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Coding Compliance Course - Onsite

An intensive, two day, on-site  workshop providing step-by-step guidance for creating a practical and cost-effective coding compliance structure that adheres to government regulations and fits your organization’s unique needs.

  • Concrete nuts-and bolts information to develop and write specific policies and procedures that are easy to implement.

  • Develop a comprehensive checklist for self-auditing your organization

  • Find out the red flags that trigger audits…and what you can do to avoid them

  • Learn how to conduct a risk-assessment for your organization

  • Learn the responsibilities of a compliance officer and the qualifications and background candidates must possess. Find out how much authority you should give the compliance officer.

  • Explore key methods for making sure your compliance plan is in effect and being followed.

Course Content

Understanding the laws that drive compliance initiatives:

  • HIPAA

  • False Claims Act

  • Benefits of a Compliance Program

  • Conducting a Risk Assessment of your Organization

  • Written Policies and Procedures

  • Standards of Conduct

  • Policies for Handling Risk Areas

  • Patient Confidentiality

  • Content and quality of documentation

  • Coding and abstracting

  • Claim Submission Process

  • Credit Balances

  • Integrity of Data Systems

  • Retention of Records

  • Compliance as an Element of a Performance Plan

  • Physician Contracts and Background Checks

  • Clinical Policies

  • Consent for Treatment

  • Patient Education

  • Medical Necessity

  • Local Medicare Policies and Advanced Beneficiary Notices

  • Selecting and Empowering a Compliance Officer

  • Qualifications

  • Duties of the position

  • Limitations of authority

  • Designing an Effective Training and Education Program

  • Physician Orientation

  • Employee Orientation

  • Standards for Documentation, Coding and Billing

  • Continuing Education on Compliance Issues

  • Resources for effective and accurate coding

  • Developing Effective Lines of Communication

  • Access to the Compliance Officer

  • Handling patient and employee complaints/concerns

  • Auditing and Monitoring

  • Periodic Audits

  • Data Monitors

  • Process Controls

  • Chart Selection

  • Utilizing the audit checklist

  • Enforcing Standards

  • Discipline Policy and Actions

  • Violations and Investigations

  • Reporting

  • Corrective Actions

Call or E-mail us today for a quotation.

 
 

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Phone: (901) 517-1705        7204 Deventer Cove    Memphis TN 38133     E-mail:   jeff@ritecode.com 

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