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The Prescription For Your Financial Success.
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Reimbursement X-Perts
70 Timber Creek Drive Suite 5 Cordova, TN 38018 Phone: 901-737-3071 Toll Free: 866-737-3071 Fax: 901-737-3072 info@rxmemphis.com |
Compliance / HIPAA Planning What is "Compliance"? In the healthcare industry, "compliance" usually refers to the requirement that doctors, hospitals, and payers follow certain federal and state laws and regulations. Many of the laws and regulations address financial issues such as coding and billing. In the past several years, the federal government has stepped up efforts to investigate and prosecute doctors and hospitals suspected of falsely billing the Medicare program, either intentionally or by mistake. Following the advice of CMS (formerly HCFA), many groups have enacted "Compliance Plans" to ensure that their billing and other practices do not run afoul of any federal or state requirements. :: Back To Top :: What is "HIPAA"? HIPAA is the acronym for the Health Insurance Portability and Accountability Act of 1996, and the term is also frequently used to mean the many regulations which have been published since 1996 under that law. The HIPAA regulations, including the much-publicized Patient Privacy regulation, are the latest in a long series of government efforts to regulate the healthcare industry. See "Compliance", above. For more information about the HIPAA regulations, please see the official government HIPAA website. :: Back To Top :: What compliance services does Reimbursement X-Perts offer? Our practice management staff is highly knowledgeable about healthcare compliance, including the new HIPAA regulations. We can assist groups with assessing their practices, developing a compliance plan, and implementing policies and procedures, among many other services. We are also frequently asked to speak on compliance topics, including HIPAA. For more information on our compliance services, please see our compliance page, or contact us. In addition to selling compliance services, does Reimbursement X-Perts have its own internal compliance program? Yes we do. As a third party medical billing and practice management company we are also required to comply with many of the same federal and state requirements as physicians. We have a corporate compliance officer and a privacy officer, who work with our compliance committee to ensure that we stay on the cutting edge of compliance. We also have a detailed written compliance plan and engage in regular employee education regarding compliance issues. All clients of Reimbursement X-Perts are welcome to review our compliance program as part of their own compliance initiatives. :: Back To Top :: |
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