Foundations of the Billing and Collections Process

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No Surprises

NEW COURSE! | Be Compliant with the No Surprises Act

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How Does KMC University’s OIG Compliance Membership Work?

KMC University’s online Library is renowned in the profession for the quality, scope, depth, and breadth of its curriculum and support. It is constantly updated and stays on the cutting edge of healthcare reimbursement and compliance. The OIG Compliance Program Implementation and Oversight adds more than 10 additional courses and a supercharger, the KMCU certified specialist, to the basic Library subscription.

Between your assigned, certified specialist and your appointed Compliance Officer and providers, the program is customized specifically for your practice needs. During this 12-month program, your OIG compliance needs are essentially outsourced to our compliance team. Because our compliance team is certified and trained, we will serve as your compliance officer during this time, taking the anxiety and worry off your shoulders.

Here is what we will do:

  • Perform your baseline documentation, coding, EOB, and general compliance audit and report the results. We include the audit in the cost of your one-year program. *A $2250 value, when purchased separately
  • Review any existing policy and procedure and oversee implementation of new, required, personalized policy and procedure to fill gaps as areas of correction are applied
  • Implement the 8 steps of OIG compliance, as required, with your team doing the boots-on-the-ground assistance during the ongoing coaching calls, which we expect to be in live, video calls 2-4 hours per month
  • Provide on-demand answers to your questions and emails as needed outside of the scheduled calls
  • Perform the function of being your compliance officer during this period, while taking you under our wing to train you on what is necessary to do going forward. If you decide you would like us to continue in this role after 12 months, we are happy to do so and can discuss costs at that time.
  • Oversee training of the team and physicians on the elements uncovered in the baseline audit
  • Install and execute a compliance calendar for the practice, to keep up on the daily, monthly and annual requirements of fulfilment of the process
  • Perform continuous monthly spot-check audits and additional audits necessary based on the error rate uncovered in the baseline audit
  • Ongoing training and correction of the issues uncovered in the audits, and document the corrections
  • Immediate response to detected offenses, incidents, or other concerns, while guiding you in how to correct and document them
  • A slow hand-off to you as compliance officer as the one-year program ends, or a discussion about our staying on board and keeping this task

The intensive aspects of the compliance implementation are usually completed in the first six months of membership. Then, the next six months include not only the ongoing oversight, but also personalized training to ensure that issues that came up in the audits are corrected. Most practices cover the cost of compliance implementation and oversight for an entire year for about the cost of about 3 patient visits per week, assuming a Collected Visit Average of $50.

Some practices prefer a jump start to the program and baseline audit, and that is conducted in a one- or two-day onsite visit. If the practice decides to implement that, we can spread the cost of that over the months of membership, if desired.

The cost of compliance implementation pales when compared to the monetary and emotional costs of non-compliance and the subsequent fines, recoupments, and penalties. We promise to do most of the heavy lifting and make the process as smooth and trouble-free as we can. Get started now with a personal consultation to evaluate your specific needs

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If you are looking to invest in your practice in the best possible way with the best possible people, KMC University is the way to go. They are thorough, extremely knowledgeable, and truly go above and beyond to provide technical and emotional support through what can be an exceptionally tedious process with reimbursement, documentation and compliance. Whether you need to brush up on your HIPAA guidelines and policies, or you are completely starting from scratch, they will give you the tools and show you how to use them.

Neomi Hunt, M.S.