Coding and Compliance

Coding and Compliance

The Office of the Inspector General (OIG) makes it clear:

 

Federal health care enforcers expect all providers to implement effective compliance programs and to include in those programs specific policies, procedures and other mechanisms to prevent and detect illegal activity.

 
 

In response to this requirement, MMA has developed a comprehensive Compliance Program, which includes the following elements:

 
  1. Model Billing Compliance Plan

  2. Implementation Plan

  3. MDTools.com – Utilization Profiler

Related Topics

 

The Model Billing Compliance Plan provides the medical practice with a customizable document designed to meet the OIG’s requirements. The Implementation Plan provides step-by-step instructions and related forms to simplify what can be a very complex process. The Utilization Profiler is a web-enabled tool developed by MMA to benchmark E&M utilization against specialty and locality specific Medicare norms.

 
 

This Compliance Program provides you with internal controls and procedures that promote adherence to statutes and regulations applicable to Federal health care programs and private insurance program requirements. It also has a well-defined self-monitoring and self-reporting policy. In our experience, having an active compliance program in place may help mitigate potential penalties related to investigation of compliance incidents. Failure to have such programs may be viewed as willful defiance of the rules.

 
 

MMA’s Compliance Team provides CPT Coding Training, full service HIPAA Compliance and OSHA training and recertification.

Learn how MedGate can help you?

You must select your brand attribute in Theme Settings -> Shop -> Brands
Shopping cart
Facebook Twitter Instagram linkedin
We use cookies to improve your experience on our website. By browsing this website, you agree to our use of cookies.
Start typing to see products you are looking for.

Sign in

No account yet?