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MEDICAL CODING

 

Landers is for the medical community to educate that specializes in physician fee schedule, technology assessment platform. As a medical biller provider online knowledge with physician, patient, and consumer will have publication information on reputation, business rules, and medical diagnosis payment health information on guidelines, procedures, and standards.

  • American Medical Association (AMA)

  • World Health Organization (WHO)

  • Human and Health Service (HHS)

  • American Health Information Management Association, Healthcare Information

  • and Management System Society, (HIMASS)

  • Office Inspector General (OIG).

These agencies are updated annually and with further policies changes occurrences to sure medical coding process have the appropriate reimbursement payment.

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ELECTRONIC & PAPER MEDIA CLAIM SUBMISSION

 

Landers medical claim & billing, transmits for the following insurance carries:

  • All government

  • Non-government

  • Commercial and private insurance organizations

  • Please contact for additional add on

INSURANCE FOLLOW UP

 

Payment Arrangement

Maximized the cash flow with account receivable report to limit the status on collection and stop physician to write off unpaid patient medical cost.

  • Accept credit card payment (phone)

  • Direct calling to the patient

  • Payment plan

 

Isolating health claim such as:

  • Highest balance owed

  • Oldest account (aged by date of service render)

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MEDICAL PRACTICE REPORT

 

Physician management medical report is a tool designed to assist with medical practices to evaluate the performance in the areas that need improvement. Normally they are the weakness and strength of the revenue cycle. The report is dashboard mechanism to evaluate the performance and efficiency of the practice operations. Each medical practice has a differ way of reimbursement compliance. The Patient Affordable Care Act will have more electronic medical records to standardized a reimbursement revenue cycle to compare medical practice cost for medical billing patient diagnosis coding to insurance for benefit coverage plans. Some health provider reports could include:

 

  • Practice Assessment

  • Fee Schedule Analysis

  • Evaluation Management Physician

  • Monthly/quarterly International Classification Disease ICD-9 ICD-10

PHYSICIAN FEE SCHEDULE SEARCH

  • Search pricing amounts

  • Various payment policy indicators

  • Relative Value Units (RVU)

  • Single geographic practice cost index (GPCI) procedure code

  • National payment amount

  • Physician margin payment

 

PHYSICIAN FEE SCHEDULE

  • Centers for Medicare & Medicaid Service

  • Medicare

  • Medicaid/CHIP

  • Medicare & Medicaid Coordination

  • Regulation and Guideline

  • Research, Statistics

  • Data & Systems

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PRACTICE ASSESSMENT

 

What You Need to Know

 

  • Resources to APA Organization

  • Licensed APA

  • Dues members

 

APA Practice Organization 501 (c) (3) health and mental health service providers

 

HOW TO PERFORM A PHYSICIAN PRACTICE INTERNAL BILLING AUDIT

 

  • Ensure appropriate payment comply to compliance regulations

  • Prospective & retrospective physician practice billing

  • To prevent medical billing errors

  • Participant (physician & staff)

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BUSINESS ANALYTICS

 

  • Electronic Health Record (EMR)

  • Electronic Medical Record (EMR)

  • Patient Health Record (PHR)

  • Networking Platform devices

  • Telehealth

  • Telemedicine

  • Computerized Physician Order entry (CPOE)

  • E-Prescription

  • Data warehousing solutions

  • Integrating patient point care into national database system

HEALTH MAINTENANCE ORGANIZATION

 

  • Stage 1 - Characterized by cost containment and price competition

  • Stage 2 - Characterized by value improvement and customer satisfaction assessment

  • Stage 3 - Characterize by health status improvement and at risk-population management

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