The Department of Justice recently stated that it is not their policy to assess fines and penalties for honest billing mistakes. However, DOJ also stated that hospitals, physicians and health plans must establish adequate internal procedures to ensure the accuracy of submissions.
Components of an Integrated
Coding Compliance Program:
- Auditing – Identification of potential coding compliance problems.
- Education – Educate to correct identified areas of deficiencies.
- Action – Digital tracking to monitor progress in real time.
- Engagement – Patient and Provider outreach to minimize gaps and add value.
ERM’s
Innovative Education Program has proven success.
Our
Pilot has shown an ROI of over 300%.
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