Healthcare Documentation Has Many Facets and Requirements To meet the standards expected by the many different audiences that review your patient records, you need to be familiar with the standards set by the healthcare community at large. That standard is defined by The National Committee for Quality Assurance (NCQA). NCQA is an organization dedicated to…
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This training provides a high-level view of the self-audit process and its importance. It also offers a basic description of the three types of self-audits; documentation, coding and explanation of benefits. Auditing is the central hub on the wheel of identifying risk to your compliance program. Although the assigned KMC University Compliance Specialist will be…
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How Much Time is Necessary? The responsibilities assigned to the office Compliance Officer (CO) or Compliance Contact are important, but, if handled wisely, the role does not require a significant investment in time. The position is usually scaled to the size of your practice, but in a typical chiropractic practice with routine, day-to-day functions a…
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Compliance Officer Responsibilities The Compliance Officer (CO) is responsible for administering, evaluating, and continuously developing your office’s Compliance Program to ensure adherence to applicable state and federal laws, statutes, and regulations. An overview of the job duties is discussed below. A Compliance Officer Oversees and/or develops and implements the policies and procedures necessary for the…
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Medical Review Policy Matters Make no mistake, the Medical Review Policy (MRP) does matter, and it plays a key role in determining the care that is reimbursable by a payer. The MRP is an administrative and educational tool designed to help providers, physicians, and suppliers submit correct claims for payment. Medical Review Policies outline how…
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Download Support Tool Whether the item that is returned from a payer includes a payment, is electronic, or even a denial or processing toward a deductible, everything you should need to know is found in the Explanation of Benefits (EOB). This very helpful tool provides an example of an EOB with many different notes and…
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