Eli's Hospice Insider
Fraud & Abuse:
Follow OIG Compliance Plan Guidance Step By Step
Published on Wed May 16, 2012
Missing an element could set you up for a costly lawsuit, or worse. Don't get caught in this litigious environment without an effective compliance plan. Your plan should contain seven key elements, according to the
1. Implementing written policies, procedures and standards of conduct;
2. Designating a compliance officer and compliance committee;
3. Conducting effective training/education;
4. Developing effective lines of communication;
5. Enforcing standards through well-publicized disciplinary guidelines;
6. Conducting internal monitoring and auditing; and
7. Responding promptly to detected offenses and developing corrective action.
Other Articles in this issue of
Eli's Hospice Insider
- Medical Review:
MAC Cracks Down On Long-Stay Patients
One edit of long-stay patients sees 97% denials. Medicare is clamping down on payments for [...] - Coverage:
Check These Documentation Basics For Alzheimer's
Train your clinicians on what reviewers will be looking for. How do you prove that [...] - Reimbursement:
Hospices Off The Hook For Some Hospital Costs
CMS rep answers providers' hospice coverage questions in forum. Every hospice has been there -- a [...] - Lawsuits:
Whistleblower Lawsuits Menace Hospices
The damage a qui tam lawsuit does to your reputation may be as bad as [...] - Compliance:
Head Off Qui Tam Lawsuits With These 11 Steps
A robust reporting mechanism is your best defense against a whistleblower suit. Being the target [...] - Fraud & Abuse:
Follow OIG Compliance Plan Guidance Step By Step
Missing an element could set you up for a costly lawsuit, or worse. Don't get [...] - Hospice News:
Know The Billing Rules For Revocations
MAC offers clarification on tricky billing situation. Billing can get tricky for patients who choose [...] - Hospice News:
Get Hospice Discharge Coding Correct Now, Before Changes Hit This Summer
The Centers for Medicare & Medicaid Services is reorganizing its hospice discharge coding this July [...] - Hospice News:
Beware These Diagnoses That Top MAC's Hit List
You should cast a sharp eye on any hospice claims you submit with a primary [...] - Hospice News:
Hospice Partners With ACO
Wondering what your relationship with the new Accountable Care Organizations should look like? Check out [...] - Hospice News:
Follow This 5010 Billing Rule For Hospices
Starting Oct. 1, hospices need to note a billing wrinkle in the new 5010 format. [...] - Hospice News:
Get To Know This New Code For Expirations
When a patient passes away, you have another code to put on your claim. CMS [...] - Hospice News:
Reset Your CMS Bookmarks
It seems to be a regular occurrence, but can still be a hassle. It's time [...]
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