CONSULTING SERVICES

  SonTash work within a compliance and quality improvement program, that is responsible for educating professionals, monitoring compliance, and recommending appropriate corrective action with regard to billing, privacy and other regulated activities in an academic and/or clinical unit  We currently with the Professional Integrity Office where its primary functions have focused on monitoring medical academic activities, such as physician billing compliance.  Functions of the Professional Integrity Office have been expanded to address HIPAA Privacy and Security and all issues related to professional integrity. The Billing Integrity Consultant's role requires employees to possess specialized knowledge, professional judgment in addressing confidential and sensitive information, and highly effective communication skills to interact with employees and managers at many levels of Professional and Technical Communication and affiliated institutions. This is professional administrative and analytical work which is directly related to the mission of the Colleges, and Universities, requiring discretion and judgment with respect to billing/coding, HIPAA privacy and security, and professional integrity. As such, the duties are as follows:  SonTash Provide  Presents orientation and on-going billing integrity training services to faculty, students/residents, and staff regarding compliance with Federal, State and other rules and regulations, as well as USF, VP, College policies and procedures. Conducts reviews (monitoring) and analysis of clinical documentation and coding in order to evaluate if billing, coding, and documentation criteria have been met; performs quality assessments of documentation and coding reviews completed by staff; makes recommendations for process/quality improvements.  Conducts on-site assistance and reviews of documentation, coding and charge capture processes.  Investigates Reports of Potential Problems; assists departments in identified corrective actions.  Performs risk Analysis, monitoring, and reporting of compliance activities.  Provide via publications and web sites governmental regulations, Medicare, Medicaid and other payer rules and guidelines in order to: maintains current knowledge of appropriate billing procedures. Assist: Providers Staff with billing questions and issues.   

The rising costs of healthcare, mainly the result of an aging population combine with a rising life expectancy, is putting pressure on government and healthcare institutions to manage spiraling cost levels. At the same time changing consumer expectations are driving up expectations on all aspects of healthcare, from direct healthcare quality to the operations around health services.    Researchers and analyst explains: It is very much a time of change in the healthcare sector, as public and private institutions in virtually every market are dealing with some mix of changing demographics ever evolving regulatory schemes , political pressure to cut costs, social pressure to improve care and expenses that are rising at unmanageable rates The need to respond to these pressures has led to a wave of reform and restructuring across the healthcare landscape. For the Medical Billing industry, the back drop of change leads to a widening window of opportunities. These changes mean significant opportunities for Billing Services to help take on the challenges.  Also with the new information update as of Now 2016 from the "Modern Healthcare"the challenges will become greater... it's in process. This will occur within the next six months to a year" the challenges is going test Healthcare to it's foundation. Which will make it increasingly imperative the Providers will need a Billing entity to fight on their behalf.  SonTash Medical Billing is ready for that challenges...