| Medicare
Compliance Course Group |
| |
The Medicare
Compliance group of courses is broken down into
6 separate modules.
To view CME
credit information and a chart on who should take
the modules click
here. |
|
| |
The
Overview Module - 1 Credit |
| |
|
(for all Physicians,
the Compliance Officer and Business office staff
- worth 1 CME credit to Physicians) |
| |
|
A Compliance Plan
is a road map to improving you business activities
with an end result of increasing practice income.
Centers for Medicare/Medicaid Services set-up rules
in the last several years which seem to require
that any healthcare entity billing the federal government
for services, has an oversight activity to prevent
fraudulent billing. While the initial focus of the
Compliance Plan by the Federal government is on
patients paid for under federal programs (Medicare/Medicaid),
it is clear that these rules apply to all patients
and we will discuss all patients in this program.
Top |
|
| |
The
Physician Module - 1 Credit |
| |
|
(for all Physicians,
the Compliance Officer and Business office staff
- worth 1 CME credit to Physicians) |
| |
|
This module of
the JCAAI compliance program is specifically designed
to provide you, the doctor, with the information
necessary to function as practice director and effectively
oversee the compliance program. Some of the material
expands upon the brief coverage in the overview,
and some is new material that will be more physician
specific.
Top |
|
| |
E
& M Coding Module - 1 Credit |
| |
|
(for all Physicians,
the Compliance Officer and Business office staff
- worth 1 CME credit to Physicians) |
| |
|
This part of the
Compliance Plan is devoted to the review of regulations
for E&M coding and for required documentation.
Improvement here is sure to increase your income
since the evidence strongly suggests more physician
under-code than over-code. The reason for this is
fear of a fraud and abuse investigation for over-coding.
Top |
|
| |
Compliance
Officer Implementation Module - 1Credit |
| |
|
(for all Physicians,
the Compliance Officer and Business office staff - worth 1 CME credit to Physicians) |
| |
|
This module assumes
that the physicians have agreed to compliance plan
development, have adopted a mission statement about
the compliance plan, and have selected a Compliance
Officer or assembled a Compliance Plan Committee.
As the Compliance Officer, it's your responsibility
to initiate compliance plan activities and oversee
their implementation. This is a big job. The details
of this module will assist you with addressing the
right issues and in staying focused on key tasks.
Top |
|
| |
Business
Office Module - 1 Credit |
| |
|
(for all Physicians,
the Compliance Officer and Business office staff
- worth 1 CME credit to Physicians) |
| |
|
As an integral
part of the office you've probably been reading
about compliance plans for some time now. Maybe
you know another practice that has completed its
compliance plan. And now the physicians and manager
have told you that it's your practice's turn. Because
of your role in the business office, you will help
assess the existing reimbursement processes and
policies the practice follows. In other words, you'll
function as an internal consultant, gathering information,
evaluating procedures, and making recommendations
for improvement to the manager. As a result the
compliance plan will be a more streamlined and effective
process, ensuring that both physicians and staff
correctly document, code, and bill for services.
Top |
|
| |
Front
Desk Module - 1 Credit |
| |
|
(for all Physicians,
the Compliance Officer, Business office staff, front
desk and reception Staff - worth 1 CME credit
to Physicians) |
| |
|
This module is
for people who work at the appointment desk, or
the check-in or check-out stations of the practice.
You have a very important role to play in your practice's
compliance plan. Because you see patients when they
schedule an appointment, check-in and/or check-out,
you have a lot of knowledge about the services they
receive and the billing documents used in their
visit. This module explains the eight areas of the
compliance plan in which you play a major role.
After each area is explained, you will be provided
with specific action steps that, when followed,
ensure that you uphold key components of the practice's
compliance plan.
Top |
| |
|
|
