Compliance is More Than a Manual
There was a time when DCs could stay informed simply by comparing notes and attending a few seminars, but those days are long past. Over the years, a veritable alphabet soup of state and federal government agencies has implemented thousands of rules and regulations for healthcare providers. Those agencies are quite happy to present you with hefty fines and penalties if you make a mistake. On top of that, other commercial carriers have a stranglehold on third-party reimbursement dollars so it’s clear that ignorance will not hold up as a defense. What it all means is that chiropractic compliance isn’t just a strong suggestion; it's mandatory and it’s the law.
Chasing Your Tail
There are many websites, publications, and other resources out there that can help you stay up-to-date on healthcare compliance. If you’re a doctor or a Compliance Officer you can spend your time searching websites for your State and National Associations, for every third-party payer (including Medicare), and the Office of the Inspector General (OIG)—the OIG provides comprehensive information on healthcare compliance as well as the most up-to-date Advisory Opinions, Fraud Alerts, Bulletins, and other new issues in chiropractic compliance as they arise—but who has time for all that? You can save all that time and work when you are in the care of KMC University. We do the research so you don’t have to.
Some Good News
Did you know that compliance can actually help you make and keep more money? For example, we find that doctors with compliant self-audit systems in place often find missed reimbursement opportunities by identifying services that were performed but not billed. In addition, auditing routine coding and insurance explanations of benefits can reveal patterns and errors that are probably affecting your bottom line. The good news is that if you’re willing to put policies and procedures in place to ensure compliance with healthcare programs your reputation and revenue will soar. You won’t be on the receiving end of those fines mentioned earlier.
We've Got This
KMC University is an integral part of your ongoing compliance education and protection. That’s because whether you’ve joined one of our subscription programs or you’re an a la carte customer of KMC University, you under our care and protection. We have multiple Certified Medical Compliance Specialists (MCS-Ps), Certified Professional Coders (CPCs) and other subject matter experts on staff. We constantly keep our ears to the ground and our fingers firmly on the pulse of what’s happening in the compliance world as it relates to healthcare. You can count on us to keep you informed on all requirements for healthcare providers.
In today’s highly-regulated healthcare environment it’s virtually impossible for practitioners to stay on top of all of the chiropractic compliance laws, rules, and regulations that affect them. Let us help.
Want to learn more about compliance materials and training or the hundreds of other lessons and benefits we offer with a KMC University Library or Library with Assistance membership?