When Money Changes Hands, Mistakes Are Common. Is Your Practice Covered?

In 2018 alone, practices settled with the Department of Justice for over $2.8 billion for violating the federal False Claims Act. Even the most honest of mistakes can be considered healthcare fraud and penalized accordingly. At PPP, we’ve found that most eye doctors simply don’t have the time or the expertise to keep up with every little change in the rules governing Medicare reimbursement or everyday billing and coding in their practices. Ask yourself these questions: Are you aware of when reimbursement standards change for Medicare and Medicaid? Is your staff kept up to date when certain codes are no longer used? Are you confident in the proper ways to handle patient billing? Can you produce documentation your staff has been trained on OSHA and CDC regulations? Is your optometry team educated on the potential violations that they could unknowingly encounter? Have you adopted new digital solutions recently that may present gaps in your ability to secure PHI? Practice Compliance Solutions delivers HIPAA compliance management customized by our expert team to ensure optometry and ophthalmology practices’ securely handle patient data.

WHAT OUR OSHA COMPLIANCE PACKAGE INCLUDES

Our goal at PPP is to do the hard work for you. 

It’s a major proposition to expect you to stay up-to-date with rules and regulations concerning managed care reimbursement, billing and coding, and the other operational demands of your optometry practice. With our Fraud, Abuse, and Operational Compliance package, we’ll do the hard work informing, training, updating, and auditing so that your time is free to focus on what really matters — your patients.

Our Fraud, Abuse, and Operational Compliance package includes the following components, customized for your practice:

  • Management Training
  • Fraud, Abuse & Operational Compliance Policy Manual
  • All necessary documents:
    • Non-Discrimination Policy
    • Non-Discrimination Grievance Procedures
    • Sensory and Speech Impairment Policy
    • Limited English Proficiency Policy
    • Facility Accessibility Policy
    • Visitor Log
    • Patient Acknowledgement Regarding Durable Medical Equipment
    • DME Complaint Resolutions Form
  • Fraud and Abuse Staff Training,
    • Training Videos
    • Fraud and Abuse Training Log
    • Reimbursement Training Manual

Why Choose the Fraud, Abuse, and Operational Compliance Package from PPP?

Policy that governs both public and private health insurers is an area where changes happen more frequently than any other. PCS was founded by practicing eye doctors who started with a mission to understand these areas in our own practices before realizing that our colleagues need the same help that we did. No one understands better than us what you face on a daily basis, and we tailor our services to the most important things to know as a practitioner in the eyecare industry. All our packages are organized on the PCS App. It’s easy to navigate and updates automatically with each new rule that’s passed and implemented. If you could get complete assurance about your staff’s knowledge and preparedness with managed care reimbursement, billing and coding, and more — in a single afternoon — wouldn’t you? Hazard compliance involves meeting the requirements of OSHA, CLIA, CDC, and any other bodies involved in employee safety. No business owner wants their employees to get sick or injured on the job, but understanding all the factors of a safe practice is an ongoing, time-consuming, and labor-intensive project. We’ve worked hard to ensure that our OSHA module is a comprehensive resource that’s seamless and easy to navigate. We’ll help you learn the laws and keep your staff in good health, including in-person training session and on-site inspections, and the PPP App helps you consolidate and access your resources in just a few clicks. We know OSHA involves many requirements — we’ll help you fulfill them and get compliant in an afternoon.