Compliance Training for Therapists
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Are you a provider for a federal healthcare program (Medicare or Medicaid)? Whether you are a business of one or have hundreds of therapists on your team; if you submit claims to insurance for payment, you have a duty to ensure that these claims are true and accurate. The Office of the Inspector General (OIG) encourages all providers to develop and maintain a voluntary compliance program to demonstrate good faith effort in the provider's commitment to this objective. While a compliance plan does not guarantee that fraud, waste, or inefficiency will not occur, the creation of the program demonstrates your commitment to a culture of compliance and creates a process that will help protect you in the event of an audit or investigation.
This webinar, created by an occupational therapist who works as a Medicare Compliance Officer, utilizes the guidelines set forth by the Office of the Inspector General (OIG), CMS (Centers for Medicare & Medicaid Services), and the Health Care Fraud Prevention and Enforcement Action Team (HEAT) to create a compliance plan that is specific for therapists in a small or private practice and outlines the seven recommended components for a comprehensive compliance plan. You will leave the webinar with a solid understanding of these requirements, the reasons that you should establish such a program, and an editable template that you can use to create your own Compliance Plan.
Understand Fraud & Abuse Laws
Learn the laws that protect against fraud and abuse including the False Claims Act (FCA), Anti Kickback Statute (AKS), Physician Self Referral Law (Stark Law), Social Security Act including the Exclusion Statute and the Civil Monetary Penaltis Law (CMPL) and the United States Criminal Code as well as the consequences for violation.
Learn High Risk Areas
Understand the terms fraud, abuse and error, what constitutes improper payment under federal insurance programs and high risk areas for therapists.
Create Your Compliance Plan
Know the seven recommended components of a compliance program and how to translate these recommendations into an affordable, practical plan for your business plus receive an editable template that you can use to create your own Plan.
Hire/Contract With Qualified Personnel
Pre-hire screening recommendations to ensure therapists under your employ or contract are eligible to provide services to a beneficiary.
Meet Training Requirements
Maintain compliance through annual training that is affordable, effective and accredited.