In our series called The Comeback Story: 9 Compliance Resources to Level Up Your Practice, I have been sharing essential resources that any practice can utilize to build an effective compliance program.
Resource number six is:
CMS is part of the Department of Health and Human Services (HHS). They administer programs such as Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), the Health Insurance Marketplace, etc.
Goal: “To achieve a high-quality health care system, we aim to have better care at lower costs with improved health.”
How to Use It:
CMS is the heart of coverage, quality, billing, coding, and more. Even commercial insurance companies follow their guidelines. My three favorite sections are:
Regulations & Guidance
Research, Statistics, Data & Systems
Although, you may not use CMS’s resources, bookmarking their site and signing up for their mailing list is extremely important to receive compliance updates.
**The opinions and observations from the group/author are not a promise to exempt your practice from fines and penalties. Research, modify and tailor the advice to fit your specialty.
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