|
|
Most Software Systems, Insurance Companies, and other bill Analysts review hospital billed charges from a UB-04, which is what we call a summary bill. Itemized statements and the detailed breakdown on the line by line charges are rarely requested and used mostly for a medical record audit.
Become a Certified Hospital Compliance Advocate through MBAA's National Association with our Comprehensive Hospital Compliance Audit Course.
|
|
| MBAA’s copyrighted Comprehensive Hospital Compliance Audit Course trains advocates to perform the most extensive review of every line charged on a hospital bill. We provide the techniques to identify excessive, indefensible overcharges, non-billable items, services and equipment based on the Uniform Billing Act, Social Security Act, Code of Federal Regulations, CMS Guidelines, and the False Claims Act. Our uniquely distinguished methodology is used for the sole purpose of eliminating excessive, fraudulent, and abusive hospital charges and emphasizes on “True and Accurate” billing and “Fair and Reasonable” prices for medical services. |
|
|
Key topics include:
- Understand the vital information on a UB-04 and how it relates to the itemized statement
- Comprehend the language of hospital itemized statements
- Incorporate the traditional medical record audit into a compliance audit approach
- Identify non-compliant charges
- Perform a Fair and Reasonable Pricing Analysis
|
|
Our Comprehensive Hospital Compliance Audit Course is focused solely on reviewing hospital bills on behalf of:
- Attorneys that would normally decline cases simply because they don’t understand medical billing guidelines. Give your client the documentation needed to fight the battle and win their case.
- Insurance Companies that could never provide the staff and time to scrutinize every claim submitted. A 30% network discount is meaningless when the bill is “packed” with thousands of dollars of cleverly disguised overcharges.
- Self-Insured Corporations that have much to gain financially from prospective or retrospective hospital bill audits to eliminate waste and abuse.
All training manuals contain proprietary material and can not be refunded once an order has been placed and the material has been shipped.
|
|
This business model works best for experienced professionals with a background in hospital settings: physicians, nurses, coders, case managers, medical records auditor, insurance fraud investigators, etc.
|
 |
MBAA offers the Hospital Compliance Training Course as a self-training, home study product. If you are a self-starter and good at teaching yourself, you can start your business with only a minimal investment. For those who prefer a more hands on training environment, MBAA offers a 3 day Seminar at our training institute in Roanoke, Virginia. On-site training is available upon request. Special group rate discounts apply for 4 or more attendees from the same company
|
 |
|
|
