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Medical/Legal (Risk Management, Fraud, Compliance)

Medical-Legal Guidelines, Practice Management, Narrative Report Writing, Fraud, Medical Records Documentation and Compliance, Record Charting, Practice Management, Office Forms Software, Personal and Business Forms and Medical-Legal Seminars, Books and Software.

Most states have laws concerning medical record keeping with a couple having criminal laws attached to medical records and their release. Now, enter HIPAA and its regulations of medical records, documentation and compliance. The new HIPAA regulations carry heavy fines, sanctions and criminal penalties for non-compliance.

You and your practice must be aware and trained in both state laws and federal HIPAA laws concerning medical records, documentation and compliance. In order to survive and thrive without the worry of audits, fines, sanctions and criminal penalties you have to be proactive in your practice and have a system in place to get answers to your questions concerning these and other issues that affect your practice and income.

Preparation is the key to avoiding problems in these areas that you may encounter. Make sure you have support for your practice and understand the medical-legal guidelines you are required to follow.

This entails, but is not limited to such practice management matters such as:

1. Case History, examinations, office notes

2. Re-examinations

3. Clear understanding of codes you use to submit billing

4. How the coding system works

5. How to bill for better revenue

6. How to safely bill

7. How to demonstrate and document medical necessity and treatment

8. How to present your documentation

9. Support documentation,treatment, medical records and billing

10. Do you have an office risk management program in place.

11. Insuring proper forms are in place to document and support your treatment plan

12. Are your records charting, medical records, compliance, medicalnecessity, treatment, confidentiality issues in place?

13. Would you or your practice survive an investigation, criminal,civil or both?