Being the Compliance Officer and a Medical Coding and Billing manager in a large practice - I have developed a Medical Billing and Coding Compliancy Program based on the recommendation by the Office of the Inspector General. It is very essential to have one internally in every practice to be compliant and you should have a program developed to your practice too.
People make mistakes, and we can not deny that. But we also know there is no excuse to ignorance. We should know how to identify potential risk in every practice offices such as coding and billing errors, lack of medical documentations, data entry errors on patients' demographic information, computer system and billing, coding system set up and data entry errors on insurance payments. Even the staff who opens your mails in the office should be on the program guideline. Is it appropriate to have only one person to be opening your mails every day? Think about it.
READ MORE ON OIG's Recommendation for Individual and Small Group Practices Compliancy Guidelines.
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