Every office should select a Compliance Officer. This person is the go-to person who will stay up to date on current OIG regulations, HIPAA requirements, and other regulations. It is vital that the clinic assign a person that will make sure these rules are being enforced. Normally, a compliance officer is detailed oriented and willing…
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It is time to put into practice what you have learned. As you work with your dedicated Compliance Specialist be sure to provide a copy of any already established or drafted policies. Throughout this process the assigned Compliance Specialist will review all completed documents prior to finalizing them in your Compliance Manual. Create a Compliance…
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What is a Baseline Audit? Baseline audits are preliminary evaluations used to develop a baseline or reference point. By performing an audit in advance, a clinic can identify improper billing and coding practices. Once identified, the clinic is better equipped to make necessary corrective actions before any government or third-party payer audit. A baseline audit/review…
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The Core Elements The Patient Protection and Affordable Care Act of 2010 (PPACA) made Office Compliance Programs mandatory for all physician practices as a condition of enrollment in Medicare, Medicaid, and/or CHIP. These compliance programs must address certain core elements.1 The core elements are derived from the Federal Sentencing Guidelines for an effective compliance and…
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Compliance Check-Up Before starting a compliance program, it is best to assess your current status. Even if you are new to OIG compliance, we recommend that you assess and document your status. It is a great way to visualize the clinic’s needs and look back at what you have accomplished. Locate the Quick Assessment support…
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In the early stages of implementation it is vital that a clinic understand what a healthy OIG program involves. A clinic must separate rumor from fact. Equally important is to understand that taking shortcuts can cost the clinic in more ways than one. Take a moment to watch Kathy’s Mini Class titled What Does OIG…
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working directly with our OIG compliance specialists. Please reach out to the HelpDesk to learn more about accessing these materials.
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