Is your organization prepared for the recommendations on compliance by the Office of Inspector General? Do you have a HIPAA privacy compliance plans for anesthesia with policies and procedures? If you do, have you recently reviewed your compliance plan, policies and procedures? We can help you prepare the appropriate HIPAA compliance plans for anesthesia. When we are engaged to consult on your compliance program we will review and revise your plan to assure compliance with Office for Civil Rights (OCR) guidelines and best practices. If you don’t have a compliance plan, we will draft a plan with policies and procedures that offers complete coverage of OCR guidelines. We have helped numerous organizations create HIPAA Compliance Plans for Anesthesia.
Why Compliance is Important
Having a compliance plan is important for many reasons but the most important is that it is required by law. It is the best way of preventing erroneous billing and fraudulent claims. It will also help you in the case of a potential audit and help prevent enormous legal expenses. The Federal Sentencing Guidelines explicitly reward the adoption of an effective compliance program by reducing the imposed sanctions. For years the Office of Inspector General (OIG) has encouraged providers to implement compliance programs. They have also indicated providers who lack programs risk more severe sanctions if penalties are given.
Since 1976, the Department of Health and Human Services Office of inspector General (HHS-OIG) has been working to prevent fraud, waste and abuse in federally funded healthcare programs. These include Medicare, Medicaid and the Children?s Health Insurance Program (CHIP). HHS- OIG’s focus is to protect the integrity of HHS programs as well as the health and welfare of program beneficiaries.
Compliance Plans for Anesthesia
Initially HHS-OIG published voluntary compliance guidance for individual and small group healthcare practices. Once the Patient Protection and Affordable Care Act (ACA) went into effect in 2010 compliance programs became mandatory. Section 6401 of the ACA stipulated that healthcare providers must establish compliance programs as a condition of participation in Medicare, Medicaid and/or the Children’s Health Insurance Program (CHIP). For this reason we have offered Compliance Plans for Anesthesia to many organizations.
Anesthesia Compliance Elements
The OIG has identified 7 fundamental elements for an effective compliance program.
- Conduct internal monitoring and auditing
- Implement compliance and practice standards
- Designate a compliance officer or contact
- Conduct appropriate training and education
- Respond appropriately to detected offenses and develop corrective action
- Develop open lines of communication
- Enforce disciplinary standard through well-publicized guidelines
Anesthesia Compliance Consultants will provide you with the documentation you need to develop a comprehensive Compliance Plan that covers the seven components. The plan is designed to be consistent with the needs of the anesthesia practice. The plan will satisfy federal and state guidelines, laws and regulations. This effectively will help reduce your risk of fraud complaints and offer the most protection for your organization.
Pain practices in anesthesia departments require special attention due to their style of practice and procedures for treatment. Most practices bill using Evaluation and Management Coding in addition to billing for the procedures they perform. We are very familiar with this style of practice and have created Compliance Plans for anesthesia pain practitioners in an office-based practice. Secondly, the Compliance Plan we create will contain all appropriate federal and state rules and regulations in its policies and procedures.
A Complete Compliance Program
Anesthesia Compliance Consultants can provide you with a complete program that includes an Anesthesia Compliance Plan, Anesthesia HIPAA Privacy Policies and Anesthesia Security Policies. We will make your organization fully compliant.
Our Anesthesia Compliance Plans will prepare your organization for all seven steps of an effective compliance program. The plan will satisfy federal and state guidelines, laws and regulations.
Effective Compliance Plans
To have an effective compliance program an organization must do the following:
- Exercise due diligence to prevent and detect criminal conduct.
- Promote an organizational culture that encourages ethical conduct and a commitment to compliance with the law. The compliance program shall be reasonably designed, implemented and enforced so that the program is effective in preventing and detecting criminal conduct.
Compliance Plan Templates for Anesthesia
Anesthesia Compliance Plans
Anesthesia Compliance Consultants is pleased to announce our compliance plan templates for organizations requiring a plan immediately and within their budget.
Our ready-made compliance plans will provide you with the necessary information you need to be fully compliant and protect your organization from fraud, waste and abuse allegations.
To learn more follow the link below.
Why choose Anesthesia Compliance Consultants
Our team consists of professionals with extensive backgrounds in healthcare law and anesthesia practice. Our professionals are compliance experts with 19 years experience in anesthesia compliance and HIPAA compliance. We have created anesthesia compliance and privacy plans based on extensive knowledge of the regulations and practical experience in clinical settings.