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.