Medicare Compliance & Reimbursement - 2011 Issue 5
Compliance: Tighten Up Your Compliance Program With Answers to These 3 FAQs
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Article Overview
This article is a practical compliance Q&A for medical practices. It discusses broad areas of compliance risk, how practices can build and communicate a compliance culture, and how to approach coding and billing oversight in a way that supports internal review and staff engagement. The piece is aimed at practice administrators, compliance officers, coders, and clinicians involved in compliance planning.
Why This Topic Matters
Compliance programs help medical practices reduce exposure to audit, billing, and relationship-based risk. This article is relevant for organizations looking to strengthen internal oversight, training, and reporting processes without undermining staff confidence.
Article Sections
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Know Your Risk Areas
This section discusses how medical practices can think about broad compliance risk areas and internal review priorities. It focuses on the general topics practices may want to assess when developing a compliance plan.
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Create Compliance Culture in Your Practice
This section covers communication, training, reporting, and employee participation as elements of a compliance-oriented workplace. It emphasizes how practices can present compliance efforts constructively.
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Look for Upcoding--And Downcoding
This section addresses the importance of accurate coding oversight within a compliance program. It discusses the broader idea of reviewing coding behaviors consistently rather than focusing on one type of error.
What You Will Learn
- How medical practices can identify broad compliance risk areas
- Ways to support a culture of compliance among employees
- Why accurate coding oversight is part of compliance monitoring
- General compliance planning considerations for practices and coders
Who Should Read This
- Medical practice administrators
- Compliance officers
- Medical coders
- Billing staff
- Physicians
- Healthcare managers
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