Practice Regulatory/Compliance Services

 

 

 

 

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Since 1998, the Office of Inspector General (OIG) has placed physicians on notice that they would be monitoring their business activities, especially as they relate to coding and billing practices. The risks of not complying with federal laws are real, even if you never intended to violate the law.

Could anyone allege that your medical practice has engaged in any of the following:

Separate charges to increase reimbursement?

Billing for services that are not fully documented?

Receiving reimbursement for services not provided?

Not correcting violations of law discovered by an employee?

Any of these and other actions could result in significant fines, penalties and even exclusion from governmental programs. The chances of being audited have increased dramatically because monitoring and enforcement activities are at unprecedented levels.

Our physician consultants can assist your medical practice in either establishing or supplementing your corporate compliance program. We can provide compliance review services in the following areas

Medicare and Medicaid – documentation, coding and billing of physician and other provider services; medical necessity; Stark
Operations – conflicts of interest; purchasing and procurement; JCAHO and state surveys; contract administration; EPA; OSHA
Finance – internal financial controls; employee compensation; IRS intermediate sanctions, unrelated business income; community service benefit; property and income tax exemptions
Human Resources/Labor – wage and hour administration; Americans with Disabilities Act; Family Medical Leave Act; benefits administration

We have the expertise to assist medical practices with many facets of corporate compliance. Our experienced physician consultants will work with your medical practice team and legal counsel to identify risk, design and implement a qualified compliance program and provide ongoing specific consultation at an affordable price.

If your organization is interested in our Practice Regulatory and Compliance Services, you can reach us by telephone, fax or e-mail. Tell us about your practice compliance concerns and we will give you an idea of how we can help. Please direct inquiries to Kameron H. McQuay by telephone: (317) 633-4708, extension 311 or e-mail at kmcquay@hcs-healthcare.com.

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