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 compliance solutions you need to experience all the benefits of a compliant practice.
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 services 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 compliance plan in accordance with the Patient Protection and Affordable Care Act.
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:
- Coding & Audit
- OSHA Compliance
- OSHA Seminars
- HIPAA Compliance
- Laboratory Compliance (CLIA)
- Assessing Your Medicare Risk
- Provider & Staff Training
DoctorsManagement has experienced healthcare compliance specialists that 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.
Why Compliance for Medical Practices Is Important
Having a medical compliance plan in place enables your Gpractice 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.
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.
Contact us today to discuss your compliance needs with one of our specialists.