Evaluate your organization before the OIG’s hammer comes down on you. By Ameenah Fuller, MPP, CPC The Office of Inspector General (OIG) will not tolerate a pattern of filing false claims, overcharging for services, or kickbacks. Below are a few tips to improve billing compliance in your organization. Conduct a “Compliance Interview” When you evaluate ...
Jul 3rd, 2017
To be sure your providers and employees are following all rules and regulations to keep your medical practice compliant, you should create a compliance program. The Office of Inspector General lists seven core components for an effective compliance program. Implement standards through written policies and procedures Providers and employees need written policies or procedures to ...
Jun 13th, 2016
Compliance is preventative medicine for your practice. Make sure that your practice has its annual and ongoing check ups. Benchmark audits review small samples of data and set the baseline for future audits. If a benchmark audit results in areas of concern, an expanded audit is necessary. When a “diagnosis” of the problem is established, ...
In Audit
Sep 1st, 2015
An effective compliance plan keeps pace with changing government regulations, payer requirements, office operations, and technology. Compliance plan updates should acknowledge government regulation and payer requirement changes, but should also incorporate lessons from within your own office or facility. Over time, you may find more efficient methods or incorporate new technology to achieve your co...
When the OIG enacts ACA provisions, will you be ready? The Patient Protection and Affordable Care Act (ACA), section 6401, requires the U.S. Department of Health & Human Services (HHS) to establish core healthcare compliance elements. When these core elements are implemented, medical providers will be required to establish a compliance program that contains the ...