Corporate Compliance

The creation of compliance program guidance remains a major effort by the OIG in its effort to engage the health care community in combating fraud and abuse. With growing federal deficits, increased health care costs and decreasing federal dollars, we believe corporate compliance will become even more important. Phymedco has established a culture of corporate compliance. The program was created and implemented by the most senior members of the organization. It acts as a guide for the managers and billing staff in the operation of the company. Billing records are quality assured against source documents. Coding and billing tools are used to prevent errors. Senior management and staff routinely attend local and national training seminars on the subject. Our clients can be assured that our Corporate Compliance program will help them in their efforts to remain “in compliance”.

Benefits of a compliance program:

• The formulation of effective internal controls to assure compliance with Federal regulations, private payor policies and internal guidelines;
  
• Improved medical record documentation;
  
• Improved collaboration, communication and cooperation among health care providers and those processing and using health information;
  
• The ability to obtain an accurate assessment of employee and contractor behavior relating to fraud and abuse;
  
• Increased likelihood of identification and prevention of criminal and unethical behavior;
  
• A methodology that encourages employees to report potential problems;
  
• Procedures that allow the prompt, thorough investigation of possible misconduct by all employees that can impact billing decisions.

HIPAA

Privacy, claim transactions and security of data are the main thrusts of the Health Insurance Portability and Accountability Act (HIPAA). Are your staff and vendors keeping you comprised of the ever changing landscape? The senior management of Phymedco are intimately involved in each facet of HIPAA to ensure that both us and our clients remain constantly compliant. We partner with organizations that demonstrate this same awareness and commitment. We have developed privacy policies and practices that your office can immediately use. Our billing system is fully compliant. We strive to keep our clients fully informed and compliant on an on-going basis.