Contact Relationship Management: What does your LNC business want to be when it grows up?

Posted by on Feb 27, 2016 in AALNC, Best Practices, Kari Williamson, Legal Nurse Consultant, Legal Nurse Consulting, MK Consulting, Services

By Kari Williamson, BS, RN, LNCC, CCM MKC Medical Management I recently saw a post by a fellow LNC, inquiring: “How do I best manage leads, names, clients, contacts, supportive colleagues, and others while I grow my business?” What’s a LNC to do? There are many Contact Relationship Management (CRM) platforms which boast a variety of functions—in addition to the ol’ tried and true Excel spreadsheet. Some CRMs are very expensive, while others more reasonable. Excel is on most everyone’s computer, is very versatile and can be effective. So how do you choose what would work best for you? What systems work the best? Does a more expensive tool really give you better results? Click over to the AALNC Presidents Blog to see the full blog...

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Fraud in the Healthcare System, Part 2: How to make seniors less of a target

Posted by on Apr 21, 2014 in Blog, Legal Nurse Consultant, Medical Conditions/Terminology Blog Series, Services

I wrote recently about fraud and its huge impact on healthcare costs.  It costs you and me $80 billion a year, according to an FBI estimate! Cost, however, can be measured in all sorts of ways.  Consider the emotional and cultural toll fraud takes when you know that the elderly are a prime target.  The other day, I saw that financial scams against the elderly are considered “the crime of the 21st century.”  (Sorry, but this includes you, too, Dad.) Who is targeted and why? Here’s a quick look at two big reasons why our elderly are so often victimized:  Most senior citizens are likely to have a nest egg. This makes them attractive to con artists.  However, low-income adults are also at risk. Most elderly victims were raised to be polite and trusting. Not only are they therefore more likely to comply with their perpetrator, seniors less likely to report fraud because they’re embarrassed. Plus, there are more and more seniors and targets available, as our society ages. What does healthcare elder fraud look like? Here are some of the things to look for: Medical equipment is a big source of potential fraud and abuse.  Watch out when equipment manufacturers offer “free” products.  Insurers are then often charged for products the individual may not have needed or may not have been delivered. “Rolling Lab” schemes are another way our elderly and providers are victimized.  This is when unnecessary or fake tests are given to the elderly at retirement homes, shopping malls, or drug stores and then billed to insurance companies or Medicare.  Sometimes individuals are billed for services never rendered by changing bills or submitting fake ones. Medicare fraud is a biggie as well, and the elderly are frequently targets.  Because physicians must sign documents certifying that equipment or testing is needed before Medicare pays for it, con artists may forge signatures or bribe doctors to sign them.  Once the form is signed, the manufacturers bill Medicare for merchandise or services that were unnecessary or never even ordered. How do we protect the elderly against fraud? Here’s some practical advice, based on years in the field: Keep track of healthcare records and equipment or tests received. Review your explanation of benefits and call for discrepancies or questions. Ask medical providers what your charges will be and what to expect to pay out-of-pocket. Be picky who you give your insurance or Medicare ID to. Be wary of door-to-door or telephone medical equipment salespeople. Don’t give blanket authorization to medical providers to bill for services rendered. Never ever sign blank insurance claim forms. Unfortunately, this is only the tip of the iceberg.  So, stay sharp! Jordan Ilderton, RN, BSN, is...

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What is it going to cost me?

Posted by on Mar 28, 2011 in Billing, Blog, Legal Nurse Consultant, LNC Costs, MK Consulting, MKC, Services

Overall costs continue to be at the forefront of everyone’s mind.   Adjusters want to know projected costs so they know how much will be charged back to the file. Plaintiff attorney also want to know what costs will be, and defense attorneys need a cost estimate prior to seeking approval from their clients. To best address these cost concerns, LNC’s should be able to adjust costs and hours to meet YOUR needs.  The LNC should be flexible with cost projections and hourly fees.  As a consumer of medical-legal services, don’t be afraid to ask for creative ways to address these cost issues. At MKC we have created a suite of LNC products to address needs at any level!  These products are designed to address the smallest increment of time/function to the more traditional LNC products which bill by the hour.  For instance MKC offers a product that provides a quick scan of the available medical records.  This early intervention will help the attorney and/or adjuster to understand casualty and damages AND provide a vital piece of understanding, so strategies can be implemented at the onset. pay advance no faxingyoure seriouspayday loans overnight So what to do?  Embrace the available LNC role/medical record review and be creative in how you best utilize the available services. Remember the old idiom- In for a penny, in for a pound? Well in this case that does not necessarily hold true!  You can actually use LNC services in a cost conscious manner, by selecting specialized products. Use products that free up your time AND provide a useful end...

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Going Above and Beyond!

Posted by on Dec 15, 2010 in Blog, Deadlines, Legal Nurse Consultant, LNC, Services

The Extra Mile When functioning as a LNC or (anything else for that matter), going the extra mile pays off not only in creating the best possible work product, but also in helping to solidify business relationships and build overall trust. As consultant, I often have to go beyond what was asked of me.  Sometimes a request comes in while I am “mid-stream”; other times I see a course change or new information that is valuable for the client, and yet that client may not be aware of it.  This new information often means doing more work than what the original assignment called for; and doing it in the same amount of time! But what is always required, is a willingness to be flexible, accommodating and quick to respond.  The client ultimately decides what will be done with the new information; but rest assured the dedication of going beyond the norm and expected, will ALWAYS benefit the client. Some client benefits of going the extra mile: Better work product Improved trust/relationship between client and LNC Useful, critical thinking/information that  adds value to the experience Meeting deadlines that are imperative to a case As a LNC I often start my day thinking how I will be stretched by a request or a curve ball?  Over the years, going the extra mile has helped me become a better LNC and business colleague to those who utilize my services. I have become very resourceful over the years and my critical thinking has been sharpened!  Good things for the client and me! Tell me how a LNC can go the extra mile for you – post a comment! cash advance loans for college students...

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What Does a Legal Nurse Consultant Do?

Posted by on Sep 7, 2010 in AALNC, Blog, Legal Nurse Consultant, LNC, Services

According to the American Association of Legal Nurse Consultants (AALNC), the primary role of the legal nurse consultant is to evaluate, analyze, and render informed opinions on the delivery of health care and the resulting outcomes. This can be applied to many different legal issues ranging from cases already in litigation to cases still in the hands of an insurance adjuster. The following is a list of activities performed by LNCs. List published by AALNC. Facilitating communications and thus strategizing with the legal professional for successful resolutions between parties involved in healthcare-related litigation or other medical-legal or healthcare-legal matters. over time Educating attorneys and/or others involved in the legal process regarding the healthcare facts and issues of a case or a claim. payday loans really bad credit Researching and integrating healthcare and nursing literature, guidelines, standards, and regulations as related to the healthcare facts and issues of a case or claim. Reviewing, summarizing, and analyzing medical records and other pertinent healthcare and legal documents and comparing and correlating them to the allegations. Assessing issues of damages and causation relative to liability with the legal process. Identifying, locating, evaluating, and conferring with expert witnesses. Interviewing witnesses and parties pertinent to the healthcare issues in collaboration with legal professionals. Drafting legal documents in medically-related cases under the supervision of an attorney. Developing collaborative case strategies with those practicing within the legal system. Providing support during discovery, depositions, trial, and other legal proceedings. Testifying at depositions, hearings, arbitrations, or trials as expert health care witnesses. Contacting and conferring with vendors to develop demonstrative evidence or to collect costs of healthcare services, supplies, or...

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