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Compliance, quality assurance and risk management programs help ensure positive patient outcomes by ensuring compliance with the rules and regulations that exist to avoid fraud and abuse and other legal liability issues.

Investigating fraud and abuse in a medical practice has become a major initiative of the federal government. Development and implementation of an effective compliance program is perhaps the best defense against potential penalties, fines and exclusion from government programs.

Plan development, in accordance with the Model Compliance Guidance(s) issues by the Office of Inspector General, is critical to any successful defense, should the practice come under scrutiny.

We will work with you to develop and implement comprehensive programs, as follows:

  • Compliance programs
    • E&M Coding Analysis
      • Baseline audit of office visit by physician in accordance with standards established or approved by Medicare
      • Physician documentation review compared to audit
    • Staff Education & Training
    • Compliance Officer
      • Contract or recruit experienced compliance officer
    • HIPAA
      • Gap analysis, training and implementation to ensure compliance

  • QA & Risk Management programs
    • OSHA
    • Incident reporting
      • Staff training and implementation to ensure identification, reporting, documentation for resolution
    • Quarterly risk management reporting
    • Patient satisfaction surveys
    • Clinical liability exposure analysis