Our clinic has been getting more clients who have worker’s compensation and with the limited experience we have we know we spend quite a bit admin time trying to obtain info of where to send claims and what to send plus it’s sometimes difficult to get payment. We have a couple questions: 

1. can you collect  money up front from the client in case WC doesn’t pay  or is there a rule in workmen’s comp about this? 

2. can you bill the insurance and not use workmen’s comp or is their a rule against this?

Does anyone had links to resources about WC billing?

Thanks in advance 

Please read an update from OCR:

Alert: Postcard Disguised as Official OCR Communication

August 6, 2020

OCR has been made aware of postcards being sent to health care organizations disguised as official OCR communications, claiming to be notices of a mandatory HIPAA compliance risk assessment. The postcards have a Washington, D.C. return address, and the sender uses the title “Secretary of Compliance, HIPAA Compliance Division.” The postcard is addressed to the health care organization’s HIPAA compliance officer and prompts recipients to visit a URL, call, or email to take immediate action on a HIPAA Risk Assessment. The link directs individuals to a non-governmental website marketing consulting services.

The postcard below is not from HHS/OCR.

HIPAA covered entities and business associates should alert their workforce members to this misleading communication. This communication is from a private entity – it is NOT an HHS/OCR communication. Covered entities and business associates can verify that a communication is from OCR by looking for the OCR address or email address on any communication that purports to be from OCR. The addresses for OCR’s HQ and Regional Offices are available on the OCR website at https://www.hhs.gov/ocr/about-us/contact-us/index.html, and all OCR email addresses will end in @hhs.gov. If organizations have additional questions or concerns, please send an email to: OCRMail@hhs.gov.

Suspected incidents of individuals posing as federal law enforcement should be reported to the Federal Bureau of Investigation.

Hello - I noticed that sometime last week MN DHS updated there Telehealth Billing (COVID) section to show that we should be billing with POS Office and Modifier 95. Up until recently we have been billing under POS Office with no modifier as that was the original direction given by DHS. Note, we were not a Telehealth Provider prior to COVID. 

Has anyone else been billing CCDTF with POS Office WITH Mod. 95????

Thank you - Jeremy

How does your clinic separate MN Care tax exempt payments paid by certain plans? 

And, how do you know with certainty which plans are exempt? Or which programs are exempt?

Thank you in advance.

Has anyone been able to successfully bill and receive payment for the Comprehensive Assessment ($162.24) with HealthPartners PMAP? 

Jeremy

Wondering if anyone has come across this scenario yet.....we have clients coming into the office and being seen via telehealth. When submitting claims w/ place of service (pos) office, no modifier is needed; for telehealth a modifier is needed for most payers. Currently, I have to look in the Appointment Module to see which clients are coming into the office so I know to change the pos to "office" ( right now, I only have Telehealth pos available for providers as that is the majority). Unfortunately, I added the telehealth modifier when I billed them. Anyone have any ideas how to handle this when it becomes half office and half telehealth clientele?

Just wondering if others have received their ERAs for today.

I am required to review progress notes on a daily basis for auditing.  My supervisor is questioning whether or not I am completing this task on a daily basis.  I would like to be able to show evidence of a log that lists the documents that I accessed on specific days.  Right now, I only know that this can be done by opening each document individually and clicking the "log" link at the bottom of the pop-up window.  Is there any way to run a report instead?

There is a lot of info out there about Insurance companies waiving deductibles and copays during COVID.  I have not seen any ERAs come thru where the copay/deductibles have been adjusted off.All service dates are still being applied towards copays/deductibles. If this is the case, shouldn't the insurance companies be paying the contract rate in full? Wondering how everyone is handling this....Thanks~Tina

Does anyone have any streamlined ways to save communication with the client from the messaging module?  We need to keep all client correspondence on file and there isn't a way to save or associate communication directly from the messaging module.  We end up having to re-document the communication in our client contacts forms.