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
