Medicare Compliance Program
The Patient Protection Act that was signed into law in March 2010 mandates that ALL Medicare (and other government providers) have a compliance program as a condition of enrollment. This is expected to be mandatory within the next year. Providers who do not have a compliance program will be in violation of their enrollment agreement with Medicare.
According to Medicare, anywhere from 86%-94% of all Medicare claims are not documented correctly. The purpose of the Medicare Compliance Program is to create a system of checks and balances to help DETECT, CORRECT and PREVENT errors in coding and documentation.
The Medicare Compliance Program contains a 7-step protocol per the recommendation of the Department of Health and Human Services. The program includes a Standards and Procedures Manual that is already pre-written specifically for Doctors of Chiropractic.
The program shows also takes you step by step on how to 1) audit and monitor patient files, 2) designate a compliance officer, 3) conduct continued education on coding and compliance issues, 4) responding in writing to any detected offenses, 5) how to keep an open door policy with your staff and 6) enforcing disciplinary standards
The program includes a program CD and DVD:
- Pre-written Standards and Procedures
- Staff Correction Notice Form
- Confidential Employee Interview Form
Medicare Compliance Program (Forms CD and Video)