Monthly Auditing Program

ACE, knows that you hold essential the values for an active compliance program and understand compliance is a long-term ongoing commitment.  The OIG model compliance plan indicates that to ensure a compliance program is being followed a group should conduct periodic audits.

Do you have trouble getting around to getting the monthly auditing done?  Let ACE be your monthly auditing agent.

ACE can again assist your practice in remaining compliant.  As you know, our staff has the expertise to assist in all phases affected by compliance guidelines.

We have put together a list of items that we believe every practice should be checking on throughout the year in order to demonstrate active compliance.  In the past we have given the lists for you to do.  We know how busy you are so, now we are offering to do them for you.

We propose that monthly audits are focused on specific items as follows:

January – Anesthesia time review

February – Post-operative pain, including daily management

March – Line documentation review

April – Medical direction elements review

May – Monitored Anesthesia Care, medical necessity

June – Concurrency, relief services

July – Coding; ICD-9-CM and CPT/ASA coding verification; modifiers 

August – OB anesthesia

September – Reimbursement

October – Pre-operative evaluation, physical status

November – Contract verification for one insurance

December – Monitoring AR guidelines against National Benchmarks

The program would work like this.  We agree on a twelve month schedule.  The group will be sent an E-mail on the 20^th day of the Month requesting the information.  This information will be due in our office by the 5^th work day of the following month.  Chart reviews will be limited to 25 charts.  We will perform the task, document it for your compliance plan and if findings are significant, we will have a telephone consultation with you as to the proper corrective action steps that should be taken.  This will help to keep your plan active and your finger on the pulse of compliance for your practice.

The fee is $500 per month payable by the 15^th of the following month.  We are limiting this to ten practices so if you are interested, please call.

We look forward to hearing from your office to help in your efforts of conducting internal review services.  Please contact the ACE office at 913.648.8572.

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