Lack of training and knowledge is not a valid defense in a federal audit. Don’t get caught off guard. Even honest mistakes can result in huge fines. Participants will walk away with the knowledge and tools to perform a practice Gap Analysis and Risk Assessment.
This course will explain all the compliance responsibilities and liabilities in a medical office. Examples of cautionary areas: billing for claims with no assignment of benefits on file, selling a photocopier without wiping patient data stored in memory, or listing employees as salaried to avoid paying overtime wages.
Key Highlight of The Session:
This course will review numerous case examples for sticky situations and receive guidance on compliant patient communication, reporting a breach and more.
- The 3 major compliance risk areas: Medicare, HIPAA and OSHA
- The 7 elements of compliance that every practice must have in place
- ADA rules and how to apply them in your practice
- How to perform a risk assessment
- Areas of weakness that could result in fraud investigations
- What to do when an auditor makes contact with your office
- Appropriate clinical documentation for compliance with payer and regulatory guidelines
- Compliance efforts that could reduce or minimize the adverse effects of fraud investigations
- Why you should obtain an ABN every time
- Evaluate all HIPAA-compliant patient communication
- How to handle a breach when it is discovered
- Prevent, eliminate or reduce workplace hazards
- Emergency/disaster preparedness to ensure patient and data safety
- Explanation of penalties for non-compliance
- Mid-Level Providers
- CDI Specialists
- Office Managers
Meet The Presenter:
Pam Joslin, MM, CMC, CMIS, CMOM, CMCO, CEMA has more than 20 years of medical practice management, coding, reimbursement and compliance experience. She has managed medical practices ranging from single to multi-specialty groups, including an ASC. She is an advocate of process improvement and empowering employees to bring about the “best practice” results for their organization. Ms. Joslin maintains memberships in professional organizations to support her continuing cycle of learning in the ever-changing healthcare industry. In 2014 she joined the faculty of Practice Management Institute (PMI) ® – a leading provider of continuing education for medical office professionals. Prior to joining the PMI Instructor team, Pam was an Adjunct Instructor and served on three advisory boards at a community college in San Antonio, Texas.