Core Components Are Expected in Your Compliance Program 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.’ The core elements are derived from the eight elements of…
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FWA Training is Usually Required Fraud, waste, and abuse (FWA) are terms that healthcare providers hear from third-party payers and government program agencies. Most third-party payers require some form of FWA training on an initial and annual basis for all employees of healthcare businesses. As part of a viable Compliance Program, this training is constantly…
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Let’s start at the very beginning! Review this short video to best understand what is intended by OIG Compliance. There is much to consider as practices begin to implement a required OIG Compliance program. This short training allows for a high-level overview of the concept of OIG Compliance, and what it means to your practice.
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Installing Policy & Procedure FAQs As compliance specialists we receive a variety of questions about policy requirements. In an effort to assist clinics with HIPAA related inquiries, we have provided a list of common questions for consideration. Please take the time to review the questions prior to auditing or developing policies within the clinic. Q:…
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This Rapid Tutorial will focus on two areas that are often overlooked when developing policies in the clinic. Once a clinic has established the rules, they need to take it a step further and create a process for following the rules. Once an overview of the process is established, the clinic will need to develop…
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Policy-Process-Procedure Although policies are a foundational piece of compliance, very few people can clearly describe the differences between policies, processes, and procedures. When it comes to compliance, some practices simply download policies from a website, slap their name on it, and hope for the best. Taking this approach can put your practice at greater risk…
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