Compliance
Training & Auditing

We offer a broad range of compliance training and auditing options including:

  • Auditing
  • Implementation and oversight of corporate compliance program
  • Regulatory Updates
  • Annual training
  • Customized employee training (including webinars, on-site, or written)
  • Continued monitoring and oversight to ensure compliance goals are being met
  • CPCO option (Our CPCO acts as YOUR Compliance Director)

Our Certified Professional Compliance Officer (CPCO) Keileigh Neugebauer recently published a Q&A article in AAPC Business Monthly to help health care professionals to better understand this complex issue.

Healthcare compliance is an aspect of healthcare touching everyone, from coders to clinicians to patients. Everyone has questions. And as a healthcare compliance consultant, I try to have the answers. Here are some of the most frequently asked questions (FAQs) healthcare entities and providers ask me:

A: Healthcare is a highly regulated industry and difficult to navigate legally. It’s best to contract with (or hire) someone who specializes in healthcare compliance to help you understand with which regulations your entity needs to comply, along with developing an internal compliance infrastructure and training. Make sure this professional has relevant experience, is properly certified, and is not on the Office of Inspector General (OIG) excluded individuals list (https://exclusions.oig.hhs.gov).

A: No. Lack of knowledge will not hold up in an investigation or audit. As a healthcare entity or individual, it’s your responsibility to keep up and comply with state and federal regulations. State or federal officials will hold that you should have known.

​A: Employees working in various healthcare roles, including coding and billing, should be trained in appropriate areas (HIPAA, HI- TECH, etc.) immediately upon hire and at least annually thereafter. Employees should be trained when existing regulations change or are updated and when new regulations are put into place.

A: Above all, compliance is about healthcare organizations and professionals upholding their legal and ethical responsibilities. Efforts don’t go unrewarded, however. For example:

  • A robust compliance program that includes on-going auditing can optimize billing and reimbursement.
  • A good compliance program that cites patient care and outcomes as a priority facilitates quality reporting.
  • A compliance program increases awareness within the entire organization, creates a team approach and environment, decreases errors and avoidable mistakes, and encourages employee communication.
  • In the event of an audit, a well-designed compliance plan shows due diligence, which may lessen imposed fines or penalties for any wrongdoing.

A: Recommended resources include:

 

These organizations provide informational articles, auditing software, news about updates and alerts, compliance ideas, and more.

 

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MCC believes that by combining the efforts of your unique situation with the services of Managed Care Concepts in a fully integrated system of care, health plan benefits can be optimized, dollars can be conserved and student /employer benefits can be managed more effectively.

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