Our Latest Articles:

HIPAA Compliance Program Requirements

The Office of Civil Rights requires entities to have a properly developed HIPAA Compliance Program which is focused on protecting the privacy of patients and their Protected Healthcare Information.  Some of the requirements of a HIPAA Compliance Program are; Designate the following Compliance OfficersPrivacySecurityComplaintComplianceConduct a Security Risk Analysis of practice or organizationHave HIPAA Compliance manual…

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Elements Of OIG Compliance Program

Any doctor or entity receiving reimbursement from a federally funded health care program such as Medicare, Medicaid, Tri-Care, etc. is required to have compliance program based on Seven (7) Elements as described in the Federal Sentencing Guidelines. The 7 Elements are; Assign a designated Compliance Officer. Have open lines of communication to the Compliance Officer.…

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Why Compliance Is Important

Compliance is required in health care and other industries. Based on information gathered, the OIG in 2018, determined that 41% of all chiropractic claims had errors or were deemed fraudulent.  It is for these reasons the OIG has targeted the chiropractic field and has made it part of their work plan each year since.  Many…

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What The FBI And Federal Prosecutors Say About Compliance

In July of 2019, Jim was one of 50 compliance officers out of over 500 officers from around the country to be select to attend a two day Compliance Symposium sponsored by the FBI and the Society of Corporate Compliance and Ethics.  The symposium was held at the FBI headquarters in Washington D.C. and FBI…

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What is Compliance?

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Welcome

What will auditors find if your claims or documentation were to be audited?  What would be the results be if you were investigated?

Blue Cross, Aetna and Medicare have increased audits. Recovery Audit Contractors are paid 24% commission to search through your records and recover funds for Medicare. What will you do when they audit you?

NEWS

National University of Health Sciences Homecoming 

Chicago Chiropractor Indicted for Allegedly Billing $10 Million to Medicare and Private Insurers for Nonexistent Treatment.

SERVICES PORTFOLIO

We offer complete solutions & specialized programs

Complete Office Compliance Audits

Complete Physical Office Audit inspecting for Medicare/OIG, HIPAA, OSHA, NCQA, CLIA and ADA requirements and guideline compliance.

Patient File Review Audits

Charts are audited for proper documentation requirements, billing, coding, and medical necessity of services.

TRAINING Assistance

 conduct training for your office staff and employees on a variety of topics including Medicare/OIG and HIPAA compliance as well as billing, coding, and documentation. 

Compliance Officer Services

 We will help guide you and oversee your compliance efforts to ensure that you are compliant in the requirements and guidelines.

Having an ongoing effective compliance program is one of the only factors that can help you and your practice if you are ever investigated.

WE WILL ADD TO YOUR TEAM

Show the faces to make your project more trustworthy

Dr. Diane Barton

She is a Certified Medical Compliance Specialist as well as a Certified Insurance Consultant.

James Minx

He is a Certified Medical Compliance Specialist and an insurance consultant.

Proper documentation and an effective compliance program will be even more critical in the years to come. Beginning in January of 2017, a new physician fee schedule will be released under the MACRA Act (Medicare Access and CHIP Reauthorization Act.) Under MACRA, doctors and practices will be reward with higher Medicare payments and bonuses whereas those whose practices are not compliant will have their payments reduced.

The Office of the Inspector General (OIG), listed in their work plan to focus on conducting audits in the chiropractic field as one of their main objectives.

A Compliance Program should be designed to meet the needs of each individual clinical site based on the OIG guidelines. The OIG has advised that there are three areas that must be specifically addressed in a Compliance Program: Development, Implementation, and Monitoring.

Some may know compliance, but they know little about the chiropractic office. Some know chiropractic procedures, but really don't know about compliance. Dr. Diane Barton is a Certified Insurance Consultant and a Certified Medical Compliance Specialist. James Minx is a Certified Medical Specialist and insurance consultant.

Are you ready for the new physician fee schedule?

CONTACT US

Phone: (708) 922-3911
Fax: 708-922-1451
email Dr. Diane Barton: DianeBarton@medicalcompliancespecialists.com
email James Minx: JamesMinx@medicalcompliancespecialists.com

18665 Dixie Hwy, Homewood, IL 60430

Email: 18665 Dixie Hwy, Homewood, Il 60430

Call: (708) 922-3911