Compliance - HIPAA, Medicare and Medicaid
HIPAA, Medicare and Medicaid compliance not only requires due diligence, but staff training and an ongoing program of continuing education.
Very
few practices have staff with the expertise or the time to
focus on compliance. Improper coding can have far more serious
implications than denied claims. Your practice could be at
risk for insurance fraud, or HIPAA violations! Having a partner
like Quality Physician Services (QPS) to assist your practice
in developing and implementing a compliance plan we can provide
you with the assurance you need.
QPS
provides the necessary training to help your organization
maintain the standards set forth in the Privacy Act. We employ
certified compliance professionals and provide the tools necessary
to integrate the policies and protocols into the day to day
activities of a practice. In addition, our information technology
partner, mPACTs, provides HIPAA compliant data security services.
All of their services and advice, as well as that of QPS takes
into account these privacy regulations.
Compliance
Evaluation Services
We perform a thorough, detailed evaluation process to determine
if a practice lacks compliance in certain areas related to
patient privacy and insurance regulations.
The
areas we review are:
- Charges
and services rendered
- Use of codes and modifiers
- Eligibility verification and communication processes
- Appropriate use of "Advance Beneficiary Notice"
(ABN)
- Physical location, use and flow of hard copy patient information
- Electronic records and system software
- Data security and network configuration
- Patient
communication processes
- Individual
PC or terminal access
- Employee
Training
- Forms
and processes for record release, including subpoena
We
will provide detailed documentation, and recommendations for
compliance.
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Compliance Services
Compliance Audits
HIPAA Compliance and Consulting
Staff Training in HIPAA, Medicare Compliance and Medicaid Compliance
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