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Are You Prepared for an Audit?

The Federal Government is constantly auditing healthcare entities. A recent Michigan settlement resulted in prison time and a hefty repayment for violations of the False Claims Act.

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If your compliance plan needs to be updated, now is the time.

You want to make sure that your practice is protected so that you are not faced with a similar situation as a vascular surgeon from Bay City, Michigan.

A vascular surgeon was sentenced to 80 months in prison for defrauding healthcare programs by submitting claims for the placement of vascular stents and thrombectomies that he did not perform. He was also ordered to pay $19.5 million in restitution and up to $43,419,000 to the government to resolve civil allegations.

If you want to avoid prison time and hefty fines and payments, you need to make sure that your compliance plan is up to date and functioning correctly.

Your compliance program should be working daily to help you detect any potential discrepancies or issues when it comes to your billing.

If you are not sure if your compliance plan is up to date, make sure to do something internal audit.

Look at a variety of records, payor mix, and providers when performing an audit of your billing.

It is also important to carefully review your policies and procedures to make sure that they reflect your actual practices.

Let your staff know that you take compliance seriously by regular training and investigating any of their concerns.

If you are not sure if your compliance program is running smoothly, enlist help.

We help our clients update their compliance plans and their policies and procedures, train their staff, audit records, and more.

If you need help, call us today.

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