With the General Compliance Program Guidance updates released in November 2023, we wanted to take the 7 elements of a compliance program and break it down. What are the 7 elements? Why are they important and how can these elements be implemented? We will go through 1-4 below & you will be able to find 5-7 on Part 2 of this blog. This blog will be valuable if you are new to compliance or if…
If you provide and bill for PT, OT and SLP therapy services under Medicare Part B and have not received any requests from your Medicare Administrative Contractor (MAC), consider yourself lucky! During the Public Health Emergency (PHE), the Centers for Medicare and Medicaid (CMS) halted all audits. Since the end of the pandemic on May 11, 2023, CMS has charged the MACs with closer review of Medicare billing under Part B. Concurrently, there has been…
Is your organization conducting exclusion checks to support your compliance program? Running monthly exclusion checks helps your organization support your compliance program by ensuring your organization is not employing excluded individuals or partnering with vendors or businesses that are excluded. Not conducting exclusion checks puts your organization at risk of fines and sanction from participating in State and Federal programs. If you are unsure about who has to comply or the background of this mandate,…
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