Our CEO, Stephen Edwards, continues our conversation from our last video on fraud, by going over ways that clinics and providers can limit their exposure to fraudulent acts. There are many different ways of prevention but this will cover a few ways that you can help keep fraud out of your clinic.
0:29 – The Hiring Process
2:02 – Ethics in Your Office
5:12 – Partner with EEP Billing Agency
6:17 – Partner with TheraPlan EMR

Our CEO, Stephen Edwards, discusses fraud awareness and the multiple different ways that clinics and providers knowingly or unknowingly commit fraudulent acts. This is not a complete list but this will cover many areas that you can be exposed to fraud in your clinic.

Our CEO, Steve, addresses updates from the first week of 2019.
00:14 – Humana Medicaid
3:12 – 2019 Florida Medicaid Fee Schedule
4:24 – Deadline to Submit RBT Credentials
5:04 – Wellcare Contract Update

Our CEO, Steve, discusses the importance of preparing for the 1st of the year and reviewing your Wellcare contract.
00:16 Preparing for the 1st of the year
1:18 Wellcare contract review

Our CEO, Steve, discusses Continuity of Care periods as they relate to Medicaid reprocurement in 2019.

Our CEO, Steve, discusses the T19 and T21 transition from Med3000 to Wellcare, and recent confusion about SLPA supervision requirements.
00:39 Med3000 to Wellcare Transition for T19 and T21
00:42 Backdating Claims for Wellcare
1:35 Medicaid Secondary Claims
3:52 SLPA Supervision Requirements

Our CEO, Steve, advises clients on what to consider as you plan to verify patients’ benefits for commercial carriers in 2019.
1:16 When to check benefits for new patients
2:14 Urgent intakes
3:25 Collecting co-pays
4:12 Collecting deductibles
4:37 Collecting from out-of-network patients
5:15 Managing January revenue for your clinic
5:42 The importance of dialogue with patients
7:01 How EEP will check benefits
7:54 Sunshine Early Steps denials update
8:17 Prestige claims update

In this video our CEO, Stephen Edwards, discusses what’s happening in the therapy world as we near the end of 2018.
1:00 EEP Thanksgiving Closures
1:45 Prestige Speech Claims
2:11 Sunshine Early Steps Claims
2:49 Sunshine Stars Plan
4:00 Credentialing for Early Intervention Providers
4:56 Wellcare Authorization Changes
5:16 CMS Holiday Pay Schedule
5:50 Early Steps Claims Deadlines

It’s a good idea to take an inventory of the policies and procedures you have implemented at your therapy clinic prior to the start of a new year, and with ample time to notify your patients.