Search Results for: eight elements

HHS-OIG Report Signals an Increase in SNF Audits by ZPICs

Medicare, Medicaid & Private Payor Updates /

(April 1, 2011): Skilled Nursing Facilities (SNFs) are again in the spotlight. A recent report likely signals an increase in future SNF Audits. The Prospective Payment System (PPS) under which SNFs are reimbursed by Medicare has long been criticized by many concerned with “benefit integrity” and curbing waste, fraud, and abuse in the Medicare program. […]

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Compliance Program Development and Implementation

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An effective Compliance Program is a living, breathing document. In order to be effective, it must become an integral part of your organization. It cannot simply lay dormant until an auditor shows up or a violation occurs. Rather, through the active application of the plan’s policies and procedures on a daily basis, active compliance can be achieved.

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