FEDERAL COMPLIANCE AND HIPPA
In today’s complex, often confusing world of medical billing, it’s no secret that compliance is the key to getting paid. At Avail Revenue Solutions, we specialize in compliance, offering you customized solutions that fit your needs, not everyone else’s.
Federal and State Regulations Compliance
(Medicare, Medicaid, Workers’ Compensation): Compliance is key to the continued success of any medical practice. Our physician liaisons work to ensure the claims we submit meet all federal and state regulations to ensure timely and maximum payments.
The Health Insurance Portability and Accountability Act of 1996 was designed to improve the efficiency of the healthcare system in the United States. The Department of Health and Human Services published rules and guidelines to standardize the administration and financial electronic information for patients. Certain businesses like medical labs and other medical offices will share medical information on patients. HIPPA mandates how that information is stored, maintained, and secured.
Avail and FMOL established a contractual agreement for Avail Revenue Solutions to provide outreach services to patients within the FMOL system that have been identified as having at one time employee sponsored insurance (ESI) and Medicaid. We currently have a call center to reach out to potential applicants via phone and mail to review and discuss the LaHIPP program. Avail Revenue Solutions will mailapplications to potential applicants and conduct follow-up with these potential applicants. We will continue to work with the LaHIPP unit communicating weekly to review reports and stay current with any updates/questions regarding the program until a determination is made.