Practice Compliance Solutions

Medical practices need to be prepared for all healthcare compliance issues. Compliance means staying out of harm’s way from liability risk and government scrutiny. As your organization maintains compliance standards, you can create a safe and high-performing practice that mitigates risk, increases revenue and ensures patient satisfaction. DoctorsManagement, LLC has the practice compliance solutions you need to experience all the benefits of a compliant practice.

Schedule a Free Consultation

a woman is sitting at a desk looking at a piece of paper and using a calculator

Our Medical Office Compliance Services

DoctorsManagement professionals understand the complexities of compliance and the regulatory landscape. We can provide compliance managers with cost-effective services to help proactively protect your organization and maintain compliance from initial compliance program planning to day-to-day guidance. We understand that meeting hundreds of compliance requirements can be stressful, and we are here to support you.

A few of our services include:

DoctorsManagement has experienced healthcare compliance specialists who are skilled at legal issues involved with the complexities of healthcare compliance. Trust our expert compliance team to offer sustainable, cost-effective compliance solutions that address your organization’s unique needs.

Create A Compliance Plan With DoctorsManagement

First Name(Required)

Last Name(Required)

E-mail(Required)

Phone(Required)
Message(Required)
DoctorsManagement does not work with patients. We offer support to medical practices.
Phone
This field is for validation purposes and should be left unchanged.

What to Include in a Medical Practice Compliance Plan

As recommended by the Office of Inspector General (OIG), healthcare practices should implement the following actions into their compliance plan:

Determine a compliance officer, committee or contact
Implement compliance and practice standards
Respond to compliance issues by developing corrective action
Conduct appropriate training and education
Prioritize open communication
Enforce disciplinary standards

Your organization should also frequently assess known risk areas as part of your compliance plan. Common risk areas to focus on include:

Possible coding and billing risks
Improper inducements, kickbacks and self-referrals risks
Documentation risks
Reasonable and necessary service risks

Regular monitoring and auditing are also essential aspects of an effective compliance plan. Auditing enables your organization to take a proactive stance and stay updated on regulatory requirements and rule changes. Ongoing monitoring and auditing can also help you:

Identify high-risk areas
Locate revenue opportunities
Improve coding accuracy
Lower compliance risk
Avoid regulatory fines
Apply recent changes correctly

Examples of Healthcare Regulations

Your organization’s compliance plan needs to account for various government, professional and ethical compliance rules and regulations. Your practice must be diligent in observing these guidelines, medical coding regulations, and state and federal laws to ensure proper submissions of claims and the accuracy of other essential processes. A few rules to address in your compliance plan include:

False Claims Act (Civil)
Healthcare Fraud Statute (Criminal)
Anti-Kickback Statute
Stark Law
Active Labor Act
Emergency Medical Treatment (EMTALA)
Occupational Safety and Health Administration (OSHA) guidelines
Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security rules

Medical practices must also comply with Federal Trade Commission (FTC) and Federal Drug Administration (FDA) rules and regulations. For doctors who treat patients on Medicare or Medicaid, you must create a medical practice compliance plan in accordance with the Patient Protection and Affordable Care Act.

Why Compliance for Medical Practices Is Important

Having a medical compliance plan in place enables your practice to mitigate risk and improve various operational processes. Creating an effective compliance plan will help you:

Ensure understanding

A compliance plan can assist with educating and training your workforce, enabling them to understand external and internal policies and maintain compliance.

Enhance patient outcomes

Compliance can improve care coordination and patient safety, leading to better outcomes and experiences for patients and their care teams.

Mitigate risk

A comprehensive compliance plan addresses each risk area to help you correct deficiencies and ensure your organization complies with various rules and regulations.

a stethoscope, pen, and name tag are on a blue table

February 12, 2024

Compliance Concerns Within Office Procedures

by J. Paul Spencer

May 24, 2024

Common HIPAA Compliance Violations in Healthcare

by Shanon Moore

August 16, 2024

Guide to Healthcare Compliance

by DoctorsManagement

Create a Compliance Plan With DoctorsManagement

DoctorsManagement compliance specialists are experts at assisting organizations in defining and creating regulatory compliance plans. We’ll help you develop a plan that focuses on meeting self-referral, HIPAA, OSHA, anti-kickback laws, fee splitting, and other regulatory challenges that a practice requires.

"*" indicates required fields

Practice Compliance Solutions

Our Medical Office Compliance Services

Create A Compliance Plan With DoctorsManagement

What to Include in a Medical Practice Compliance Plan

Examples of Healthcare Regulations