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Clients often hesitate when it comes to auditing services. Typically, they hire an auditor, receive stacks of reports, and then...what happens next? Who ensures these insights lead to action? For Limitlessli’s Clinical Compliance clients, we do things differently. We don't just deliver reports; we integrate them into your operational workflow. After submitting a report, we immediately highlight critical areas to your clinical team, identifying any gaps. We also send comprehensive compound reports, which consolidate the data on a daily basis. Within the first week, we follow up with the clinical compliance team to ensure these gaps are being addressed, and if necessary, we escalate according to your procedures the following week. We will continue to escalate until all issues are resolved. Our proactive approach doesn't just clarify what needs attention—it ensures these issues get resolved. Sooner rather than later, those audit reports are filed away, and our clients get real results. Interested in hearing more details about our auditing services? Please feel free to comment below or send a message. #clinicalcompliance #snf #offsitestaffing

Clients often hesitate when it comes to auditing services. Typically, they hire an auditor, receive stacks of reports, and then...what happens next? Who ensures these insights lead to action? For Limitlessli’s Clinical Compliance clients, we do things differently. We don't just deliver reports; we integrate them into your operational workflow. After submitting a report, we immediately highlight critical areas to your clinical team, identifying any gaps. We also send comprehensive compound reports, which consolidate the data on a daily basis. Within the first week, we follow up with the clinical compliance team to ensure these gaps are being addressed, and if necessary, we escalate according to your procedures the following week. We will continue to escalate until all issues are resolved. Our proactive approach doesn't just clarify what needs attention—it ensures these issues get resolved. Sooner rather than later, those audit reports are filed away, and our clients get real results. Interested in hearing more details about our auditing services? Please feel free to comment below or DM me. #clinicalcompliance #SNF #offsitestaffing

Basic Skills & Tasks for a medical auditor

𝙒𝙝𝙖𝙩'𝙨 𝙩𝙝𝙚 𝙤𝙣𝙚 𝙢𝙖𝙟𝙤𝙧 𝙘𝙝𝙖𝙡𝙡𝙚𝙣𝙜𝙚 𝙮𝙤𝙪'𝙧𝙚 𝙛𝙖𝙘𝙞𝙣𝙜 𝙞𝙣 𝙮𝙤𝙪𝙧 𝙨𝙩𝙖𝙛𝙛𝙞𝙣𝙜 𝙤𝙧 𝙝𝙞𝙧𝙞𝙣𝙜 𝙣𝙤𝙬? 🧑🤝🧑Bookkeeping for F&A services? 🧑🤝🧑Medical billing for Clinics or pharmacies? 🧑🤝🧑Afterhours calling support for service providers? 🧑🤝🧑Content Moderation or Data Annotation for NLP-Machine Learning? 🧑🤝🧑RCM services for DME, SNF & Home healthcare equipment suppliers? Learn more on how to solve your staff shortage by adding the top 2% certified talents from RND SOFTECH, for all those Back-office tasks #dataannotation #contentmoderation #machinelearning #coo #rcmservices #bposolutions #cfo #outsourcingservices #ceo #fao #remotestaffing #Businessowners #backofficesolutions #founders

Medical coding and billing are distinct roles. Larger institutions may hire separate specialists, while smaller offices might have one person handle both. Coders update patient records with accurate codes, while billers file insurance claims and handle follow-ups. However, there's growing concern about how digitalization, automation, and machine learning impact these jobs. Many worry that these advancements could replace actual workers. www.tlcmedtraining.com .. .. .. #tenderloveandcare #careerstep #certifiednursingassistant #alliedhealthschool #mediaclcareers #healthcarecareers #medicalbillingcoding #medicalassistantprogram #pompanobeach #fortlauderdale #bocaraton #miami #deerfieldbeach #florida #davie #soflo #plantationfl #bocaratonflorida #aventura #coralspringsfl #palmbeach #margate #pembrokepines #wiltonmanors #weston #oaklandpark #broward #browardcounty #AI #healthcare #coders #medicalcoding #medicalbilling

the basic skills and tasks for a medical auditor (payor side): 1. Data Analysis: - Proficiency in tools like Excel pivot tables and SQL is essential. These tools allow you to manipulate and analyze large datasets efficiently. 2. Methodology for Data Classification: - As a medical auditor, you'll encounter various data points. Classifying them correctly is crucial. Here are some key classifications: - Type of Provider: - Identify whether the provider is a hospital, clinic, dental practice, or another type of healthcare facility. - Type of Care: - Distinguish between outpatient and inpatient care. - Type of Service: - Understand different payment models, such as Diagnosis-Related Groups (DRGs) and Per Diem rates and other models. - Physician ID: - Keep track of the unique identifiers for physicians involved in patient care. - Analysis Outcome: - After analyzing the data, you'll derive insights. Common outcomes include: - Trend analysis: Identifying patterns over time. - Market analysis: Understanding the healthcare landscape. - Service analysis: Evaluating specific services provided. - Applying Analysis Outcome: - Use the insights to determine which cases require further audit. Prioritize cases based on risk or other criteria. - Confirmation: - Confirm the results of your analysis before proceeding with audits. 3. Medical Guidelines Knowledge: - Familiarize yourself with medical guidelines related to coding, billing, and reimbursement. These guidelines ensure accurate claims processing. Remember that medical auditing involves attention to detail, adherence to guidelines, and a thorough understanding of healthcare data. #Medical_Billing #Practices #RCM #MedicalProviders #Providers #Account_Receivable #Biller

𝗣𝗿𝗲𝗽𝗮𝗿𝗲 𝗳𝗼𝗿 𝗟𝗶𝗳𝘁-𝗢𝗳𝗳: 𝗠𝗮𝘀𝘁𝗲𝗿𝗶𝗻𝗴 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 𝗔𝘂𝗱𝗶𝘁𝘀 𝗶𝗻 𝟮𝟬𝟮𝟰! Medical billing audits can feel like an intimidating black box, but with the right prep, they can be smooth sailing! Here's your toolkit for a successful 2024 audit: Pre-Audit Power Up: Embrace transparency: Maintain organized records & clear documentation. 🩺 Code with confidence: Ensure accurate coding practices and up-to-date knowledge. Review & refine: Regularly assess processes, identify gaps, and implement improvements. 𝗔𝘂𝗱𝗶𝘁 𝗗𝗮𝘆 𝗖𝗵𝗲𝗰𝗸𝗹𝗶𝘀𝘁: Stay calm & prepared: Gather all requested documentation and have staff readily available. Communicate clearly: Ask questions and keep the auditors informed. ️ Embrace collaboration: Work with the auditors to address any discrepancies openly. Post-Audit Power Play: Learn from the experience: Analyze feedback and implement corrective actions. Prevent future issues: Proactively identify and address potential vulnerabilities. ️ Continuous improvement: Stay updated on regulations and best practices. 📞 (860) 993-0629 📧 info@pmedicalbilling.com 🌍 https://lnkd.in/d_fUzwK5 #medicalbilling #healthcare #audits #compliance #bestpractices #pmedicalbilling #medicalbillingaudit #medicalbilling

Are you looking for a way to amplify your impact as a medical coder? I know I feel most accomplished when I have the space to use my education and skills to crack a problem, resulting in a million correctly coded claims. But as a coder and auditor with over 15 years of experience under my belt, I knew something had to change. I was growing tired of the constant loop of audit, education, brushing up on guidelines changes, repeat. That's why I instantly knew I had discovered something extraordinary when I found Fathom. Fathom's ability to address two pivotal healthcare challenges - provider burnout and escalating costs - is what the industry needs. With healthcare professionals already stretched thin and coding guidelines in constant flux, Fathom offers a life raft to revenue cycle teams, freeing up time and empowering them to focus on complicated issues. Check out my full story here: https://lnkd.in/eGcZrPW4 If you're a skilled coder who wants to make a meaningful impact in healthcare, our Coding Quality team is growing! Check out Fathom's careers page (link in comments) for the latest postings. #Hiring #MedicalCoding #MedicalBilling #RevenueCycleManagement #ArtificialIntelligence #Healthcare 

the basic skills and tasks for a medical auditor (payor side): 1. Data Analysis: - Proficiency in tools like Excel pivot tables and SQL is essential. These tools allow you to manipulate and analyze large datasets efficiently. 2. Methodology for Data Classification: - As a medical auditor, you'll encounter various data points. Classifying them correctly is crucial. Here are some key classifications: - Type of Provider: - Identify whether the provider is a hospital, clinic, dental practice, or another type of healthcare facility. - Type of Care: - Distinguish between outpatient and inpatient care. - Type of Service: - Understand different payment models, such as Diagnosis-Related Groups (DRGs) and Per Diem rates and other models. - Physician ID: - Keep track of the unique identifiers for physicians involved in patient care. - Analysis Outcome: - After analyzing the data, you'll derive insights. Common outcomes include: - Trend analysis: Identifying patterns over time. - Market analysis: Understanding the healthcare landscape. - Service analysis: Evaluating specific services provided. - Applying Analysis Outcome: - Use the insights to determine which cases require further audit. Prioritize cases based on risk or other criteria. - Confirmation: - Confirm the results of your analysis before proceeding with audits. 3. Medical Guidelines Knowledge: - Familiarize yourself with medical guidelines related to coding, billing, and reimbursement. These guidelines ensure accurate claims processing. Remember that medical auditing involves attention to detail, adherence to guidelines, and a thorough understanding of healthcare data.

Choosing the right career, navigating career transitions, skill development, and staying adaptable in a changing job market. Addressing the importance of continuous learning and networking could also be valuable in exploring right path.