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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Small Practice Compliance Plan

This contains a downloadable compliance plan that meets the Office of Inspector General's recommendations for individual, small, and medium practices.

Download Here (Members Only)

Contents:

General Standards of Conduct 

Administrator Responsibilities

Compliance Officer Responsibilities 

Employee Responsibilities

Medical Staff Responsibilities

Education and Training

Communication about Compliance Issues

Auditing and Monitoring

Investigation and Response

Medical Necessity for Lab and Diagnostic Procedures

Billing Responsibilities

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