Tag: Compliance Audit
You are here: Home \ Compliance Audit












   Case Studies



13 June 2018 - 10:35, by , in Blog, Compliance, Comments off
With the Centers for Medicare & Medicaid Services (CMS) release of the updated Conditions of Participation (CoPs) in the beginning of 2018, it is more important now than ever for agencies to assess their compliance plan.  The new CoPs introduced the Infection Control Program, QAPI Program, Emergency Preparedness, and modifications to current CoPs. Surveyors will look to see if agencies have successfully introduced these new changes into their plans, as well as policies and procedures – paying special attention to the standards that relate to the highest quality patient care.
29 May 2018 - 11:32, by , in Blog, Compliance, Comments off
From from intake and registration to claim adjudication, there are several administrative and clinical functions that contribute to the timely capture and collection of patient service revenue. It is crucial for providers to identify compliance risk areas to realize revenue.
10 February 2018 - 9:14, by , in Blog, Compliance, Comments off
The Recovery Audit Contractor (RAC) Performant Recovery, Inc. announced last month that they will conduct a complex home health review for documentation and medical necessity. They will do an annual additional development request (ADR) limit that will be one-half percent (0.5%) of the total Medicare paid claims from the previous year.
ZPIC Audits
24 January 2018 - 13:40, by , in Blog, Compliance, Comments off
Should your agency receive a ZPIC Audit being prepared is a key step to ensure documentation and billing compliance. Taking a proactive approach is necessary. Learn from our clinical compliance expert, Dee Geray, about the best steps to take to prevent a ZPIC audit...
Hospice Targeted Probe and Educate
9 November 2017 - 14:39, by , in Blog, Compliance, Comments off
Last month, Centers for Medicare and Medicaid Services (CMS) expanded the Targeted Probe and Educate (TPE) to include Hospice.
30 August 2017 - 18:28, by , in Blog, Compliance, Comments off
Due to the success of the Probe and Educate pilot from June 2016 to July 2017, CMS has announced that it will expand the initiative to all Medicare providers...
9 May 2017 - 9:27, by , in Blog, Compliance, Comments off
With CMS is conducting its second round, now is the best time to prepare for Probe and Educate and check up on your compliance plan...