March 12, 2012
"Becoming Medicare Compliant"
Step 5 of the 7 Mandated Steps
Dear Doctors and Staff,
Anthony Robins reminds us, "It's not what's happening to you now or what has happened to your past that determines who you become. Rather, it's your decisions about what to focus on, what things mean to you, and what you’re going to do about them that will determine your ultimate destiny."
Becoming compliant in Medicare can be fairly easy or so difficult many will not even try. That is up to you. We have put all the difficult stuff together for you. Now you must decide. Are you going to become compliant? (If not, you won't have much of a practice in 2013-2014.) Yes, you will attempt to become Compliant. (And, you must be ready by the end of this year.) It’s Decision Time. You can sit down and spend about 3 months putting together your Chiropractic Medicare Compliance Program or give us a call. We have it completed for you.
Medicare Compliance Step #5: Auditing and Monitoring - Risk Areas:
Internal Auditing is an independent, objective assurance and consulting activity designed to add value and improve our business operations. It brings systematic discipline to evaluate and improve the effectiveness of risk management, control and the contractor's commitment to comply with all applicable statutory, regulatory and Medicare Program requirements.
Internal audits are performed by specific staff, depending upon the numbers employed. Those doing the audits are trained so they are competent to identify potential issues within critical review areas.
Written reports are issued to CO (Compliance Officers) and contractors. The contractor can then follow up on specific reports of non-compliance.
Exit Interview Questionnaires should be developed and used to determine if exiting employees observed any violations in the Compliance Program.
Risk areas are determined by both auditing and monitoring activities with a compiled list of areas that are typically vulnerable to fraud and other misconduct.
This is Number 5 of the seven mandated areas we must address. Next week I will discuss #6: Enforcement through Publicized Disciplinary Guidelines and Policies Dealing with Intelligible Persons.
The purpose of these seven (7) steps in Chiropractic Medicare Compliance is to stop fraud, abuse and errors. As you will see the program is extremely effective.
Have questions? Give Dr. Street a call today at (618) 395-3800.
Spring 2012 Seminar Schedule:
*Thursday, March 22, 1:00 pm - 5:00 pm at Staybridge Suites -
St. Louis, MO
*Thursday, March 29, 1:00 pm - 5:00 pm at
Urbana Country Club, Urbana, IL
*Thursday, April 19, 1:00 pm - 5:00 pm at the Chariot Hotel -
*Thursday, May 24, 8:30 am - 12:30 pm at
King Oscar Hotel, Auburn, WA
*Thursday, May 24, 6:00 pm - 10:00 pm at Staybridge Suites,
To Register Call: (618) 395-3800