Beyond the Contract: Third-Party Partnerships
Автор: WPS Government Services – Medicare
Загружено: 2026-02-19
Просмотров: 46
Описание:
This is a recording of an event held on February 18, 2026.
If your office or facility outsources any portion of billing, medical record, or claim follow-up activities, this education is for you. We focus on compliance relating to contracting with third-party billing companies and clearinghouses. It includes:
• Showing legal responsibilities
• Recognizing vulnerabilities and inappropriate actions
• Reducing costs for providers and Medicare
• Locating resources for more education
Take the survey for this course: https://cmsmacfedramp.gov1.qualtrics....
Resources
HIPAA Privacy Rule Business Associates Guidance: https://www.hhs.gov/hipaa/for-profess...
Compliance Program Guidance for Third-Party Medical Billing Companies: Federal Register, Volume 63: https://oig.hhs.gov/documents/complia...
Medicare Administrative Contractor (MAC) Beneficiary and Provider Communications Manual, Chapter 6 - Provider Customer Service Program, §30.4.8, 50, 50.1: https://www.cms.gov/regulations-and-g...
MLN8816413 – Checking Medicare Eligibility: https://www.cms.gov/files/document/ml...
Security Rule at 45 Code of Federal Regulations (CFR) 164.308(a)(1)(ii)(A) and (a)(1)(ii)(B): https://www.ecfr.gov/current/title-45...
WPS Government Health Administrators Portal User Manual: https://www.wpsgha.com/tools/portal-u...
Reason/Remark Code Lookup tool: https://www.wpsgha.com/tools/reason-r...
Chapters
00:00 Opening
00:29 Objective and Agenda
02:53 Definitions
04:07 Legal Responsibilities
11:27 Common Trends
26:58 Questions to Ask
35:37 Resources to Share
43:01 Summary
44:00 Closing
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