ACA/OIG + Medicare/OIG Module

ACA/OIG + Medicare/OIG Module

Complete Policies and Procedures Package

The Affordable Care Act (ACA) and Medicare require unique compliance mandates that are enforced by the Department of Health and Human Services Office of Inspector General (OIG) - under the auspices of the Centers for Medicare and Medicaid Services.

The challenge here is manifest:

Inspectors General have unique civil and criminal investigatory, warrant and subpoena power under federal law. OIG officers carry side-arms, can arrest without warrant and are able to issue subpoenas with the force and effect of law.

In addition to the usual ACA coverage, we combine the ACA coverage with a separate Medicare/Medicaid CMS compliance package.

Get the EPICompliance ACA/OIG + Medicare/OIG Module by Signing Up now for our Complete Compliance Suite.

Description:

The ACA/OIG + Medicare/OIG Module provides:

  • Policies: Continuously updated library of policies in order to meet the ongoing requirements and evolution of the regulatory environment.
  • Forms: Standardized forms for implementation of policies and most-importantly: training and recognition of policy awareness. It is not enough to have policies available – personnel must be educated and tested and these policies must be used – you must be able to prove the policies are followed.
  • Documents: A cloud-based document management repository provides secure storage and access for Policies, Forms and uploaded related/supporting documents.
  • Training: Compliance officer certification through our education system – convenient online courses with verifiable testing and completion certificates.

Who Needs EPICompliance

ANY PERSON OR BUSINESS IN THE USA OR ITS TERRITORIES THAT HAS TOUCHED A MEDICAL RECORD AT ANYTIME.

All DIRECT health care providers and facilities need a provable compliance program:

  • Doctors and their offices; Physical Therapists; Occupational Therapists; Nurse Practitioners; Physician Assistants; Psychologists; Dentists; Oral Surgeons; Speech Therapists; Chiropractors; Home Health Providers...
  • Hospitals; Clinics; Surgery Centers; Imaging Centers; Pharmacies; Urgent Care Centers; Skilled Nursing Facilities; Nursing Homes...

All health care ASSOCIATED businesses and individuals need provable compliance:

  • Health care service and related industries that come in contact with health care information: Medical Billing Specialists; Plaintiffs' and Defense Attorneys; Estate Attorneys; Electronic Medical Record Companies; Practice Management Software Companies; Practice Management Consultants; Medical and DME Suppliers...
  • "Business Associates" - Any person or business that works with direct health care providers but do not come in contact with medical records: Biomedical Waste Companies; Information Technology Contractors; Janitorial Providers... 
  • All these businesses are obligated to comply with HIPAA and OSHA standards at the very least…
  • Please note: HIPAA compliance sanctions now extend to decision-making employees such as Office Managers. An unsuspecting Office Manager is now personally liable for the $50,000 per incident fines.