![North American Partners in Anesthesia (NAPA) [logo]](/images/logo.gif){kind=logo}
Compliance Services
Compliance expertise you can depend on.
When it comes to compliance, you want a partner who understands more than just the intricacies of billing, coding and documentation. NMSC’s team of highly-qualified compliance experts are familiar with the issues that anesthesiologists and pain specialists face on a daily basis, and can develop custom plans to help you reduce overhead, error rates, exposure to fraud and abuse and much more.
Compliance Plans.
By adopting a Compliance Plan, you can show a good faith effort in attempting to comply with Federal policies. Compliance Plans can also help reduce overhead, error rates, streamline billing and collection procedures, as well as reduce exposure to fraud and abuse.
NMSC Compliance Plans are easy to read, while meeting and/or exceeding OIG requirements. An NMSC Compliance Plan may include:
- Detailed Policies and Procedures for every risk area in your practice, which also serve as training protocols for existing and new staff members and offer a tool for performance improvement evaluations and problem solving.
- Templates and forms for performance improvement, which meet documentation requirements, various billing templates such as financial hardship forms, advanced beneficiary notices and much more.
- Definitions and responsibilities of a Compliance Officer and Compliance Committee as well as definitions of statutes and regulations such as Stark Laws, Anti-Kickback, Civil Monetary Penalties, False Claims Liability, Criminal False Claims Statutes, False Claims Act and much more.
- Seven basic compliance elements specific to your practice: code of conduct, monitoring efforts and committee and officer directives, education and training, internal auditing and monitoring, communications, disciplinary standards and responses.
Ongoing training and periodic audits.
Already have a Compliance Plan in place? NMSC can provide an evaluation to ensure that your Plan includes provisions for the following:
- Documentation concerns such as billing for items not properly documented or, meeting documentation criteria for certain levels of service.
- Issues such as upcoding, unbundling and undercoding and modifier usage.
- Policies on co-pays, deductibles, insurance only, discounts and professional courtesy.
- Billing practices that deal with governmental, state and local regulations to prevent billing for duplicate services, use of provider numbers, resolution of overpayments, integrity in information systems, as well as continuing education for staff and providers.
- A HIPAA confidentiality review, to insure your billing service takes proactive steps in maintaining confidentiality of patient records of all types.
NMSC also offers clients ongoing training and periodic audits, to ensure that your Compliance Plan is working effectively for your practice.