Here is why you need it. The evolution of health care is changing the way we handle patient records, write prescriptions, bill for services, and work with physicians, hospitals and suppliers. As if all of this were not stressful enough, the Office of the Inspector General (OIG) is watching and commanding total compliance with current rules and regulations.
Each day that passes without an effective compliance plan increases your risk of staggering fines, penalties or even criminal liability if an auditor uncovers overpayments or alleged fraud.
Is your organization prepared for greater accountability?
Compliance goes beyond a paper document stuck in a file. It represents a functional, ongoing program with factors such as measuring effectiveness, proper training, review and update of policies and procedures. Your office will be held accountable for fraud and abuse risk areas that arise from new payment and delivery systems such as medical homes, accountable care organizations, bundled payments, and value-based purchasing.
Lack of knowledge won't hold up in a federal audit.
Medicare and Medicaid have expanded audit contractor programs to squash fraud, waste, and abuse. RACs, ZPICs and other contractors have been authorized by the Centers for Medicare & Medicaid Services to come in to your office and request dozens, even hundreds of claims, with little or no notice. Remember, even honest mistakes can trigger an audit.
A cookie-cutter plan won't do.
A template downloaded from the Internet won't meet federal compliance expectations.The CMCO program provides all the resources your office needs to develop and maintain a custom program that fits your unique requirements. Learn to evaluate and update policies and procedures, implement training, and much more.
Your office needs a knowledgeable compliance professional.
Compliance expertise is among the most valuable and versatile attributes on the business side of health care. PMI's CMCO program provides candidates with tools and tactical skills needed to safeguard the office. Equally important, if you are audited, the training provides proof that your organization has taken steps to comply with applicable billing and coding rules.
Don't be intimidated.
This is scary stuff, but we know this subject inside and out. PMI has spent more than 30 years teaching medical office professionals how to do it the right way. This program was carefully developed by leading compliance experts, Robert W. Liles and D.K. Everitt. The curriculum is taught with the medical office professional in mind with real-world compliance examples relevant to your office. You'll learn to handle tough situations with ease.
The CMCO is created for non-hospital health care professionals.
CMCO is the first curriculum created specifically for compliance professionals in small physician practices, home health agencies, hospices, and DME companies. It is also well suited for consultants and those working in community mental health clinics, third-party billing companies, and other non-hospital health care environments. The CMCO credential authenticates your compliance expertise and serves as a launching pad for further growth.
Those who continue to expand their professional knowledge will have the edge in today's ever-changing health care climate. Each Certification curriculum and exam has passed a thorough review process, ensuring that the materials are current and accurate, and testing standards are strictly enforced. PMI's National Advisory Board and Faculty Team have real-world experience in all aspects of running a successful medical practice.
Practice Management Institute's Certified Professional Standards of Excellence were developed to promote ethical requirements and standards for its Certified Professionals. These guidelines were established and approved by the Practice Management Institute®
Standards of Conduct describe the actions that would reasonably be expected of a PMI Certified Professional in the performance of his/her duties. Certified Professionals are held to the highest professional standards in the medical industry. PMI Certified Professionals must agree to follow appropriate and legal guidelines according to governmental and third party payer organizations and contracts. They will support the compliance efforts and reporting system of the medical practice. They will bill only for services that are actually rendered. Services will be coded accurately and only when documentation is provided for the service. They agree to continue to learn and abide by current standards in the ever-changing business of medicine.