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155 search results for: Audit


Compliance Basics of Billing, Coding and Auditing

Karna W. Morrow CPC, RCC, CCS-P, AHIMA Approved ICD-10-CM Trainer Manager of Consulting Karna W. Morrow, CPC, RCC, CCS-P, AHIMA-approved ICD-10-CM Trainer, is the manager of the consulting team at Coding Strategies, Inc. located in Powder Springs, GA. Karna’s areas of expertise include billing and collections, coding and compliance, revenue enhancement, and process improvement within […]


The UPIC is Coming: CMS Auditors 2.0

This webinar will teach providers and practices why it is important to understand the CMS Unified Program Integrity Contractor (UPIC) program, when it will occur, and how to prepare. Target Audience This activity is designed for Physicians, Dentists, Healthcare Providers, Practice Managers, Employees Learning Objectives: At the end of this activity, attendees should be able […]


Did You Receive an OCR Notice for the Phase 2 Audit? What’s Next?

Now that OCR has officially started the Phase 2 HIPAA Audit Program, are you adequately prepared to be an auditee? OCR is currently compiling its pools of potential auditees that will be selected at random for auditing purposes. Many healthcare providers have already received this OCR notice requesting verification of contact information which must be […]


Prepare Your Staff to Meet an Auditor or Investigator

When a healthcare entity is the target of a government investigation or audit, it is the Compliance Officer who is responsible for leading the response to, and coordinating and tracking all steps and details of the challenging and unnerving process.  In responding appropriately to such government requests or contacts, it is important to not only […]


Are You Prepared for the HIPAA Phase 2 Audits?

After reviewing the HIPAA Privacy case investigations from 2009-2011, the Office of the Inspector General sent a strong message to the Office of Civil Rights in regard to the administration and enforcement of the HIPAA Privacy Rule. The OIG recommendation is clear in the September 2015 executive summary, “OCR Should Strengthen Its Oversight of Covered […]


How would your staff react to an auditor or investigator?

Audits and investigations are stressful events either with or without prior notice. Medical staff should be prepared for an unannounced visit. First Healthcare Compliance provides a sample policy that assists clients in preparing the front office. Here are some recommendations to ensure that proper steps are taken: Immediately contact your supervisor, manager and/or Compliance Officer […]


What Would The Office Of Civil Rights Most Likely Find In a HIPAA/HITECH Audit?

Looking back at past audits by the Office of Civil Rights (OCR) is the best place to start. The OCR enforces the HIPAA Privacy Rule, Security Rule, Breach Notification Rule and the confidentiality provisions of the Patient Safety Rule. The Office of Civil Rights’ “Lessons Learned from OCR Privacy and Security Audits” revealed the most […]