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The Federal Fair Debt Collection Practices Act - is a presentation that gives an overview of the federal law that addresses the conduct of all third party debt collectors. Topics include who must comply, the duties imposed on the creditor as well as the collector, collector conduct, disputing the debt, harassment and abuse.
How to get Paid - is a comprehensive presentation that addresses many topics designed to maximize reimbursement to the hospital. The presentation addresses hospital liens and the associated lien law; judgment liens and how they are obtained; protecting the provider’s claim through education on the admitting process, benefits verification and the assignment of benefits from; COBRA coverage, how it works and how it affects the provider; State Insurance Laws and State Family Law. The presentation also includes a sample irrevocable assignment of benefits form with an explanation of the terms and conditions recommended in the form.
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Using and understanding the Texas Prompt Payment Statues - is a program that defines and explains House Bill 610, which is the latest version of the state statutes that require certain payers to submit payment to providers within 45 days from receipt of a “clean claim”. The presentation explains which payers must comply, the elements of a clean claim, proof that the claim was received, and what the carriers must do. Additional topics include coordination of benefits rules, audits, and penalties that may be assessed for non-compliance with the law.
Family Law, Spousal and Parental Liabilities - is a presentation that addresses the current family laws of the hospital’s resident state. Topics include parental liability, spousal liability, doctrine of necessaries, age of majority, emancipation, community property, and who is ultimately responsible for payment of a hospital bill.
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Texas Workers Compensation Commissions Rules - is a presentation that explains the Texas Workers’ Compensation Commission Rules and what opportunities it affords the medical provider. Similar to the HB 610 prompt payment laws, workers’ compensation insurance carriers are required to pay claims within 45 days from receipt of a “complete” claim. The presentation includes application and effective date of the rules, elements of a “complete” claim, effects of submission of the claim, retrospective review, onsite audits, and penalties to the carrier for non-compliance.
Cobra Continuation of Coverage - gives clients a thorough understanding of the federal law that allows terminated employees to continue their health insurance coverage by purchasing it from their former employer. Topics include qualified beneficiaries, qualifying events, employers and employees responsibilities, time frames for election of coverage and time frames for the period of coverage. The presentation also answers the question of whether or not the hospital may make premium payments for the patient.
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Verification of Insurance and Assignment of Benefits Issues - is a program that addresses the difference between the verification of coverage and the verification of benefits, liability of the carrier for verification, assignment of benefits and permission to pay, limitations, exclusions, pre-existing conditions, reliance on the verification, irrevocable assignment of benefits, documentation of verification, patient account information, and commonly seen claim denials.
Identification of Legal Issues - is a custom presentation that is given in response to the specific needs of the client. Virtually any legal topic or issue that is of importance to the client is researched and a special presentation is then created to present on site.
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