Medical Compliance

Healthcare compliance is required by both Federal and State laws throughout the United States. This regulates medical billing and coding compliance for treatments, risk assessment, practice ethics, referral laws, and patient rights legislation.

The proper billing for services rendered needs to be accurate to ensure that problems with the government do not arise. Proper documentation and itemization of charges for treatments and services are important to provide proof of service during an audit or adjustment by integrity contractors. The compliance of healthcare providers also prevents improper treatments, lawsuits and various problems which occur between patients and insurance claims.

Protection of the organization of healthcare providers can only be done by following the strict laws and regulations set for compliance. To prevent government examination and inquiries,healthcare organizations must analyze and correct all factors which could lead to such audits and adjustments. Proper compliance also leads to less conflicts with insurance claims and offers efficient processing for healthcare providers.

Healthcare Global Quality Assurance programs are designed to assure your practice is in full compliance with all the laws and regulations.