I am writing to you inform you of some things that have happened since attending your seminar. The Provider Package that we bought paid for itself in no time. Prior to the seminar our office had been having serious issues with an insurance company that was delaying payments for several months at a time. I followed your instructions by including the signed AOB, judges rulings about delayed payments (in insurance company copy only), with the cover letter stating on behalf of the patient, and the Lousiana Prompt Pay Law and Penalty;about 10 days later I received a check for over $9,000 from the insurance company. Second issue I was having a certain insurance company was not paying our office at the correct fee schedule (they were paying us less). So I figured I'd send a complaint letter to the commissioner's office on them too and copied the insurance in the same fashion as the previous, literally the next week I got a check for difference in payments (multiple claims couple hundred dollars). We have also used the form and how to go about asking for a fee re-evaluation with another insurance company and we are in the negotiation process now. I am truly amazed at how just a few simple tweeks to things could make such a huge difference.
The mission of National Provider Compliance Corporation's continuing education program is to provide ongoing, high-quality, affordable training to health providers to assist them in managing their health practices.
Training topics include office procedures and policies, billing and claims, fees and collections, HIPAA Compliance and claims management, charting and documentation, staff training, ICD-9 to ICD-10 changes, appealing overpayments and denials, and overall practice professionalism.
We offer a Medicare specialized course, "Local Medicare Changes", where we focus on specific changes taking place with each Medicare carrier in each state and deliver high impact courses to areas affected by changes each Quarter.
We also offer a Dental specialized course, "Local Dental Insurance Coverage, Changes and Updates", designed to deliver National and Local State specific dental insurance changes. Training topics include office procedures and policies, billing and claims, fees and collections, HIPAA Compliance and claims management, charting and documentation, staff training, impact of ICD-10 on Dental practices, appealing overpayments and denials, and overall practice professionalism.
Our absolute goal is to help your practice to be as successful as it can possibly be and, in turn, make your patients as happy and healthy as they can be.
NPCC Educational Value Proposition
We are committed to our clients engagement; we have shaped an environment conducive to learning;access and opportunity; commitment to excellence; enrichment through diversity and the freedom to think, communicate and collaborate. We are dedicated to creating a dynamic learning community that addresses clients' diverse needs.
At NPCC our essential priority is to provide exceptional, quality training and a curriculum that is strengthened by the highest standards in education. The complexity ofthe business of medicine continues to increase. We are committed to help each healthcare provider improve within their practice with training, lifelong learning and knowledge building.
Our Course Curriculum seeks to translate the practice expectation into educational outcomes; identify the appropriate content categories, recognize various strategies to achieve these outcomes; for the framework to ascertain the immediate settings and extended environment and position the curriculum in the context of immediate settings and extended environment.
We identify the accountability to adhere to legal practice standards, including all federal, state and institutional regulations related to patient/client care and fiscal management. This includes distinguishing the fiduciary responsibility of all patients/clients. Further to expressively and openly share in aculturally sensitive manner in all communication with patient/client,colleagues, healthcare providers and other consumers.
We actively participate in self-assessment to improve the effectiveness of our curriculum. At NPCC we consistently apply current knowledge, theory and judgment in the updating of our curriculum. We participate in the design and implementation of best practices for various healthcare populations. It is our desire to educate others using culturally appropriate teaching methods that are in tune with the needs of the learner. We want for the educational outcomes to be consistent with legal, ethical and professional obligation including administrative policies and procedures of thepractice environment.
We strive to support the role of leadership that each healthcare practitioner should achieve so that they can respond to the needs of the organization/practice to be successful and ensure their continuing competence. We desire that every healthcare practitioner has access to the knowledge needed to harmonize their practice with the realityof the environment in which they practice. We know that healthcare requires the efforts of many differently trained individuals working together to address themany needs of the patients. The global outcomes of this course is the development of a vision for healthcare practitioner's role and future practice thatanticipates the changing needs and demands of society.
Course of Study
Definition: "Course of Study" means an orderly learning experience in an area of study pertaining to medical health, preventative healthcare services, diagnosis and treatment planning, clinical procedures basic health science, practice management and laws specifically related to a healthcare practice.
Annually there are State and Federal law changes that a healthcare provider needs to be aware of. New policies, laws and regulations have an impact on health carepractices. Each individual State establishes a scope of practice for healthcare practices. To practice according to local laws, practice staff must know and stay on top of legal parameters in their state. The course deals with legal responsibilities, including but not limited to laws and rules governing the healthcare practices. Further the course has a focus on ethical practices management, effective communicationwith patients and time management.
Our Course pertains to the legal requirement governing the licensee in the areas of auxiliary employment and delegation of responsibilities; the Health Insurance Portabilityand Accountability Act (HIPAA); The Federal False Claims Act; Red Flag Program; Anti-kickback Law and actual delivery of care. Further, that the course content pertains to the legal and ethical aspects of the insurance industry, to include management of third party payer issues, billing practices, patient and provider appeals of payment disputes and patient management of billing matters.
Perform within legal (including federal and state statues, state practice acts,regulations, opinions and rulings) and ethical boundaries
Document patient communication and clinical treatment accurately and appropriately
Maintain medical records
Follow employers established policies dealing with the health care contract
Identify and respond to issues of confidentiality
Educate individual in office policies and procedures
Utilize and apply coding and billing terminology appropriately
Educate the patient within the scope of practice and as directed by the supervising healthcare professional in health maintenance and disease prevention to meetindividual patient needs
Establish,organize and maintain patient medical records
File medical records appropriately
Perform billing and collection procedure
Prepare submittal (clean) insurance form
Be up to date on system changes
Instructor - Biography
Christine L. Barry, D.B.A.
Committed to a curriculum of excellence; Maintaining academic standards set by national, regional and professional accrediting bodies; Skilled at participative management emphasizing collaborative, consensual and problem solving; dedicated to improving the educational experience; Faithful to excellence in teaching, service, assessment and accreditation; trained in collaborative leadership style and ability to manage different programs and experienced as a faculty member. Focused on creating an environment conducive to learning; access and opportunity; commitment to excellence; enrichment through lifelong learning; the freedom to think; communicate and collaborate.
Marcia Bean-Ebersole, CPC
Created a dynamic learning community that addresses the educational needs of the customer communicated and coordinated with the Seminar Leaders in their development of a curriculum of excellence; researched, analyzed and planned for future educational improvements; prepared findings and made recommendations concerning appropriate procedures for clients; faithful to excellence in teaching, assessment and committed to maintaining academic standards set by national, regional and professional accrediting bodies.
Communicate effectively and establishes a stable learning environment. Committed to successfully fulfill on the educational mission of the company to be a recognized as a nationally reputable company. Focused to ensure that the company's educational direction is strategically sound. Uses effective training techniques in dental and medical education. Strong leadership qualities with the ability to jump in and take charge in any situation with excellent problem-solving skills; self-motivated professional who particularly excels with new challenges.
Successfully taught courses in healthcare education for the medical industry on a national stage. Focused on high quality training that supports physicians and dentists in managing their medical practices. Committed to ensure that the company's educational direction is strategically sound. A hands-on leader with expertise in multiple disciplines who communicates effectively and instructs clearly.
Successfully taught courses in healthcare education for the medical industry nationally.
Provided consultative services for physicians,dentists and their office staff for the purpose of improving their medical and dental practice management.
Created and implemented customer service programs forend users of training programs.
Uses various educational techniques to assist theoverall educational strategies of the company.
Analyzed procedures and makes recommendations for improvements.
Fostered good relationships with physicians, dentistand their staff and successfully meeting their educational needs.
Laura C. McCabe
Energetic, detail oriented Healthcare Education professional with a solid record of teaching. A hands-on leader with expertise in multiple disciplines communicates effectively and instructs clearly. Finds the right balance between interpreting rules and regulations and coaching office harmony including patient relationships.
NPCC presents healthcare training for Healthcare Providers and their staff that isappropriate for any size practice. Whether a small practice in a rural setting or a multispecialty urban practice, NPCC will teach new methods that will support a practice and generateclient satisfaction.
Our curriculum has been developed to foster healthcare educational development andtraining. This includes subjects dealingwith licensees' legal responsibilities, including but not limited to the laws andrules governing the healthcare provider such as the implementation of ICD- 9 toICD – 10. We constantly ask ourselves, can the trainee use the information being taught. We consistently review the relevance of thematerial and we strive to keep all of our training updated. When we create a course, we are focused on itbeing technically correct and presented in a logical manner.
Behavioral Objectives - Continuing Competence Activity
The goal of the NPCC continuing education program is to provide ongoing high-quality, affordable training to healthcare providers to assist them in managing their healthcare practices. Further to improve the quality of health care practice management systems to support continued competence in every practice.
NPCC creates clear objectives that respond to healthcare providers' needs and communicates them to course participants. The objectives specify the desired knowledge, skills, behaviors or attitudes to be developed as a result of the educational experience.
The first objective is to train practice personnel to design and maintain adherence with company policies and administrative procedures.
The second objective formulates how to ensure quality systems and documentation.
The third objective is how to create office procedures and policies.
The fourth objective is to identify and review updates in billing and claims services.
The fifth objective is to recommend concepts of practice management fees and collections.
The sixth objective is to synthesize HIPAA Compliance and regulatory documents.
The seventh objective is to review and adapt updates in charting and documentation procedures.
The eighth objective is to integrate personnel training for a high skill and high challenge professional environment.
The ninth objective is to foster learning through interaction, collaboration, participation and contribution to the knowledge of the field of Healthcare Practice Management.
The tenth and final objective is to apply concepts of Healthcare Practice Management Professionalism to guide the development of capacity for a future of lifelong learning where quality of professional service is a commitment.
Objectives are Behavioral
NPCC creates clear objectives that respond to healthcare providers' needs and communicatesthem to course participants. The objectives specify the desired knowledge, skills, behaviors or attitudes to bedeveloped as a result of the educational experience.
At NPCC we respect and nurture the creation of new knowledge and encourage the sharing ofour knowledge and experience. We seek to create an educational experience that preparesan individual for lifelong learning. Our educational philosophy is congruent with the course we present. We function in an environment that is conducive tolearning and educational participation. Our instructors are committed to effective teaching and learning. We have an organized curriculum. Additionally, we have an organized method for obtaining and analyzing feedback from our students that allows for the courseto be continually assessed and improved.
Objectives Fullfilled on Activity Content
We respect and nurture the creation of new knowledge and encourage the sharing of our knowledge and experience.
We are continually seeking to improve our services and their outcomes. We manage prudently, creatively and encourage innovation. Our commitment is to achievethe highest educational standard for our clients and to adhere to the highest professional standards.
It's hard to imagine any practice that would not benefit from motivating behavior that lead to increased continuing competence in the practice, excellent patient care andservice, high patient satisfaction and having the ability to work well with colleagues and staff in a team environment. Patient satisfaction is a critical success factor for the organization.
Our curriculum has been developed to foster leadership and training. We seek to define success as tied to vision and goals up front. Therefore, the terms of expectations, competencies and outcomes make sense and become standard procedures.