Healthcare Compliance

Is your organization prepared for greater accountability?

Maintaining accurate billing and paperwork within your practice can quickly become complex and overwhelming. Work with HealthCare Management Solutions to simplify compliance within your business and create a system that’s scalable.

Since the passage of the Affordable Care Act in 2009, compliance is no longer an option. The law requires providers – from solo physician practices to the largest integrated health systems – to establish compliance and ethics programs to continue participation in Medicare and Medicaid.

Compliance is more than putting paperwork in the correct files. In today’s world of advanced reporting technologies and countless methods for improving efficiency, it’s imperative to instill a functional, ongoing compliance program. Crucial factors include measuring effectiveness, proper training, review and update of policies and procedures.

Required Areas of Compliance

  • Compliance with medical documentation
  • Compliance with billing + coding practices
  • Compliance with health/safety laws + regulations
  • Compliance with environmental laws + regulations
  • Compliance with HR laws + regulations
  • Compliance with HIPAA laws + regulations

Lack of knowledge won’t hold up in a federal audit.

If your business is audited, you will be held accountable for all new fraud and abuse risk areas that may result from increased involvement with new payment and delivery systems (medical homes, accountable care organizations, bundled payments, etc.) Don’t put your compliance status at risk – work with our team to maintain credibility and avoid fraudulent activities.

“It is with great pleasure that I write this testimonial letter on behalf of your company since I feel you and your team have helped us greatly. It was a pleasure working with you and I sincerely hope to continue developing a close professional relationship!  

We are a Regenerative Medicine and Interventional Orthopedic Medicine practice that has used HealthCare Management Solution’s coding services. We have had them come to our office for provider sessions in making sure that we are compliant with coding. They have given our providers an understanding of areas with the greatest coding risks. They are available with coding questions during the day that we have used several times. HealthCare Management’s efforts has helped our practice financially as well as to help maintain compliance. We do not hesitate in recommending them to your practice.

Ms. Gonzalez, you run an outstanding company!  We sincerely thank you.”

Edward Dieguez Jr., M.D. @ Wellness And RegenerativeMD

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