KG Simple Solutions Speaks on Compliance at AOPA Compliance Week
KG Simple Solutions, a leading provider of innovative and cost-effective compliance solutions for orthotic and prosthetic practices, was proud to present at the American Orthotic & Prosthetic Association (AOPA) Compliance and Ethics Week on May 1-5, 2023. The event was a great opportunity for KG Simple Solutions to share its expertise on compliance and offer attendees practical advice for navigating the complexities of regulations in the O&P industry. Attendees learned valuable tips on remaining compliant and avoiding common pitfalls.
KG Simple Solutions' Presentation
At the American Orthotic & Prosthetic Association (AOPA) Compliance and Ethics Week on May 1-5, 2023, KG Simple Solutions presented the top five tips for a clean and compliant claim agenda. As a leading healthcare consulting firm specializing in revenue cycle management and compliance, KG Simple Solutions is dedicated to helping healthcare providers navigate the ever-changing healthcare landscape.
During the presentation, the team at KG Simple Solutions covered important topics such as understanding common denials and providing tips for billing compliance. By providing practical strategies for dealing with denied claims, healthcare providers can ensure a more efficient and successful billing process. Additionally, by staying informed about current regulations and compliance guidelines, healthcare providers can maintain a clean and compliant billing agenda.
KG Simple Solutions also discussed the tools and resources available to help streamline billing processes and improve financial health. From software programs to online resources and expert guidance, KG Simple Solutions highlighted a range of resources that healthcare providers can leverage to maximize their revenue cycle management efforts.
KG Simple Solutions provided a valuable and informative presentation that gave healthcare providers actionable insights for improving their compliance and billing processes by focusing on these key topics. As compliance and ethics remain critical topics for healthcare providers, KG Simple Solutions is proud to offer expertise and support to help healthcare providers navigate these challenges and achieve financial success.
Key Points from KG Simple Solutions' Presentation
During the American Orthotic & Prosthetic Association (AOPA) Compliance and Ethics Week, KG Simple Solutions delivered a presentation that covered several crucial points related to compliance in the O&P industry. Here are some key takeaways from their presentation that you need to keep in mind:
1. Patient Name and Birth Date Verification
It's essential to double-check that the patient's name on the claim matches the name on their insurance card, and you must verify their birth date against their driver's license. These steps ensure that you bill the correct patient, and it helps prevent denied claims due to incorrect information.
2. Physician Name and PECOS Approval
When billing Medicare, make sure the physician's name matches the information listed with Medicare, and they must be PECOS approved. PECOS approval is essential for compliance purposes and helps ensure proper billing practices.
3. Verification and Authorization
It's crucial to check verification and authorization, including the worker’s comp box on HCFA and the date of injury if applicable. These steps help ensure that you're billing the correct insurer, and it helps prevent denied claims due to missing or incorrect information.
4. Dealing with a 3rd Party
If you're dealing with a 3rd party, you must ensure that the company knows who to bill and if they are billing the IPA or health plan. This helps ensure that the proper parties receive the bills and can help prevent issues with claim payments.
5. LCode Crosswalk Tool
KG Simple Solutions offers subscription access to the LCode Crosswalk tool for O&P companies. This tool helps streamline the billing process, helps prevent denied claims, and assists with compliance-related issues.