Author Topic: Compliance plan  (Read 1104 times)

taxlady28781

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Compliance plan
« on: November 12, 2010, 02:41:20 PM »
First off I want to say a big THANK YOU for this forum and all the posts.  I have read just about all of the posts under Starting Your Own Medical Billing Business. There is a ton of valuable information on here.

My question is about developing a compliance plan.  I will be the only person handling the billing.  How will my compliance plan differ from one for a billing company with several employees? Should I go ahead and put policies in place for future employees or just revise it later if I ever decide to hire someone to help?

Kathy

PMRNC

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Re: Compliance plan
« Reply #1 on: November 13, 2010, 10:02:06 AM »
Compliance plans sound more complicated than they really are or have to be, I think that's why many billing companies don't have them.  It's always obvious to me who has one and who doesn't by some of questions asked on this forum and other places..they start out with .. "What should I do about...? "  So with that question's beginning you can use that to create a compliance plan for your business as it is currently.  For myself I knew I would never grow (or want to grow) beyond just myself so it was much easier to think of my compliance plan as MY own..so that's what I would suggest you do for now and revise later, It really won't change much since you will be the boss, you will let your employee's learn your compliance plan which will help them learn about what's expected in your business. Think of your compliance plan as a reference for those questions you see all too often and how to address them. Instead of having to ask on a forum you will first refer to your compliance plan, it will be a guide to many situations that come up or might come up or could come up.  Answers such as what happens if you know or suspect a provider of fraudulent activity?, Who do you notify, do you notify anyone? What actions do you take? Who does it get reported to? etc etc etc.  It's first place I go to whenever I have a question. Mine is in a big binder along with my policies and procedures and I keep a section for each client for notes, etc. I then have a master compliance plan only that I make available to any client who wishes to see it. I always recommend a new client look it over.

Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
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taxlady28781

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Re: Compliance plan
« Reply #2 on: November 15, 2010, 08:59:09 AM »
Thank you Linda.  I really don't plan to expand beyond myself either, but you never know what the future might bring.  It would take a lot for me to bring someone else in, but if I absolutely had to I would.  (I take pride in my work and have trouble trusting someone else to do as thorough a job & keep my client's confidentiality.)  I definitely plan on doing a compliance plan.  I will look back through the questions asked in addition to the OIG guidelines to help me get my plan together .