Compliance is more than just an expectation – it is a necessity.  Whether your group has a formal compliance plan or not, the Office of Inspector General (OIG) believes that health care providers should use internal controls to “more efficiently monitor adherence to applicable statutes, regulations and program requirements.”   Whether billing and collections is performed “in-house” or through a billing company, it is vital the provider(s) understand what is being billed on their behalf and whether they conform to these expectations.

On the “Forms to Download” tab, information is available to assist with internal audits as a low cost solution – for coding reviews, the person auditing should not be the same person who coded the service.

External audits should be performed by someone qualified and knowledgeable in anesthesia billing idiosyncrasies.  In an era of decreasing payment and increasing liability, Perfect Office Solutions, Inc. (POS) is offering affordable compliance tailored specifically to your practice needs.  If costs are a factor in why your group hasn’t been keeping up with compliance – POS has a solution.  Contact kellyddennis@attglobal.net for additional information regarding affordable off-site reviews.

POS also offers full on-site reviews.  A pre-estimation of costs, including travel, is provided in advance.

Excellent Resources:

http://oig.hhs.gov/fraud/docs/complianceguidance/thirdparty.pdf

http://oig.hhs.gov/authorities/docs/physician.pdf

http://www.physiciansnews.com/business/700miller.html

http://www.asahq.org/Newsletters/2006/05-06/pracMgmt05_06.html