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Hospitals, Laboratories, Physician
Practices, Hospices, Third Party Billing Companies, Home Health Agencies |
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Compliance Plan Development |
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Compliance Code of Conduct |
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|
Compliance Policies Development, Implementation and Instruction |
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Review current contracts & assess exposure
under Stark II and Federal & State anti-kickback and fee splitting prohibitions |
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Selected review of medical charts to assess billing
compliance, medical necessity and coding rules |
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Medical Staff issues, Human Resource issues |
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Legal Investigations and Assessments |
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Peer Review and Risk Management
Assessment |
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Evaluate current risk management plan
and risk management structure |
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Evaluate risk management records system |
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Development of procedures for responding to
subpoenas from private parties and investigative & licensing agencies |
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Emergency Medical Treatment and Active
Labor Act |
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Review policies & procedures for EMTALA
compliance |
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Assess Emergency Room forms including transfer
of patients |
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Selected chart review for EMTALA compliance |
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Investigation & evaluation of reported
occurrences |
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