Physicians must have a plan to comply with regulations for federal health programs, including Medicare and Medicaid. It's no longer acceptable to only have a compliance strategy; each practice must have a written plan that addresses key compliance issues such as proper coding, medical necessity, and appropriate documentation.
An effective compliance plan can reduce the number of innocent mistakes and will go a long way toward audit avoidance. And, if your practice ends up as the target of allegations, having an effective compliance plan can help your outcome tremendously.
TMA offers a one-day seminar, Commit to Compliance: Build an Effective Compliance Plan, on May 3 at the TMA building in Austin. It will show you how to develop and implement a compliance plan that includes all of the necessary components. The seminar will cover:
- Coding: documentation guidelines and what triggers an audit;
- Billing: internal controls and embezzlement protection and billing disclosure requirements;
- Human resources: federal labor laws for multiple size offices;
- HIPAA privacy: handling of medical records, myths about HIPAA, and Texas privacy laws; and
- HIPAA security: rules and safeguards and what's different in Texas.
As a seminar attendee, you will receive TMA's new guide, Build Your Compliance Plan, by Amanda B. Hill, JD, which you can easily customize for any size practice.
The May issue of Texas Medicine will have more on this issue.
Action, April 15, 2013