Medical Billing Forum

General Category => General Questions => Topic started by: MJ on October 31, 2008, 05:47:06 PM

Title: Compliance Plan
Post by: MJ on October 31, 2008, 05:47:06 PM
I do the billing for a six provider family practice group.  Would you recommend that we have a Compliance Plan for our billing department.  And, if so, can anyone provide me with a sample of a plan?  Who administers the plan?  Do you actually hire a compliance officer? 
Title: Re: Compliance Plan
Post by: Michele on October 31, 2008, 08:00:27 PM
You should have a compliance plan in place for the billing department.  You don't need to hire a compliancy officer, you just need to appoint someone on your staff.  It doesn't have to be complicated.  You just need to state how you will handle a complaint both internally (from an employee) or from a patient.  It just needs to state how you will handle a complaint.  For example, you would appoint say yourself as compliancy officer and if an employee has a HIPAA concern or complaint they would need to bring it to your attention.  You will investigate the complaint and report to your boss.  If a patient calls with a complaint or concern, basically the same thing.  They would be directed to you, where you would take the complaint, investigate, and report to your boss.  You should also state that necessary action will be taken based on the findings.