A good compliance plan has a communications plan in place. Your question may be what type of communication? Lets start with the definition of communication.
Communication is a three way process. #1 Sender #2 Receiver #3 Response/outcome.
Your compliance communications should show documented evidence of education about compliance topics, that the information was received and results showing that the information is being carried out.
Additional parts of communication include reporting compliance violations, consequences.
Our http://www.healthtecsystems.info site has been up-dated to include “Free patient medical claim auditing services”.
You may have hear someone say, the doctor saw me of less then 10 minutes, and the patient benefited very little from the visit, but the patient gets a $250 bill.
HTS will provide basic free auditing services based on mandated coding guidelines. (more…)
CMS requires that well patient annual visit include a personal patient prevention plan with follow-up. Providers must submit hard copy documentation within 45 days of claim or the claim will be denied.
HCPCS ® G0439 – Annual wellness visit, includes a personalized prevention plan of service (PPS), subsequent visit.
This service specific review is initiated based on the following: (more…)
$750,000 HIPAA SETTLEMENT CAUSES OCR TO UNDERSCORE NEED FOR ORGANIZATION WIDE RISK ANALYSIS
In a $750,000 HIPAA Settlement, the University of Washington Medicine (UWM) has agreed to settle charges that it potentially violated the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule by failing to implement policies and procedures to prevent, detect, contain, and correct security violations. (more…)
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Email inquiries to Healthtecsystems@consultant.com
Overview of EHR Incentive
Programs Final Rule
The CMS rule is live here:
Federal Register – CMS