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Wednesday, March 21, 2012

Step 6 of the 7 Mandated Steps "Enforcement through Publicized Disciplinary Guide-lines and Policies Dealing with Ineligible Persons"

March 19, 2012
Chiropractic Medicare
"Medicare Compliance"
Step 6 of the 7 Mandated Steps

Dear Doctors and Staff,

Seems like a slow process, however, several Chiropractors and their staff are realizing "becoming compliant in Medicare" is different than learning the correct way to do Medicare.  Even though Chiropractors have a chiropractic Medicare billing error rate of 67%, that has very little to do with becoming "compliant." The error rate of 67% simply means the majority of Chiropractors and their staff does not know the correct way to do Medicare. Becoming compliant in Medicare is when you have implemented the seven (7) mandatory steps in your practice to stop fraud and Medicare abuse.  Over the past several weeks, I have been talking about each of the seven mandatory steps.

Medicare Compliance Step # 6
Enforcement through Publicized Disciplinary Guide-lines and Policies Dealing with Ineligible Persons:
You must have written policy for your practice that apply appropriate discipline sanctions on those officers, employees, staff, etc., who fail to comply with applicable statutory Medicare requirements and with the contractor's written standards of conduct.  You shall have a list of policies which include specific sanctions.  You shall have factors considered before disciplinary actions are imposed.  You shall have a hand written guideline in regards to Progressive Discipline along with the elements of a progressive discipline system.

You shall also have written policies and guidelines in regards to the employment conduct with ineligible persons.  Your guidelines should include how to conduct an employee background check along with an employee application and screening that answers all the necessary information in regards to an employee application.

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.  Next week we will cover item # 7, "Responding to Detected Offenses, Developing Corrective Action Initiatives and Reporting to Government Authorities" as mandated by the government.

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 if you are going to become compliant.

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 - Louisville, KY

*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, Mukilteo, WA

To Register Call:  (618) 395-3800

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