Compliance is EMERGICON’s cornerstone to protect internal processes, partner agencies, and their patients. Based on DHHS’s The 7 Fundamental Elements of an Effective Compliance Program, our Compliance Plan focuses on understanding and staying updated with the laws and regulations governing EMS documentation and billing. Compliance is part of every department in our business,” says Director Nicole Rhone, stressing the importance of compliance in medical claims processing.
As EMERGICON strives for compliant practices daily, our Compliance team offers valuable insights to ensure that EMS providers remain compliant with industry standards. Here are the top six insights in compliance in medical claims processing from our Compliance Department:
Compliance in Medical Billing Top 6 Insights
- Data Reporting: Timely submission of all required documentation, such as the Texas Trauma Registry, is crucial to maintaining compliance and ensuring accurate data reporting.
- Compliance Policies: Review and update internal Compliance Policies regularly. Also, treatment protocols must be reassessed frequently to reflect current best practices and regulations.
- Audits: Conduct internal audits to identify potential compliance gaps. Execute monthly audits of the Office of Inspector General (OIG) exclusion list to ensure no excluded individuals are employed.
- Guidelines Updates: Stay informed about changes in State and Federal regulations. Additionally, review updates from the Texas Department of State Health Services and the Centers for Medicare & Medicaid Services regularly.
- Training: Implement ongoing training programs on compliance in medical billing requirements to ensure staff understand and comply with current regulations.
- Patient Data Management: Use secure methods for storing and transmitting patient data. Furthermore, implementing encryption storage solutions secures patient information protection.
For more information about EMERGICON’s services, please contact our EMS & Client Hotline: 866-839-3671 | support@emergicon.com.
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