Corporate Compliance/Medicaid/Medicare (3)

Frequently, unexpected or unfavorable events occur, whether they involve employee injuries, a dissatisfied patient, expressed employee concerns, breach of confidential information, documentation or billing errors, external audit/ inspection/ investigation by an insurance carrier or government agency. These incidents should be tracked and actions to provide corrective action must be documented. Some incidents only need to be memorialized while others require follow up on corrective actions. The incident-tracking log is spiral bound to help keep your information safe in one place. Tracking incidents and corrective actions to help you demonstrate your response to detected violations (OIG elements #5 - Responding appropriately to detected offenses and developing corrective action and #6 - Developing open lines of communication).   Please allow 3-5 business days for items to be shipped.   Note: Please be advised that DCS does not currently offer international shipping services.

Course Description:  This comprehensive course covers essential topics for dental professionals and executives, including fraud and abuse detection and prevention, Medicaid and Medicare compliance, abuse reporting, and ethical leadership in Dental Service Organizations. Participants will learn about the relevant laws and regulations, best practices for compliance, and how to foster a culture of ethics and integrity in their practice or organization   Course Objectives:  Understand the intricacies of anti-fraud and abuse laws pertinent to dental practices, including Stark Law, the Anti-Kickback Statute, and the False Claims Act. Identify, report, and prevent fraud in the healthcare domain.  Understand the essentials of Medicaid and Medicare compliance for dental practices, including participation guidelines, billing protocols, and coding standards. Remain compliant with Medicaid and Medicare program regulations. Know the procedure to report cases concerning children, the elderly, and vulnerable adults effectively and ethically. Navigate ethical dilemmas and foster a culture of integrity and accountability in Dental Service Organizations. Drive sustainable success through ethical leadership in Dental Service Organizations.   This Bundle includes the following courses: Detecting and Combating Fraud and Abuse Medicaid Compliance  Medicare Compliance Essentials of Abuse Reporting   AGD Subject Code(s): 155, 555, 565& 566 Original Release Date: 03/11/2024 Review Date: 03/11/2024 Expiration Date: 03/11/2027 Refunds/Exchanges are allowed providing the attendee hasn't completed the course. To request a refund, email clientcare@dentalcompliance.com or call 817-755-0035.

Section 6401 of the Affordable Care Act (“Obamacare”) requires healthcare providers and organizations that receive reimbursement directly or indirectly from Medicare, Medicaid (and other government healthcare programs including Medicare Advantage) to implement and maintain a compliance program that includes the OIG Compliance Guidelines (for Individual and Group Physician Practices and/or for Third-Party Billing Companies) depending on the practice/organization’s type, size and risks. Review the provider enrollment agreement you/your dentist signed to credential/re-credential with Medicare, Medicaid or other government healthcare programs. You will find you/your dentist attested to the government your practice/organization has an OIG compliance program like the one outlined below. If you don’t have one, it is high time you make it happen before you get busted for falsifying a government document, which is a crime (even if you didn’t realize you did it). The government does not tolerate liars/lying (false attestation).   The OIG’s Seven Fundamental Elements of an Effective Compliance Program include: Implementing written policies, procedures and standards of conduct. Designating a compliance officer and compliance committee. Conducting effective training and education. Developing effective lines of communication. Conducting internal monitoring and auditing. Enforcing standards through well-publicized disciplinary guidelines. Responding promptly to detected offenses and undertaking corrective action.  This manual can be used by participating and non-participating Dentists, Group Dental Practices, Dental Service Organizations and Third-Party Billing Companies who want to develop a strong Compliance Program to prevent the consequences of fraud, waste and abuse and demonstrate organizational integrity. The manual includes framework to outline help your practice/organization establish written policies, procedures and standards of conduct, designate a compliance officer (and compliance committee, as needed), facilitate effective compliance training and education, establish effective lines of communication (internal reporting process for employee concerns, which lessens the likelihood of whistleblower reports to the government), outlines auditing and monitoring processes, establishes a framework for enforcing your standards, and facilitates your responses and corrective action to detected violations of rules, regulations and your practice/organization’s internal standards. Specifically, this includes: Customized Compliance Program manual and related forms Incident Tracking Log   NOTE: This manual does not address OSHA, HIPAA or Human Resources (employee handbook).   We have a version for New York Dental Providers to meet NY OMIG compliance program requirements. This kit pares well with our Record Auditing services to support your Auditing and Monitoring processes, which helps prevent/reduce government audit triggers, recoupments, payment holds, provider corrective action plans, network exclusion, and referrals to OIG/OMIG/MFCU for False Claims Act violations. For more information on our Record Auditing services call us at (817) 755-0035 or email Toothcop@DentalCompliance.com. Please allow 7-10 business days for standard delivery. Our manuals are customized to cater to your unique needs. Note: We do not sell compliance manuals to residents and/or dental professionals of California. Note: Please be advised that DCS does not currently offer international shipping services.   If you have questions or concerns, please contact the ClientCare Team at (817) 755-0035 or email ClientCare@DentalCompliance.com.