Guest guest Posted January 13, 2008 Report Share Posted January 13, 2008 Dear List Serve Members, Hope this missive finds you in good health and geared up for the new challenges we all face in 2008. I was recently reading a message from a list serve member who was responding to a " clarification " of a specific billing ruling. In her response, she actually provided the name of the former clinic she worked for along with the city and state it was located. She further added that " during the two years she was working at this clinic " she was " incorrectly billing " as a result of her " former employer providing her with " misinformation " and thanked the submitter for providing her with clarification on this ruling--a ruling that had been in place since 1992. She signed off providing her name, professional designation and the name of the clinic (city and state) where she is currently employed I nearly fell out my chair! I will not mention the person's name or the specific billing question asked as to not draw further attention to this matter. The following is NOT legal advice, just some good ole' fashion common sense advice. Use discretion when you put things in writing and more importantly, when you put things in writing that will be published on a blog or list serve message board. Ignorance of the law does not negate your responsibility to abide by the law, nor does it negate your responsibility to abide by the law when you are a professional employee of a hospital or private practice. You must abide by your Practice Act at all times; abide by the coding and billing guidelines set forth by the state, federal and commercial insurance carriers you are contracted with and/or your employer has contracted with on your behalf, regardless if you have signed a contract to reassign benefits to your employer. In some employee/employer situations, your employer may have required you to sign a confidentiality agreement wherein you are legally obligated and restricted from discussing or soliciting their patients after termination of services; legally obligated and restricted from sharing trade secrets and/or financially sensitive practice information after resignation/termination; and legally obligated and restricted from discussing with the media or public anything regarding your former employer or employment without the specific written authorization of your former employer. If your are a clinic owners and you do not have an employee confidentiality agreement in place, consider contacting a local employment attorney to provide you with an employee confidentiality agreement that meets with your state employment laws. If your practice does not have a Corporate Compliance Plan in place, develop and implement a Corporate Compliance Plan as soon as possible. Use the resources that are available to you in order to educate and inform your new and current PT staff members regarding proper coding and billing guidelines, state/federal billing laws, and Practice Act standards. The APTA and CMS (MedLearn Matters) websites offer medical and health care providers with the most current changes in coding and billing standards along with a listing of the most FAQ regarding PT coding and billing. Print these notices/publications and have ALL new and current PTs read and sign-off on these notices/publications. Keep a record on file in your office of the dates and times these notices and publications were provided to your employees. Have a great Sunday afternoon and evening. D. Cavitt, President Medical Legal Alliance, L.L.C. Lafayette, LA 70508 (cell) **************Start the year off right. Easy ways to stay in shape. http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489 Quote Link to comment Share on other sites More sharing options...
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