Get a Grip on New Guidelines and Regulatory Changes
Do you catch yourself wondering why you should audit your work? Well, for starters it’s one of the requirements of an “effective” compliance program according to the notorious OIG.
The 7 Elements of an Effective Compliance Program are:
- Implementing policies and procedures.
- Designating a compliance officer and committee.
- Conducting effective training and education.
- Developing effective lines of communication.
- Conducting internal monitoring and auditing.
- Enforcing standards via disciplinary guidelines.
- Responding to offenses and undertaking action.
For more information check out the 7 Elements of an Effective Compliance Program
Hospitals and facilities are encouraged to conduct regular audits to ensure that medical necessity for admission and treatment is documented and that bills submitted for Medicare services are correct. And there’s plenty of other reasons to audit.
But when it comes down to the nitty-gritty of the audits themselves, there’s a lot of guideline changes, regulatory changes, and audit plan revisions for 2019 to keep on your radar. Like the ICD-10-PCS coding guidelines, and the 2-Midnight rule regulatory changes, to name just a few. Luckily, there are also some new tools in the world of auditing that will make juggling all of these things a lot easier on you.
Tune in to my upcoming webinar with the expert auditor, Heather Greene, to take a look at a couple of coding and regulatory changes, some of the documentation requirements, and to learn the ‘whys’ of auditing. In this webinar, you’ll learn where to find important inpatient change notifications, the possible implications of changes each year, why it’s important to audit, and why using good software is helpful in monitoring and auditing internally.