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The Centers for Medicare and Medicaid Services (CMS) are ramping up efforts to combat fraud, waste, and abuse in healthcare. Their nationwide strategies could easily trigger a recovery payment audit for providers and facilities. That's why it's critical to have a comprehensive and up-to-date compliance work plan in place.
The 7 Essential Elements of a Compliance Work Plan
The Office of Inspector General (OIG) recommends seven key elements that every compliance plan should cover:
Proactive Tools for Avoiding Audits
Two powerful tools can help you stay ahead of the curve and avoid costly audits:
Don't Wait – Prepare Now
A proactive and solid compliance plan is the best way to protect your practice. By utilizing tools like MDM tracking and RAT-STATS, you can gain valuable insights into your billing patterns and ensure compliance with regulations.
Need Help?
If you need assistance developing or reviewing your compliance work plan, don't hesitate to seek expert guidance. The investment in compliance is far less than the potential cost of an audit.
Medical Decision Making (MDM) Tracking: The custom Excel tables in this project were developed based on data presented in the following tables from the listed source.
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