Private Practice Business Office: Structure, Policy, and Process

8/11/99


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Table of Contents

Private Practice Business Office: Structure, Policy, and Process

Today’s Objectives

The Private Practice Business Office

How We Got Here

So What?

PPT Slide

Purpose of Business Office

Operating Principles

PPT Slide

Business Office Policies

PPT Slide

PPT Slide

PPT Slide

PPT Slide

Rules and Regulations

Rules and Regulation (cont.)

Participation Agreements and Credentialling

Provider Credentialling

Mid-level Provider Information

Inbound and outbound referral requirements

Procedure and Diagnosis Coding

Pre-certification Requirements

Ancillary Services

Covered/Non-Covered Services

Reimbursement

Employee compliance and the ability to manage

Employee compliance and the ability to manage

Affecting Change - Where to Begin

Author: Kenneth D. Williamson

Email: clientservices@medicalmanagement.com

Home Page: http://www.medicalmanagement.com