UP SUPPORT AND TROUBLESHOOTING, and is provided to those that have attended the two-day program.
This Comprehensive and intense Training Program requires a non-refundable deposit, invoiced and paid through Paypal, when the Agreement is executed by both parties.
The balance of the Fee is paid in TWO (2 )equal installments, due on the 1st of the month. Invoices are sent from Paypal approximately one week before payment is due. Payments may be made through a Paypal account or by credit card. We do not keep credit cards on file for security reasons. Payments for each month of training must me made by the 1st of each month, for the training to continue, as follows:
If payment for each month is not received by the first of each month, in advance of training for that month, training will be temporarily suspended and all support sessions canceled until payment is received.
IMPORTANT: ALL PHONE CONSULTATIONS AND ONLINE LIVE TRAINING ARE SCHEDULED IN ADVANCE WITH EACH Z GROUP CONSULTANT. We understand that you are involved in patient treatment and schedule disruptions may occasionally occur/ You will be accommodated as best we can. However, please also understand that multiple offices are going through the same training process, concurrently with your office. Any scheduling changes then result in a “domino effect” for all offices and a resultant scheduling nightmare.
IMPORTANT: Doctor must be present at ALL scheduled clinical sessions. Medical documentation (current protocols for SOAP notes, LMNs, Operative reports), and code selection will be discussed. These are NOT insurance sessions and NOT for the billers. This is CRITICAL to the success of the program.
Should the Doctor choose not to participate, the contract will be terminated, and no refunds given.
*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 type of Provider status with Medicare, if Medicare credentialing is requested by Doctor. Completing these lengthy applications is not a part of this agreement and requires a separate agreement.
*TriCare medical provider enrollment is not included and requires a separate agreement.
*Change Healthcare clearinghouse subscription services are not included in this agreement. The office is responsible for contacting Change Healthcare and setting up their client account. It is not part of the Z Group training package. Advice will be provided by Dondra to Doctor, regarding this service, that is not affiliated, in any way, with The Z Group LLC, and for which we receive no financial or other renumeration for referrals.
ALL Fees for additional services are pre-paid in full.