Auditing Compliance Progam

cansas

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Does anyone have any guidance on forming an auditing compliance program for large organization? i.e. different specialties and different providers of the same specialty. I am attempting to present the need for a compliance program.

Thanks in advance
 

terif

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Compliance

The AAPC has a "Compliance Toolkit" on sale until 01/31/2012 for $169.00. I checked it out on line and am buying it. I hope this helps.
 

kparkhurst

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I have purchased the AAPC toolkit and was disappointed. If you are looking for HIPAA, OSHA & CLIA compliance, then this may be OK. If you are looking for OIG compliance - this is not the tool. The OIG standards deal with fraud and abuse. The AAPC toolkit deals with privacy and security of PHI. The biggest problem I had with the AAPC toolkit is the number of typos/misspellings and the fact that it looked like a bad photocopy job. I would have liked a digital copy of the forms within the toolkit.

Here is the OIG link for individual and small group practices that may be a good starting point. Keep in mind also, that you should include a coding component to your compliance plan to cover the "grey areas". This should include which set of guidelines are used for coding, a list of commonly used abbreviations/acronyms, and anything unique to the practice/specialty regarding coding.

Hope this helps!



Kathy
 
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