5 Ways to Stay on Top of Medical Billing Compliance

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5 Ways to Stay on Top of Medical Billing Compliance

medical billing compliance

By: Karen Schepler, CHC, Director of Compliance

At MBX, medical billing compliance is of utmost importance both for our internal organization and for our many clients. Our workforce handles sensitive information on a daily basis and it is our job to safeguard that information and maintain a high level of security and integrity. As a medical billing company, we follow all federal and state guidelines to ensure accurate healthcare claim generation and submission, and keep our staff updated on new legislation, payer rules, and all privacy rules and regulations. How do we at MBX stay on top of the ever-changing and evolving world of Medical Billing Compliance?

1. Training, training, and more training!

Our workforce is required to complete Compliance and HIPAA training at the time of employment, and at least annually thereafter. Relevant additional training is deployed and attested to continually throughout the year.

2. Develop an ethical culture

Having an ethical workforce is a key tool in combatting non-compliant behavior, and we pride ourselves on the skilled and competent staff we employ.

3. Open Communication

Communication is one of the most important aspects of ensuring medical billing compliance. Not only communication to workforce members and  our clients of changes in healthcare legislation and billing rules and regulation, but open lines of communication between staff and the Compliance Department whereby potential issues may be reported (anonymously if chosen) without fear of retaliation.

4. Auditing & Monitoring

One of the benefits of using MBX as your medical billing company is our robust Healthcare Revenue Cycle Management process. Our APEX Business Intelligence data analytics tool allows for billing patterns to be monitored, variances identified, and potential issues researched. MBX audits and monitors different areas of the healthcare billing cycle continually, allowing to address any problems that may arise in a timely manner.

5. Have an Active and Evolving Compliance Plan

At MBX we are proud to have an active, working, and ever evolving Compliance Plan. As your medical billing company, you can be assured that we continually implement policies and procedures, not only for compliance, HIPAA Privacy and Security, but also related to the healthcare revenue cycle. Our staff are continually trained and educated, and we encourage open lines of communication, within our organization and with our numerous clients.

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