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Compliance Monitoring Program

This program is a risk-based process designed to assist nursing facilities with or without a corporate compliance program. It has been structured to assist providers in monitoring their clinical and billing functions to help ensure receiving optimal payment for services provided. It includes the tools you need to conduct ongoing clinical and billing compliance self-audits for Medicare and Ohio Medicaid and monitoring of compliance with personal needs allowance regulations.

Billing Self-Audit Program

Program Benefits

  • Risk-based to effectively utilize limited staff resources
  • Significantly reduces time and cost
  • Documentation tools for Medicare Part A and Part B, and Ohio Medicaid
  • Affordable - less than even one year's compliance auditing fees
  • Increases knowledge and self-sufficiency of your staff
  • Includes mandatory 2006 Deficit Reduction Act (DRA) tools
  • Optional hands-on training, held at your facility or our training center
  • Includes all materials and comprehensive manual

Comprehensive Manual

  • Extensive self-audit forms
  • CD-ROM for customizing
  • Risk-based processes
  • Auditing techniques
  • Tips for identifying compliance issues