Is Your Staff Excluded? The OIG has the authority to exclude individuals and entities from federally funded health care programs pursuant to sections 1128 and 1156 of the Social Security Act. It maintains a list of all of those currently excluded from the List of Excluded Individuals and Entities (LEIE). Anyone that hires an individual…
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This tutorial gives a clinic the opportunity to review the compliance officer duties and confirm that all matters of compliance are being addressed. Some clinics will find that the compliance officer may have focused on only one portion of compliance and as a result overlooked other required components. Use this tutorial as a checklist for…
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Living Up to the Job Title The terms Compliance Officer (CO), Privacy Officer (Official), and Security Officer (Official) are terms referred to in the discussion of compliance. One or more workforce members may fill these roles. In a smaller practice, outside people may fulfill the roles while a large hospital might have more than one…
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Every office should select a Compliance Officer. Through out this training we will refer to this individual as an officer but depending on the regulatory authority, the title may be Compliance Official or Compliance Contact. This person is the go-to person who will stay up to date on current OIG regulations, HIPAA requirements, and other…
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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…
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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