Develop a revenue cycle compliance plan

Develop a revenue cycle compliance plan

INSTRUCTIONS

1. Review the OIG website

2. Web search for state instruction

3. Review of the affordable care Act and how it impacts the public.

Watch the above presentations/instruction

CRITICAL THINKING EXERCISE

1. Develop a revenue cycle compliance plan

2. Helpful website: Any of the below website can be helpful

https://www.paramounthealthcare.com/assets/documents/compliance/compliance-plan-guide.pdf

https://streamlinehealth.net/HIM-blog/revenue-integrity-can-organization-best-achieve/

https://revcycleintelligence.com/news/5-key-ways-to-ensure-hospital-compliance-program-consistency

https://revcycleintelligence.com/news/3-ways-to-build-an-effective-hospital-compliance-program

Only a revenue cycle plan needs to be developed for a healthcare facility. Find information regarding the ACA as it would affect the revenue cycle of the facility.

REVENUE CYCLE COMPLIANCE PLAN FOR MARYMOORE FACILITY

ORGANIZATIONAL STRUCTURE: Compliance officer: Lisa john (404-657-8989)

Compliance Director: Hannah King (678-265-5780)

Privacy officer and local Compliance contacts can be found at the bottom.

STANDARD OF CONDUCTS

FALSE CLAIM ACT

MEDICARE AND MEDICAID ANTI-KICKBACK STATUTES

HIPPA

STARK I,II,III

FRAUD

POLICIES & STANDARDS

Objective: The purpose of the compliance plan is to…..

PROPER BILLING & CHARGING

FRAUD

QUALITY OF CARE

EMPLOYEE RESPONSIBILITY REGARDING DETECTED COMPLIANCE CONCERN

TRANING

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