Medicare Compliance & Reimbursement

Enlist expert help to establish a compliance plan for both Medicare and Medicaid. The Affordable Care Act (ACA) may bring changes to your practice's accountability, particularly where compliance plans are concerned. It's not too early to start researching the components you'll need to include to survive official scrutiny and protect you from accusations later. Background: Although the ACA touches on the importance of compliance plans, those plans are still optional at this point. However, that may not be the case forever. "Under the ACA, a compliance plan that has the 'core elements' which will be established by the Department of Health and Human Services and the Office of Inspector General will become a requirement," says Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC, president of CRN Healthcare Solutions, a consulting firm in Tinton Falls, N.J. "This is a huge change. First we will need to find out what the [...]